American College of Radiology updates imaging appropriateness criteria with 13 new topics

The American College of Radiology has added more than a dozen new topics to its imaging appropriateness criteria while revising several more, officials announced on Monday.

ACR’s update covers several clinical scenarios, such as breast imaging in transgender patients, or staging and follow-up for primary vaginal cancer. The college additionally revised five other topics, with all including a narrative, evidence table and summary of relevant scientific literature.

“ACR Appropriateness Criteria creates consistent behaviors for medical imaging and interventional radiology procedures for all patients,” Mark Lockhart, MD, chair of the committee that oversees the criteria, said in a statement. “By employing these guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology.”

These criteria were first introduced back in 1993 and determined by a panel of experts in diagnostic imaging and interventional radiology. Today, the ACR now covers 211 topics and more than 1,900 clinical scenarios.

Providers can consult the ACR Appropriateness Criteria to meet requirements from the Protecting Access to Medicare Act, which mandates that clinicians consult medical guidelines before ordering advanced imaging. The Centers for Medicare & Medicaid Services has already designated ACR as a qualified provider-led entity, the college noted.

You can find the full list of new and revised topics here. ACR issued its last update back in October

Marty Stempniak

Marty Stempniak has covered healthcare since 2012, with his byline appearing in the American Hospital Association's member magazine, Modern Healthcare and McKnight's. Prior to that, he wrote about village government and local business for his hometown newspaper in Oak Park, Illinois. He won a Peter Lisagor and Gold EXCEL awards in 2017 for his coverage of the opioid epidemic. 

Around the web

The new F-18 flurpiridaz radiotracer is expected to help drive cardiac PET growth, but it requires waiting between rest and stress scans. Software from MultiFunctional Imaging can help care teams combat that problem.

News of an incident is a stark reminder that healthcare workers and patients aren’t the only ones who need to be aware around MRI suites.

The ACR hopes these changes, including the addition of diagnostic performance feedback, will help reduce the number of patients with incidental nodules lost to follow-up each year.