Background: Diagnostic imaging procedures such as X-ray, CT, and fluoroscopy contribute significantly to population radiation exposure. Radiographers play a critical role in ensuring radiation safety by applying the ALARA (As Low As Reasonably Achievable) principle during imaging procedures.

Aim: To evaluate the role of radiographers in reducing patient radiation dose through adherence to ALARA principles in routine diagnostic imaging.

Materials and Methods: A cross-sectional observational study was conducted in the Department of Radiology of a tertiary care hospital. Data were collected from 150 radiographic procedures including general radiography, CT, and fluoroscopy. The study assessed the implementation of ALARA-based practices such as appropriate exposure parameters, collimation, shielding, patient positioning, and use of automatic exposure control (AEC). Compliance was measured using a standardized checklist and radiation dose indicators.

Results: The study demonstrated that radiographers who consistently applied ALARA-based practices achieved significant reduction in radiation dose indicators. Proper collimation, optimized kVp/mAs settings, use of AEC, and adherence to shielding protocols contributed to dose reduction without compromising image quality. Variations in compliance were noted among different modalities and experience levels.

Conclusion: Radiographers have a pivotal role in radiation dose optimization. Continuous education, quality assurance programs, and adherence to ALARA principles are essential to minimize radiation exposure while maintaining diagnostic image quality.

Keywords: ALARA, Radiographers, Radiation dose, Dose optimization, Diagnostic imaging