American College of Radiology Guidelines
ACR Appropriateness Criteria
Category:
Conditions: Sinusitis
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
Conditions: Sinusitis
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Abnormal vaginal bleeding
Category:
Conditions: Abnormal vaginal bleeding
Published Date: 2006
Published by: American College of Radiology
Conditions: Abnormal vaginal bleeding
Published Date: 2006
Published by: American College of Radiology
ACR Appropriateness Criteria: Acute abdominal pain and fever or suspected abdominal abscess
Category:
Conditions: Acute abdominal pain and feverAbdominal abscessNote: This guideline is arbitrarily limited to illnesses affecting the region between the diaphragm and the upper pelvis and excludes both renal and flank pathology.
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Acute abdominal pain and feverAbdominal abscessNote: This guideline is arbitrarily limited to illnesses affecting the region between the diaphragm and the upper pelvis and excludes both renal and flank pathology.
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Acute chest pain - suspected aortic dissection
Category:
Conditions: Acute chest pain suspected aortic dissection
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Acute chest pain suspected aortic dissection
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Acute chest pain - suspected pulmonary embolism
Category:
Conditions: Acute chest pain suspected pulmonary embolism
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
Conditions: Acute chest pain suspected pulmonary embolism
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Acute chest pain: no ECG or enzyme evidence of myocardial ischemia/infarction
Category:
Conditions: Acute chest pain with no electrocardiogram (ECG) or enzyme evidence of myocardial ischemia/infarction
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Acute chest pain with no electrocardiogram (ECG) or enzyme evidence of myocardial ischemia/infarction
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Acute hand and wrist trauma
Category:
Conditions: Acute hand and wrist trauma
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Acute hand and wrist trauma
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Acute onset flank pain - suspicion of stone disease
Category:
Conditions: Acute onset of flank pain suspicion of stone disease
Published Date: 1995 (revised 2007)
Published by: American College of Radiology
Conditions: Acute onset of flank pain suspicion of stone disease
Published Date: 1995 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Acute onset of scrotal pain without trauma, without antecedent mass
Category:
Conditions: Acute onset of scrotal pain
Published Date: 1995 (revised 2007)
Published by: American College of Radiology
Conditions: Acute onset of scrotal pain
Published Date: 1995 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Acute pancreatitis
Category:
Conditions: Acute pancreatitis
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
Conditions: Acute pancreatitis
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Acute pyelonephritis
Category:
Conditions: Acute pyelonephritis
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Acute pyelonephritis
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Acute respiratory illness
Category:
Conditions: Acute respiratory illness
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Acute respiratory illness
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Acute respiratory illness in HIV-positive patients
Category:
Conditions: Acute respiratory illness (including Pneumocystis jiroveci pneumonia bacterial and viral pneumonia tuberculosis Kaposi sarcoma and lymphadenopathy)Human immunodeficiency virus (HIV) infection
Published Date: 2003 (revised 2005)
Published by: American College of Radiology
Conditions: Acute respiratory illness (including Pneumocystis jiroveci pneumonia bacterial and viral pneumonia tuberculosis Kaposi sarcoma and lymphadenopathy)Human immunodeficiency virus (HIV) infection
Published Date: 2003 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Acute trauma to the knee
Category:
Conditions: Acute trauma to the knee
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Acute trauma to the knee
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Anal cancer
Category:
Conditions: Anal cancer
Published Date: 1998 (revised 2007)
Published by: American College of Radiology
Conditions: Anal cancer
Published Date: 1998 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Ataxia
Category:
Conditions: AtaxiaNote: Vertigo is a separate American College of Radiology (ACR) Appropriateness Criteria??? topic and will not be readdressed in this guideline.
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
Conditions: AtaxiaNote: Vertigo is a separate American College of Radiology (ACR) Appropriateness Criteria??? topic and will not be readdressed in this guideline.
