Field Review

Review and Comment 

Field Review for the 2025 Practice Parameters and Technical Standards will be available August 5th, 2024 - September 27th, 2024.

Documents are available for review and comment in the ACR DOCS (platform). Please ensure to use your ACR login credentials to sign into the system. If you have any questions or need assistance, email docs@acr.org

Field Review Training Webinar: August 7th, 7:00 PM EST:  Register today


2025 Field Review Documents:

Body Imaging

ACR–SAR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF MAGNETIC RESONANCE IMAGING (MRI) OF THE LIVER

ACR–SAR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF COMPUTED TOMOGRAPHY (CT) ENTEROGRAPHY

ACR–SAR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF MAGNETIC RESONANCE (MR) ENTEROGRAPHY

ACR–NASCI–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF BODY MAGNETIC RESONANCE ANGIOGRAPHY (MRA)

ACR–SPR–SSR PRACTICE PARAMETER FOR THE PERFORMANCE AND INTERPRETATION OF MAGNETIC RESONANCE IMAGING (MRI) OF BONE AND SOFT-TISSUE TUMORS

ACR–SPR–SSR PRACTICE PARAMETER FOR THE PERFORMANCE AND INTERPRETATION OF MAGNETIC RESONANCE IMAGING (MRI) OF BONE, JOINT, AND SOFT TISSUE INFECTIONS IN THE EXTREMITIES

ACR–SPR–SSR PRACTICE PARAMETER FOR THE PERFORMANCE AND INTERPRETATION OF MAGNETIC RESONANCE IMAGING (MRI) OF THE KNEE

ACR–STR PRACTICE PARAMETER FOR THE PERFORMANCE OF HIGH-RESOLUTION COMPUTED TOMOGRAPHY (HRCT) OF THE LUNGS IN ADULTS

ACR–ASNR–SNIS–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF CERVICOCEREBRAL MAGNETIC RESONANCE ANGIOGRAPHY (MRA)

Breast Imaging

ACR PRACTICE PARAMETER FOR THE PERFORMANCE OF PREOPERATIVE IMAGE-GUIDED LOCALIZATION IN THE BREAST

ACR PRACTICE PARAMETER FOR THE PERFORMANCE OF CONTRAST ENHANCED MAMMOGRAPHY

GSER

ACR PRACTICE PARAMETER FOR COMMUNICATION OF DIAGNOSTIC IMAGING FINDINGS

ACR–SAR PRACTICE PARAMETER FOR THE PERFORMANCE OF ADULT CYSTOGRAPHY AND URETHROGRAPHY

ACR–STR PRACTICE PARAMETER FOR THE PERFORMANCE OF HIGH-RESOLUTION COMPUTED TOMOGRAPHY (HRCT) OF THE LUNGS IN ADULTS

Interventional

ACR–SIR PRACTICE PARAMETER FOR MINIMAL AND/OR MODERATE SEDATION/ANALGESIA

ACR–ASNR PRACTICE PARAMETER FOR THE PERFORMANCE OF NON-BREAST MAGNETIC RESONANCE IMAGING (MRI) GUIDED PROCEDURES

ACR–ASNR–ASSR–SIR–SNIS PRACTICE PARAMETER FOR THE PERFORMANCE OF IMAGE-GUIDED EPIDURAL STEROID INJECTION

ACR–ASNR–SNIS–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF CERVICOCEREBRAL MAGNETIC RESONANCE ANGIOGRAPHY (MRA)

Medical Physics

ACR–AAPM TECHNICAL STANDARD FOR THE PERFORMANCE OF LOW-DOSE-RATE BRACHYTHERAPY PHYSICS

ACR–AAPM TECHNICAL STANDARD FOR MEDICAL PHYSICS PERFORMANCE MONITORING OF SPECT-CT EQUIPMENT

ACR–AAPM TECHNICAL STANDARD FOR THE PERFORMANCE OF HIGH-DOSE-RATE BRACHYTHERAPY PHYSICS

ACR–AAPM TECHNICAL STANDARD FOR DIAGNOSTIC MEDICAL PHYSICS PERFORMANCE MONITORING OF STEREOTACTIC/TOMOSYNTHESIS-GUIDED BREAST BIOPSY SYSTEMS

ACR–AAPM TECHNICAL STANDARD FOR THE PERFORMANCE OF RADIATION ONCOLOGY PHYSICS FOR EXTERNAL-BEAM THERAPY

ACR–AAPM TECHNICAL STANDARD FOR MEDICAL PHYSICS PERFORMANCE MONITORING OF SURFACE GUIDED RADIATION THERAPY (SGRT)

