October 10, 2023

American College of Radiology releases new and updated appropriateness criteria

ACR releases nine new topics and nine revised topics


The American College of Radiology® (ACR®) released an update to its ACR Appropriateness Criteria® (ACR AC), which includes 233 diagnostic imaging and interventional radiology topics with more than 1,100 clinical variants covering more than 3,000 clinical scenarios. The update includes nine new and nine revised topics. All topics include a narrative, evidence table and a literature search summary.

“These updates to the ACR Appropriateness Criteria will assist referring physicians and other providers make the most appropriate imaging or treatment decisions for specific clinical conditions,” said Mark E. Lockhart, MD, MPH, chair of the ACR Committee on Appropriateness Criteria.

New Topics:

Imaging of Invasive Breast Cancer
Preprocedural Planning for Left Atrial Procedures in Atrial Fibrillation
Cerebrovascular Diseases-Stroke and Stroke-Related Conditions
Orbital Imaging and Vision Loss-Child
Soft Tissue Vascular Anomalies-Vascular Malformations and Infantile Vascular Tumors-Child
Workup of Pleural Effusion or Pleural Disease
Hydronephrosis on Prior Imaging-Unknown Cause
Screening for Abdominal Aortic Aneurysm

Revised Topics:

Female Breast Cancer Screening
Acute Pelvic Pain in the Reproductive Age Group
Clinically Suspected Adnexal Mass, No Acute Symptoms
Pretreatment Evaluation and Follow-up of Invasive Cancer of the Cervix
Management of Uterine Fibroids
Chronic Hand and Wrist Pain
Dizziness and Ataxia
Urinary Tract Infection-Child
Pulmonary Arteriovenous Malformation (PAVM)

The ACR AC was first introduced in 1993 by expert panels in diagnostic imaging and interventional radiology. The guidelines are developed and reviewed annually by expert panels in diagnostic imaging and interventional radiology. Spanish translations of the ACR AC are now available from Colegio Interamericano de Radiología for more than 40 topics. More Spanish versions will be posted on a rolling basis as translations progress. More information about ACR AC is available on the ACR website.