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Avascular necrosis of the hip
Category:
Conditions: Avascular necrosis of the hip
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Avascular necrosis of the hip
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Blunt abdominal trauma
Category:
Conditions: Blunt abdominal trauma
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Blunt abdominal trauma
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Blunt chest trauma - suspected aortic injury
Category:
Conditions: Blunt chest trauma suspected aortic injury
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Blunt chest trauma suspected aortic injury
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Bone tumors
Category:
Conditions: Bone tumors
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Bone tumors
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Breast microcalcifications
Category:
Conditions: Breast microcalcifications
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Breast microcalcifications
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Cerebrovascular disease
Category:
Conditions: Cerebrovascular disease
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Cerebrovascular disease
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Chronic ankle pain
Category:
Conditions: Chronic ankle pain
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Chronic ankle pain
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Chronic chest pain - suspected cardiac origin
Category:
Conditions: Chronic chest pain of suspected cardiac origin
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
Conditions: Chronic chest pain of suspected cardiac origin
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Chronic elbow pain
Category:
Conditions: Chronic elbow pain
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Chronic elbow pain
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Chronic foot pain
Category:
Conditions: Chronic foot pain
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Chronic foot pain
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Chronic hip pain
Category:
Conditions: Chronic hip pain
Published Date: 1998 (revised 2003)
Published by: American College of Radiology
Conditions: Chronic hip pain
Published Date: 1998 (revised 2003)
Published by: American College of Radiology
ACR Appropriateness Criteria: Chronic neck pain
Category:
Conditions: Chronic neck pain
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Chronic neck pain
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Chronic wrist pain
Category:
Conditions: Chronic wrist pain
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Chronic wrist pain
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Claudication
Category:
Conditions: Claudication
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Claudication
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Colorectal cancer screening
Category:
Conditions: Colorectal cancer
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
Conditions: Colorectal cancer
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Congestive heart failure
Category:
Conditions: Congestive heart failure
Published Date: 2003 (revised 2006)
Published by: American College of Radiology
Conditions: Congestive heart failure
Published Date: 2003 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Crohn's disease
Category:
Conditions: Crohn's disease (CD)
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Crohn's disease (CD)
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Dementia and movement disorders
Category:
Conditions: Dementia including:Alzheimer's disease (AD)Frontotemporal dementia (FTD)Lewy body disease (DLB)Vascular dementia (VaD)Creutzfeldt-Jakob disease (CJD)Normal-pressure hydrocephalus (NPH)Huntington's disease (HD)Neurodegeneration with brain iron accumulation (NBIA)Parkinson's disease (PD)Multiple system atrophy (MSA)Progressive supranuclear palsy (PSP)Amyotrophic lateral disease (ALS)
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
Conditions: Dementia including:Alzheimer's disease (AD)Frontotemporal dementia (FTD)Lewy body disease (DLB)Vascular dementia (VaD)Creutzfeldt-Jakob disease (CJD)Normal-pressure hydrocephalus (NPH)Huntington's disease (HD)Neurodegeneration with brain iron accumulation (NBIA)Parkinson's disease (PD)Multiple system atrophy (MSA)Progressive supranuclear palsy (PSP)Amyotrophic lateral disease (ALS)
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Ductal carcinoma in situ
Category:
Conditions: Ductal carcinoma in situ (DCIS)
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Ductal carcinoma in situ (DCIS)
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Dysphagia
Category:
Conditions: Dysphagia
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Dysphagia
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Dyspnea
Category:
Conditions: DyspneaNote: This guideline does not include two of the most serious causes of dyspnea (congestive heart failure [CHF] and pulmonary thromboembolism) because they are dealt with elsewhere (see American College of Radiology [ACR] Appropriateness Criteria??? cardiovascular and thoracic guidelines).
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
Conditions: DyspneaNote: This guideline does not include two of the most serious causes of dyspnea (congestive heart failure [CHF] and pulmonary thromboembolism) because they are dealt with elsewhere (see American College of Radiology [ACR] Appropriateness Criteria??? cardiovascular and thoracic guidelines).
