ACR Position Statements and Public Comments
ACR leadership has chosen to refrain from commentary on controversial topics and will take a measured approach to respond.
Read moreThe American College of Radiology (ACR) is a vigorous advocate of quality breastimaging. Before there was a federal mandate for breast imaging accreditation, theCollege established a voluntary mammography accreditation program promotingstandards for quality assurance and quality control. Our mammography accreditationprogram was used as the model for the Mammography Quality Standards Act (MQSA).The ACR has supported the MQSA enactment and subsequent reauthorizations –including the requirement for patient notification through summary letters. The ACR hasdeveloped voluntary accreditation programs for other breast imaging modalities that arenot covered by the MQSA. The ACR supports annual mammography screening startingat age 40, based on strong scientific evidence and in agreement with the guidelines ofthe National Comprehensive Cancer Network. We have invested considerable effort toencourage women and their health care providers to utilize screening to save lives.
The ACR recognizes that breast density has an impact on mammographic screening.The ACR’s BI-RADS® lexicon describes four categories of breast parenchymal densityand instructs radiologists to include this density information in the medical report. It iswell known that greater breast density results in lower sensitivity for mammography. Byincluding this information in the medical report, the referring health care provider isgiven a general idea of the likelihood that cancer will be detected or missed based onthe parenchymal pattern. The ACR would support an FDA mandate that information onbreast parenchymal density be included in the mammography report.
The ACR supports and promotes the practice of patient education. As such, werecognize that density information included in the lay summary women receive fromtheir mammography examination may be helpful in encouraging an informed dialogueon this topic between the patient and her physician. The ACR believes it is important forwomen to understand the following about breast density:
The ACR recommends that the interest of the patient be placed first. The ACR is happy to work with legislators, regulatory agencies and patient groups to arrive at evidenced based imaging policies which save and extend lives.
ACR Position Statements and Public Comments
ACR leadership has chosen to refrain from commentary on controversial topics and will take a measured approach to respond.
Read moreRemote Scanning
Organizations must ensure that remote scanning is performed in a safe manner at the same level as standard scanning with the technologist onsite.
Read moreSupervision of Contrast Material Administration
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