Abstract Approximately 5% and 1% of global greenhouse gas emissions originate from the healthcare sector and medical imaging respectively. These are not insignificant. Despite this, the medical field has been slow to adopt sustainable practices. Green radiology is a sustainable, innovative, and responsible approach in radiological practice that focuses on minimising the negative environmental impact of our technologies and procedures. The Asian Oceanian Society of Radiology (AOSR) conducted a survey across Asia-Oceania to better understand current operations and identify opportunities for meaningful progress toward more sustainable radiological practices. From the 123 institutions that responded, it was found that collectively the carbon footprint of Asia-Oceania’s radiological services are high in some of the countries/regions because of the high density of high energy consumption scanners (such as computed tomography and magnetic resonance imaging scanners). Our survey showed that less than half of the 15 societies that responded had specific academic or research activities related to sustainable radiology and less than a third reported that sustainability had b
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