Nuclear Medicine

ACR–ACNM–SNMMI–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF RADIONUCLIDE CYSTOGRAPHY

ACR–ACNM–SNMMI–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF NEUROENDOCRINE TUMOR SCINTIGRAPHY

ACR–ACNM–SNMMI–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF GASTROINTESTINAL TRACT, HEPATIC, AND SPLENIC SCINTIGRAPHY

ACR–ACNM–ARS–SNMMI PRACTICE PARAMETER FOR THE PERFORMANCE OF PROSTATE-SPECIFIC MEMBRANE ANTIGEN (PSMA) PET/CT

ACR–ACNM–ASTRO–SNMMI PRACTICE PARAMETER FOR LUTETIUM-177 (Lu-177) DOTATATE THERAPY

ACR–ACNM–ASNR–SNMMI PRACTICE PARAMETER FOR BRAIN PET-CT IMAGING IN DEMENTIA

Neuroradiology

ACR–ASNR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE AND INTERPRETATION OF CERVICOCEREBRAL COMPUTED TOMOGRAPHY ANGIOGRAPHY (CTA)

ACR–ASNR PRACTICE PARAMETER FOR THE PERFORMANCE OF NON-BREAST MAGNETIC RESONANCE IMAGING (MRI) GUIDED PROCEDURES

ACR–ASNR–ASSR–SIR–SNIS PRACTICE PARAMETER FOR THE PERFORMANCE OF IMAGE-GUIDED EPIDURAL STEROID INJECTION

ACR–ASNR–SNIS–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF CERVICOCEREBRAL MAGNETIC RESONANCE ANGIOGRAPHY (MRA)

ACR–ASNR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF COMPUTED TOMOGRAPHY (CT) OF THE HEAD

ACR–ACNM–ASNR–SNMMI PRACTICE PARAMETER FOR BRAIN PET-CT IMAGING IN DEMENTIA

Pediatric

ACR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF CONTRAST ESOPHAGRAMS AND UPPER GASTROINTESTINAL EXAMINATIONS IN INFANTS AND CHILDREN

ACR–SPR PRACTICE PARAMETER FOR THE SAFE AND OPTIMAL PERFORMANCE OF FETAL MAGNETIC RESONANCE IMAGING (MRI)

ACR–SAR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF MAGNETIC RESONANCE (MR) ENTEROGRAPHY

ACR–SAR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF COMPUTED TOMOGRAPHY (CT) ENTEROGRAPHY

ACR–NASCI–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF BODY MAGNETIC RESONANCE ANGIOGRAPHY (MRA)

ACR–SPR–SSR PRACTICE PARAMETER FOR THE PERFORMANCE AND INTERPRETATION OF MAGNETIC RESONANCE IMAGING (MRI) OF BONE AND SOFT-TISSUE TUMORS

ACR–STR PRACTICE PARAMETER FOR THE PERFORMANCE OF HIGH-RESOLUTION COMPUTED TOMOGRAPHY (HRCT) OF THE LUNGS IN ADULTS

ACR–SAR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF MAGNETIC RESONANCE IMAGING (MRI) OF THE LIVER

ACR–SPR–SSR PRACTICE PARAMETER FOR THE PERFORMANCE AND INTERPRETATION OF MAGNETIC RESONANCE IMAGING (MRI) OF BONE, JOINT, AND SOFT TISSUE INFECTIONS IN THE EXTREMITIES

ACR–ACNM–SNMMI–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF GASTROINTESTINAL TRACT, HEPATIC, AND SPLENIC SCINTIGRAPHY

ACR–SPR–SSR PRACTICE PARAMETER FOR THE PERFORMANCE AND INTERPRETATION OF MAGNETIC RESONANCE IMAGING (MRI) OF THE KNEE

ACR–AIUM–SPR–SRU PRACTICE PARAMETER FOR THE PERFORMANCE OF SCROTAL ULTRASOUND EXAMINATIONS

ACR–ASNR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE AND INTERPRETATION OF CERVICOCEREBRAL COMPUTED TOMOGRAPHY ANGIOGRAPHY (CTA)

ACR–ASNR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF COMPUTED TOMOGRAPHY (CT) OF THE HEAD

ACR–ACNM–SNMMI–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF NEUROENDOCRINE TUMOR SCINTIGRAPHY

ACR–ASNR–SNIS–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF CERVICOCEREBRAL MAGNETIC RESONANCE ANGIOGRAPHY (MRA)