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Endometrial cancer
Category:
Conditions: Endometrial cancer of the uterus
Published Date: 2000 (revised 2005)
Published by: American College of Radiology
Conditions: Endometrial cancer of the uterus
Published Date: 2000 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Epilepsy
Category:
Conditions: Epilepsy
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Epilepsy
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: External beam radiation therapy: Treatment planning for clinically localized prostate cancer
Category:
Conditions: Prostate cancer
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Prostate cancer
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: First trimester bleeding
Category:
Conditions: First trimester bleeding
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: First trimester bleeding
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Focal neurologic deficit
Category:
Conditions: Focal neurologic deficit
Published Date: 2006
Published by: American College of Radiology
Conditions: Focal neurologic deficit
Published Date: 2006
Published by: American College of Radiology
ACR Appropriateness Criteria: Followup and retreatment of brain metastases
Category:
Conditions: Brain metastases
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
Conditions: Brain metastases
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Followup imaging of bladder carcinoma
Category:
Conditions: Bladder cancer
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
Conditions: Bladder cancer
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Followup of Hodgkin's disease
Category:
Conditions: Hodgkin's diseaseComplications of Hodgkin's disease
Published Date: 1999 (revised 2005)
Published by: American College of Radiology
Conditions: Hodgkin's diseaseComplications of Hodgkin's disease
Published Date: 1999 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Followup of lower extremity arterial bypass surgery
Category:
Conditions: Recurrent symptomatic or asymptomatic stenosis following lower extremity arterial bypass surgery
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Recurrent symptomatic or asymptomatic stenosis following lower extremity arterial bypass surgery
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Followup of malignant or aggressive musculoskeletal tumors
Category:
Conditions: Musculoskeletal tumorsMetastatic disease
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
Conditions: Musculoskeletal tumorsMetastatic disease
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Followup of non-small cell lung cancer
Category:
Conditions: Non-small cell lung cancer
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Non-small cell lung cancer
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Followup of renal cell carcinoma
Category:
Conditions: Renal cell carcinoma
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
Conditions: Renal cell carcinoma
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Growth disturbance - risk of intrauterine growth restriction
Category:
Conditions: Intrauterine growth restriction (IUGR)
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
Conditions: Intrauterine growth restriction (IUGR)
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Head trauma
Category:
Conditions: Head trauma
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Head trauma
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Headache
Category:
Conditions: Headache
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Headache
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Hematemesis
Category:
Conditions: Hematemesis
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
Conditions: Hematemesis
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Hematuria
Category:
Conditions: Hematuria
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Hematuria
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Hematuria - child
Category:
Conditions: Hematuria
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
Conditions: Hematuria
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Hemoptysis
Category:
Conditions: Hemoptysis
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
Conditions: Hemoptysis
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Hepatic malignancy
Category:
Conditions: Hepatic malignancy
Published Date: 2007 Jan
Published by: American College of Radiology
Conditions: Hepatic malignancy
Published Date: 2007 Jan
Published by: American College of Radiology
ACR Appropriateness Criteria: Hodgkin's Disease - unfavorable clinical stage I and II
Category:
Conditions: Hodgkin's disease – unfavorable clinical stage I and II
Published Date: 2000 (revised 2006)
Published by: American College of Radiology
Conditions: Hodgkin's disease – unfavorable clinical stage I and II
Published Date: 2000 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Imaging after total hip arthroplasty (THA)
Category:
Conditions: Total hip arthroplasty (THA)
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Total hip arthroplasty (THA)
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Imaging after total knee arthroplasty
Category:
Conditions: Complications after total knee arthroplasty (TKA)
Published Date: 2006
Published by: American College of Radiology
Conditions: Complications after total knee arthroplasty (TKA)
Published Date: 2006
Published by: American College of Radiology
ACR Appropriateness Criteria: Incidentally discovered adrenal mass
Category:
Conditions: Adrenal mass
Published Date: 2000 (revised 2007)
Published by: American College of Radiology
Conditions: Adrenal mass
Published Date: 2000 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Indeterminate renal masses
Category:
Conditions: Indeterminate renal mass
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
Conditions: Indeterminate renal mass
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Induction and adjuvant therapy for N2 non-small cell lung cancer
