Value-based Imaging Activities

Educational activities for referring clinicians to optimize image ordering based on evidence

Funding for these activities was made available through a grant from the Transforming Clinical Practice Initiative.

Value-based Imaging Podcasts

Position Yourself for Success

Position your practice for success in the transition to value-based care with brief, free podcasts that discuss strategies for image ordering and highlight how the ACR Appropriateness Criteria® supports Choosing Wisely®  recommendations. 

Features and Benefits

  • Improve ordering practices and avoid low-value imaging with evidence-based recommendations based upon the growing list of Choosing Wisely topics
  • Gain insight about how communication between radiologists and referring clinicians can improve imaging care
  • Prepare for the impending Protecting Access to Medicare Act (PAMA) requirements by using clinical decision support tools and consulting the ACR Appropriateness Criteria

Choosing Wisely® Imaging Case Review

Test Your Knowledge

Access cases designed to test your knowledge of appropriate imaging and familiarize yourself with clinical decision support (CDS) technology that delivers evidence-based appropriate use criteria (AUC) to guide selection of the most appropriate imaging for patients  — all while earning CME.

This free activity is made up of modules based on Choosing Wisely®  (CW) recommendations related to reducing or re-evaluating the use of imaging for specific indications. The CW topics are aligned with the ACR Appropriateness Criteria® (AC), which are evidence-based guidelines made available through the CareSelect™  clinical decision support platform.

Prepare for PAMA

Under the Protecting Access to Medicare Act (PAMA), CMS will require physicians and other providers to consult AUC developed by a qualified provider-led entity prior to ordering outpatient imaging services for Medicare patients. Learn more »

Features and Benefits

  • Complete one or all of the modules at your convenience
  • CME is awarded at the completion of each module
  • Discover radiation exposure information, relative cost and other information about imaging exams helpful for patient conversations   
  • Try out clinical decision support in an easy-to-navigate portal
  • Gain a better understanding of ACR Appropriateness Criteria
What Others Are Saying
“The featured clinical cases reflect highly relevant situations and provide a valuable opportunity for clinicians to review evidence-based ordering guidelines and learn about the interactive ACR Appropriateness Criteria clinical decision support tool … that can be subsequently integrated into daily practice.”

— Jason Hom, MD, Clinical Assistant Professor of Medicine, Stanford University

Podcast Activities by Topic (CME expired for these activities May 31, 2021)

Case Review Activities by Topic

Accessing and Navigating the Activities

An ACR login is required to access the activities.

Create a free account


Navigating the Case Review Modules


Click on the image below to view the instructions for completing the modules.


Consulting ACR Select

  1. Enter the patient age and gender.
  2. Enter the service information or click “Skip Service.”
  3. In the search field, enter a term to locate the indication, then click on an indication to select it.
  4. Click on “Display Evidence” to view the ACR Appropriateness Criteria for some topics.
  5. More details about cost and RRL are available in the explanation section for each case.





Navigating the Podcasts

  1. Click the play button on the video to listen to the podcast.
  2. When finished, click the arrows >> to proceed to the questions page.
  3. After answering all the questions, click “Submit to Complete” at the top of the page. Make sure your pop-up blocker is turned off.
  4. Complete the evaluation and download or print your certificate.

Checking Your Score

Click the four-line icon located on the right of the screen, then click on “Activity Summary” to view your score.

Hardware/Software Requirements

You can access these modules via a PC, Mac, or Linux computer using any of the following supported browsers:

  • Google Chrome
  • Mozilla Firefox
  • Microsoft Internet Explorer
  • Apple Safari 

We support the two latest versions of each of these browsers. Upon the release of a new version, we will begin supporting the newly released version and stop supporting the oldest previously supported version.

Regardless of the browser you choose, you must enable:

  • Cookies
  • Javascript
  • MP4 video playback plug-in (e.g., Microsoft Windows Media Player, Apple Quicktime)
  • Flash player (optional) 

We recommend using the latest production-level versions of these browsers. In particular, we strongly suggest using Firefox or Chrome.

Learning Objectives


Upon completion of the case review modules, the participants should be able to:

  • Outline the concepts of appropriate use criteria (AUC).
  • Describe how to apply AUC to clinical scenarios to determine appropriate image ordering.
  • Demonstrate use of decision support tools in practice.

