Introduction: Radiation doses incurred by patients and medical staff have increased, however radiation should be minimized according to the “as low as reasonably achievable” (ALARA) principle. A new imaging platform incorporates optimized acquisition parameters and several real-time image processing algorithms with the goal to reduce radiation exposure while maintaining diagnostic image quality.Hypothesis: New software will lead to dramatically lower radiation doses inflicted upon patients and staff.Methods: A total of 460 consecutive procedures were analyzed in this retrospective cohort study. All patients who underwent implantation of cardiac devices between August 2014 and February 2016 were included. Patients underwent procedures in a room that either had a “conventional” Integris system or a “modern” Allura system. Groups were compared using Chi Square, t-test, or Mann-Whitney U as appropriate. P < 0.05 was considered significant.Results: Of the 460 procedures performed, 350 were performed using the conventional system and 110 were performed using the modern system. Dose area product per minute was reduced by more than two-thirds (CRT 28.65±28.70 vs. 141.66±121.24, ICD 8.09±10.36 vs. 27.88±30.29, PPM 4.97±4.71 vs. 27.67±30.94, in modern vs. conventional systems, respectively).Conclusion: Radiation doses were significantly lower using an updated system.