ACR Appropriateness Criteria

BlueMan_640The ACR Appropriateness Criteria® (AC) are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. Employing these guidelines helps providers enhance quality of care and contribute to the most efficacious use of radiology. Learn more »

CMS has designated ACR as a Qualified Provider-Led Entity »

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New and Revised Topics in 2017

New Topics Under Development

Anticipated release is in 2018–2019.

Expert Panel on Breast Imaging

  • Breast Imaging of Pregnant and Lactating Women
  • Breast Implant Evaluation

Expert Panel on Cardiac Imaging

  • Suspected New-Onset and Known Non-Acute Heart Failure
  • Syncope (Joint with Neurological)

Expert Panel on Gastrointestinal Imaging

  • Anorectal Disease
  • Pancreatic Cysts

Expert Panel on Interventional Radiology

  • Dialysis Fistula Malfunction (Joint with Vascular)
  • Radiologic Management of Portal Hypertension (Joint with Vascular)

Expert Panel on Musculoskeletal Imaging

  • Shoulder Pain-Atraumatic

Expert Panel on Neurological Imaging

  • Altered Mental Status
  • Suspected Spine Infection
  • Thyroid Disease

Expert Panel on Pediatric Imaging

  • Acute Respiratory Illness of Immunocompetent – Child
  • Antenatal Hydronephrosis – Child
  • Cerebrovascular Disease – Child
  • Congenital Heart Disease – Child (joint with cardiac panel)
  • Crohn Disease – Child
  • Pneumonia in the Immunocompetent Child – Child
  • Scoliosis – Child
  • Spine Trauma – Child
  • Suspected Appendicitis – Child

Expert Panel on Thoracic Imaging

  • Lung Cancer Screening

Expert Panel on Vascular Imaging

  • Abdominal Aortic Aneurysm Follow-Up (without repair)
  • Chronic Venous Stasis Disease/Symptomatic Varicose Veins (Joint with Interventional)
  • Clinically Suspected Vascular Malformation of the Extremities
  • Diagnostic Evaluation Following Endovascular and Surgical Lower Extremity Arterial Revascularization
  • Imaging of Deep Inferior Epigastric Arteries for Surgical Planning (Breast Reconstruction Surgery)
  • Lower Extremity Vascular Disease

Expert Panel on Women’s Imaging

  • Gestational Trophoblastic Disease
  • Imaging of Post-Partum Bleeding Complications (Not Including Placental Attachment Disorder)
  • Nuchal Translucency Evaluation at 11-14 weeks Gestational Age
  • Postmenopausal Acute Pelvic Pain
  • Postmenopausal Sub Acute or Chronic Pelvic Pain
  • Second and Third Trimester Screening for Suspected Fetal Anomaly
  • Staging and Follow-up of Vaginal Cancer
  • Staging and Follow-up of Vulvar Cancer
  • Suspected Placental Attachment Disorder

Expert Panel on Major Trauma

  • Major Blunt Trauma

Topics Under Consideration

Topic Panel Anticipated Start
Suspected Spine Infection
Neuro 2017
Noncerebral Vasculitis
Vascular TBD

Methodology Documents

As a qPLE, the ACR follows guidance development requirements including a balanced, multidisciplinary team involving various stakeholders in the development process. To read more about the development process, please review the information below.

Additional Supporting Information

Additional Information

Provide Feedback

Please use our online feedback form* to share suggestions for new topics, questions about guidance provided in a topic, or to let us know what you like. Thanks for helping us make the ACR AC better!

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Learn more about the ACR AC External Review and Commenting process »

Clinical Decision Support

ACR Select® is the digital version of the ACR Appropriateness Criteria®. Incorporate ACR Select into computerized ordering and EHR systems to guide providers when ordering medical imaging scans.

Get ACR Select

Radiology Support, Communication and Alignment Network

Collaborate with radiologists and referring clinicians to improve imaging appropriateness based on Choosing Wisely topics.

Participate in R-SCAN