Upon completion of the podcasts, the participants should be able to:

  • Understand successful communication practices with radiologists/referring physicians related to ordering imaging;
  • Demonstrate understanding of image ordering best practices; and
  • Apply evidence-based recommendations into image ordering decision-making.

CME Information

**Please note CME credit has expired for the Value-Based Imaging Podcasts as of May 31, 2021. The podcasts are still available but CME can no longer be claimed.**

Accreditation Statement

The American College of Radiology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement

The American College of Radiology designates these enduring material activities for a maximum of 0.5 AMA PRA Category 1 Credit™ for each of the case review modules. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Only physicians are eligible to be awarded AMA PRA Category 1 Credit™. The AMA defines physicians as those individuals who have obtained an MD, DO, or equivalent medical degree from another country.

All other participants in this CME activity may receive a Certificate of Participation that documents participation in an activity designated for AMA PRA Category 1 Credits™. For the purposes of recertification, other certification boards may award equivalent Continuing Education (CE) credit when presented with a Certificate of Participation from an activity that was designated for AMA PRA Category 1 Credit™. ACR suggests that learners check with their licensing board to ensure they accept reciprocity with AMA Category 1 Credit™.

For information about the accreditation of this program, please contact the ACR at

Choosing Wisely© Imaging Case Review

CME Released: August 2017
CME Renewed: October 1, 2019
CME Expires: September 30, 2021

Value-Based Imaging Podcasts

CME Released: June 2015
CME Renewed: June 1, 2019
CME Expired: May 31, 2021

How to Claim CME Credit

For each module, you must achieve a minimum score of 80% in three attempts to receive credit. Estimated time to complete each educational activity is 30 minutes. 

After completing all cases/questions, click the Submit to Complete button located at the top right of the screen to access a brief survey prior to receiving your certificate. Make sure your browser’s pop-up blocker is turned off.

Once the survey is completed, click the View/Print Certificate button to open your certificate and print and/or save it as a PDF. Return to the case review/podcast page at any time using the Activities by Topic links above (you may need to log in with your ACR account again) and click on View/Print Certificate to print or save your certificate.

ACR Disclosure Policy/Conflict of Interest

In compliance with ACCME requirements and guidelines, the ACR has developed a policy for disclosure and review of potential conflicts of interest, and a method for resolution if a conflict does exist. The ACR maintains a tradition of scientific integrity and objectivity in its educational activities. In order to preserve these values and ensure its educational activities are independent and free of commercial bias, all individuals, including planners, presenters, moderators and evaluators, participating in an ACR educational activity, or an activity jointly provided by the ACR must disclose all relevant financial relationships with any commercial interest.

The following planners and managers have no financial relationships to disclose:

Nancy Fredericks
Lisa Gunderman
Alexis LaCount
Boyan Petrovic, MD

The following faculty members have no financial relationships to disclose:

Choosing Wisely© Imaging Case Review

Max Wintermark, MD
Marc H. Willis, DO
L. Alexandre Frigini, MD
Christie M. Lincoln, MD
Veronica Lenge De Rosen, MD
Justin Peacock, MD

Value-Based Imaging Podcasts:

Marcia Javitt, MD 
Amnon Amit, MD 
Robert Shih, MD 
Matthew Denny, MD 
Carole Dennie, MD, FRCPC 
Philip Wells, MD, FRCPC, MSc 
Jason Hom, MD 
Maura Ryan, MD 
Elizabeth Powell, MD, MPH 
Laura Hayes, MD 
Bryan Philbrook, MD 
Francine Jacobson, MD, MPH 
Angela Bader, MD, MPH 
Steven Eberhardt, MD 
Thomas M. Schroeder, MD 
Marta E. Heilbrun, MD, MS 
Troy Madsen, MD 
Prasad Shankar, MD 
Rebecca S. Cornelius, MD, FACR
Robert Ellis, MD, FAAFP 
Amanda Corey, MD, FACR 
Mia Minen, MD, MPH
Sean Necessary, MD 

Need assistance?

Click on the Support button within the activity to submit a help request or email

Clinical Decision Support Resources


Learn more about the requirement that referring providers consult appropriate use criteria prior to ordering advanced diagnostic imaging for Medicare patients.

Get informed today »

Practice Toolkit


Use the downloadable materials and resources to build awareness of radiology and to answer patient questions about medical imaging and treatment.

Practice Toolkit »