8 new topics added in latest ACR Appropriateness Criteria update

The American College of Radiology has updated its ACR Appropriateness Criteria, adding several new topics to the guidelines. 

The college announced June 3 that it is updating old topics and adding new ones to reflect emerging clinical information that addresses previous gaps in care management. The latest criteria include eight new topics and another eight revised ones. 

“The ACR Appropriateness Criteria continue to serve as a trusted, evidence-based resource to support clinical decision-making and optimize patient care,” Ihab Kamel, MD, PhD, chair of the ACR Committee on Appropriateness Criteria, said in a press release. “This update reflects the ongoing commitment of our expert panels to ensure that guidance remains current, comprehensive, and responsive to evolving clinical needs.” 

New topics include: 

• Autosomal Dominant Polycystic Kidney Disease.

• Breast Imaging During Lactation. 

• Diagnosis and Monitoring of Sarcopenia. 

• Hydrocephalus-Child. 

• Management of Chylothorax. 

• Nonthrombotic Iliac Vein Lesion. 

• Suspected Abdominal Neoplasm-Child. 

• Staging and Follow-up of Adrenal Cancer. 

Topics that have been revised include: 

• Abdominal Aortic Aneurysm or Dissection-Interventional Planning and Follow-up. 

• Chronic Ankle Pain. 

• Female Infertility. 

• Imaging After Shoulder Arthroplasty. 

• Minor Blunt Trauma. 

• Penetrating Trauma-Abdomen and Pelvis. 

• Recurrent Lower Urinary Tract Infections in Females. 

• Renovascular Hypertension 

The college routinely updates its criteria to reflect new clinical evidence that warrants consideration. In total, ACR now covers 277 diagnostic imaging and interventional radiology topics and more than 1,350 clinical variants covering 4,100 scenarios, with 223 patient-friendly summaries. 

The full ACR AC can be viewed here.