ACR–ACNM–SNMMI–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF RADIONUCLIDE CYSTOGRAPHY

Radiation Oncology

ACR–ABS–ARS PRACTICE PARAMETER FOR TRANSPERINEAL PERMANENT BRACHYTHERAPY OF PROSTATE CANCER

ACR–ABS–ARS PRACTICE PARAMETER FOR THE PERFORMANCE OF RADIONUCLIDE-BASED HIGH-DOSE-RATE BRACHYTHERAPY

ACR–ABS–ARS PRACTICE PARAMETER FOR THE PERFORMANCE OF LOW-DOSE-RATE BRACHYTHERAPY

ACR–ACNM–ASTRO–SNMMI PRACTICE PARAMETER FOR LUTETIUM-177 (Lu-177) DOTATATE THERAPY

ACR–ACNM–ARS–SNMMI PRACTICE PARAMETER FOR THE PERFORMANCE OF PROSTATE-SPECIFIC MEMBRANE ANTIGEN (PSMA) PET/CT

Ultrasound

ACR–AIUM–SPR–SRU PRACTICE PARAMETER FOR THE PERFORMANCE OF SCROTAL ULTRASOUND EXAMINATIONS

ACR–ACOG-AIUM–SRU PRACTICE PARAMETER FOR THE PERFORMANCE OF SONOHYSTEROGRAPHY AND HYSTEROSALPINGO-CONTRAST-SONOGRAPHY (HyCoSy)

ACR–AIUM–SRU PRACTICE PARAMETER FOR THE PERFORMANCE OF DIAGNOSTIC AND SCREENING ULTRASOUND OF THE ABDOMINAL AORTA IN ADULTS

ACR–AIUM–SRU PRACTICE PARAMETER FOR THE PERFORMANCE OF PERIPHERAL ARTERIAL ULTRASOUND USING COLOR AND SPECTRAL DOPPLER

ACR–AIUM–SRU PRACTICE PARAMETER FOR THE PERFORMANCE OF ULTRASOUND EVALUATION OF THE PROSTATE (AND SURROUNDING STRUCTURES)

 

Overview of Field Review process

All ACR members are invited to review and comment on the documents that will be presented at the subsequent annual meeting. Draft documents are available for comments between August and November via the online commenting tool (Login Required).

Your input as an individual ACR member has equal weight whether you are a Board member or a member in training. Only comments that provide specific language recommendations can be used for document revisions. General feedback about an issue relevant to the document that does not suggest language cannot be acted upon without assuming what was intended.

Collaborative society representatives must follow the society’s process for reviewing and commenting on the documents during field review. ACR process requires the collaborating society has knowledge of, and final decision on all comments submitted on their behalf. Please coordinate with the appropriate society staff to submit comments for that society. If you are both a society representative and an ACR member, you may also participate individually as described in the prior paragraph.

The draft parameters and standards are grouped into one of four (or five, if needed) field review cycles; each cycle lasts three weeks.

At the conclusion of each cycle, the comments are collated by staff to be reviewed by one of the ACR Council Steering Committee member-led committees (aka Council Reconciliation Committees). Noncontroversial editorial changes and errors identified through the commenting process are incorporated into the document prior to review by the committee, leaving only substantive comments, which may be resolved through email. When appropriate, a conference call is held by a Council Reconciliation Committee to allow commenters and writing committee members the opportunity to discuss suggested language and determine possible revisions.

The applicable collaborating societies receive the “final draft” document which will be presented at the ACR Annual Meeting. Collaborating societies are asked to acknowledge the final draft document receipt and are provided an opportunity to state any concerns prior to the annual meeting, to expedite communication prior to approval considerations. No changes can be made to the final draft documents until they are presented for approval to ACR Council at the ACR Annual Meeting.

Approvals are obtained from each of the collaborating societies after ACR BOC, CSC, and Council adoption. For more information on the approval process, see “Review and Approval Process” section of the Practice Parameters and Technical Standards Development Handbook.

Please note: Field review is the last activity of the Practice Parameters and Technical Standards review process. All edits proposed during field review will be considered for incorporation into the document. No changes to the documents can be considered once the field review has been completed. Changes may be introduced during the approval phase of the document, but the vetting discussion may be brief and may not get the full consideration of the committee. It is strongly encouraged for members to review documents during field review. Factual errors, grammar, and misspellings may be submitted directly to ACR staff at any time and should not be submitted during approval process.