Category:
Conditions: N2 non-small-cell lung cancer (NSCLC)
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
Conditions: N2 non-small-cell lung cancer (NSCLC)
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Invasive cancer of the cervix
Category:
Conditions: Cervical carcinoma (invasive cancer of the cervix)
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Cervical carcinoma (invasive cancer of the cervix)
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Jaundice
Category:
Conditions: Jaundice
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Jaundice
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Left lower quadrant pain
Category:
Conditions: Left lower quadrant pain
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Left lower quadrant pain
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Limping child - ages 0-5 years
Category:
Conditions: Limping child
Published Date: 1995 (revised 2007)
Published by: American College of Radiology
Conditions: Limping child
Published Date: 1995 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Liver lesion characterization
Category:
Conditions: Liver lesion
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
Conditions: Liver lesion
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Local regional recurrence (LR) and salvage surgery - breast cancer
Category:
Conditions: Breast cancerLocal-regional recurrence after breast-conserving therapy (BCT)Local-regional recurrence after modified radical mastectomy (MRM)
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Breast cancerLocal-regional recurrence after breast-conserving therapy (BCT)Local-regional recurrence after modified radical mastectomy (MRM)
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Locally advanced (high-risk) prostate cancer
Category:
Conditions: Locally advanced (high risk) prostate cancer
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Locally advanced (high risk) prostate cancer
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Low back pain
Category:
Conditions: Acute low back pain with or without radiculopathy
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Acute low back pain with or without radiculopathy
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Metastatic bone disease
Category:
Conditions: Metastatic bone disease
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Metastatic bone disease
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Multiple brain metastases
Category:
Conditions: Multiple brain metastases
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
Conditions: Multiple brain metastases
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Multiple gestations
Category:
Conditions: Multiple gestationsNote: For simplicity and clarity the appropriateness criteria have been applied to twin pregnancies initially diagnosed in the second trimester. They are applicable to twins first identified in the third trimester with little if any alteration of the schema. For twins identified in the first trimester a scan for detailed anatomic evaluation and comparative growth is recommended at 18-20 weeks with other aspects of these guidelines applicable thereafter. Triplet and higher order multiple gestations are not specifically addressed but these should all be treated as very high-risk pregnancies.
Published Date: 2001 (revised 2005)
Published by: American College of Radiology
Conditions: Multiple gestationsNote: For simplicity and clarity the appropriateness criteria have been applied to twin pregnancies initially diagnosed in the second trimester. They are applicable to twins first identified in the third trimester with little if any alteration of the schema. For twins identified in the first trimester a scan for detailed anatomic evaluation and comparative growth is recommended at 18-20 weeks with other aspects of these guidelines applicable thereafter. Triplet and higher order multiple gestations are not specifically addressed but these should all be treated as very high-risk pregnancies.
Published Date: 2001 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Myelopathy
Category:
Conditions: Myelopathy
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Myelopathy
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Neuroendocrine imaging
Category:
Conditions: Endocrine disorders including the following:HypopituitarismObesity/eating disorderHyperthyroidism (high thyroid stimulating hormone [TSH])Cushing's syndrome (high adrenal corticotrophic hormone [ACTH])HyperprolactinemiaAcromegaly/gigantismDwarfism (proportionate)Diabetes insipidusPituitary apoplexyPostoperative sellaPrecocious puberty
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
Conditions: Endocrine disorders including the following:HypopituitarismObesity/eating disorderHyperthyroidism (high thyroid stimulating hormone [TSH])Cushing's syndrome (high adrenal corticotrophic hormone [ACTH])HyperprolactinemiaAcromegaly/gigantismDwarfism (proportionate)Diabetes insipidusPituitary apoplexyPostoperative sellaPrecocious puberty
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Node-positive prostate cancer
Category:
Conditions: Node-positive prostate cancer
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Node-positive prostate cancer
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Nonpalpable breast masses
Category:
Conditions: Nonpalpable breast masses
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Nonpalpable breast masses
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Nonsurgical aggressive therapy for non-small cell lung cancer
Category:
Conditions: Non-small-cell lung cancer
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Non-small-cell lung cancer
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Nontraumatic knee pain
Category:
Conditions: Nontraumatic knee pain
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Nontraumatic knee pain
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Obstructive voiding symptoms secondary to prostate disease
