Dose creep refers to the risk of increasing patient dosedoses, perhaps due to being unaware of it, or an increase in exposure over time when using digital systems with manual tube settings. According to Cohen, dose creep is an “unintended excessive exposure and subsequent unnecessary patient exposure”exposure.” In a diagnostic imaging department, dose optimization is a major issue and there are number of activities done forengaged so that the workers to understand the relationship between dose image quality. Organization likeThe International Commission on Radiological Protection (ICRP) provides a classical report on “Managing Patient Dose in Digital Radiology”Radiology.” The Society for Pediatric Radiology (SPR), the American Association of Physicists in Medicine (AAPM), the American College of Radiology (ACR), and the American Society of Radiologic Technologists (ASRT) has formed image gentlyhave put forth guidelines to inform radiologist on dose issues when imaging children. In theA comprehensive review by Schaefer and Neitzel expresses that users understand the physical aspect of digital detectors and the exposure index number as a control mechanism for controlling dose creep.