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 »

AC News and Announcements

New and Revised Topics in 2017

The latest release of the ACR Appropriateness Criteria includes 176 Diagnostic Imaging and Interventional Radiology topics with 883 clinical variants and over 1,570 clinical scenarios. In 2017, we added 9 new and 21 revised topics.

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)
  • Lower Extremity Chronic Venous Disease (Joint with Vascular)

Expert Panel on Musculoskeletal Imaging

  • Shoulder Pain-Atraumatic

Expert Panel on Neurological Imaging

  • Altered Mental Status Change, Delirium, and New Onset Psychosis
  • Thyroid Disease

Expert Panel on Pediatric Imaging

  • Antenatal Hydronephrosis – Child
  • Cerebrovascular Disease – Child
  • Congenital Heart Disease – Child (joint with cardiac panel)
  • Pneumonia in the Immunocompetent Child – Child
  • Scoliosis – Child
  • Suspected 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)
  • Clinically Suspected Vascular Malformation of the Extremities
  • 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 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

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