Category:
Conditions: Obstructive voiding symptoms secondary to prostate disease
Published Date: 1995 (revised 2007)
Published by: American College of Radiology
Conditions: Obstructive voiding symptoms secondary to prostate disease
Published Date: 1995 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Orbits, vision and visual loss
Category:
Conditions: Disorders of the orbit and optic nerve
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
Conditions: Disorders of the orbit and optic nerve
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Osteoporosis and bone mineral density
Category:
Conditions: Osteoporosis
Published Date: 1998 (revised 2007)
Published by: American College of Radiology
Conditions: Osteoporosis
Published Date: 1998 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Ovarian cancer screening
Category:
Conditions: Ovarian cancer
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Ovarian cancer
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Palpable abdominal mass
Category:
Conditions: Palpable abdominal mass
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
Conditions: Palpable abdominal mass
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Palpable breast masses
Category:
Conditions: Palpable breast massBreast cancer
Published Date: 1996 Sep (revised 2006)
Published by: American College of Radiology
Conditions: Palpable breast massBreast cancer
Published Date: 1996 Sep (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Pediatric Hodgkin's disease
Category:
Conditions: Hodgkin's disease
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
Conditions: Hodgkin's disease
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Permanent source brachytherapy for prostate cancer
Category:
Conditions: Prostate cancer
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Prostate cancer
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Plexopathy
Category:
Conditions: Plexopathy
Published Date: 2006
Published by: American College of Radiology
Conditions: Plexopathy
Published Date: 2006
Published by: American College of Radiology
ACR Appropriateness Criteria: Postoperative adjuvant therapy in non-small cell lung cancer
Category:
Conditions: Non-small-cell lung cancer (NSCLC)
Published Date: 2006
Published by: American College of Radiology
Conditions: Non-small-cell lung cancer (NSCLC)
Published Date: 2006
Published by: American College of Radiology
ACR Appropriateness Criteria: Postradical prostatectomy irradiation in prostate cancer
Category:
Conditions: Prostate cancer
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Prostate cancer
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Post-treatment followup of prostate cancer
Category:
Conditions: Prostate cancer
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
Conditions: Prostate cancer
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Pre-irradiation evaluation and management of brain metastases
Category:
Conditions: Brain metastases
Published Date: 1999 (revised 2005)
Published by: American College of Radiology
Conditions: Brain metastases
Published Date: 1999 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Premature cervical dilatation
Category:
Conditions: Premature cervical dilatation (cervical incompetence)
Published Date: 1999 (revised 2005)
Published by: American College of Radiology
Conditions: Premature cervical dilatation (cervical incompetence)
Published Date: 1999 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Pretreatment staging of invasive bladder cancer
Category:
Conditions: Invasive bladder cancer
Published Date: 1995 (revised 2007)
Published by: American College of Radiology
Conditions: Invasive bladder cancer
Published Date: 1995 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Pulsatile abdominal mass
Category:
Conditions: Pulsatile abdominal mass
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Pulsatile abdominal mass
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Recurrent lower urinary tract infections in women
Category:
Conditions: Recurrent lower urinary tract infections (UTIs)
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Recurrent lower urinary tract infections (UTIs)
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Recurrent symptoms following lower extremity angioplasty
Category:
Conditions: Recurrent symptoms following lower extremity angioplasty: claudication and threatened limb
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Recurrent symptoms following lower extremity angioplasty: claudication and threatened limb
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Renal failure
Category:
Conditions: Renal failure
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Renal failure
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Renal trauma
Category:
Conditions: Renal trauma
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
Conditions: Renal trauma
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Renovascular hypertension
Category:
Conditions: Renovascular hypertension
Published Date: 1995 (revised 2007)
Published by: American College of Radiology
Conditions: Renovascular hypertension
Published Date: 1995 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Resectable rectal cancer
Category:
Conditions: Resectable rectal cancer
Published Date: 2007
Published by: American College of Radiology
Conditions: Resectable rectal cancer
Published Date: 2007
Published by: American College of Radiology
ACR Appropriateness Criteria: Rib fractures
Category:
Conditions: Rib fractures
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Rib fractures
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Right lower quadrant pain
Category:
Conditions: Acute right lower quadrant pain
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Acute right lower quadrant pain
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Right upper quadrant pain
Category:
Conditions: Acute right upper quadrant pain
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Acute right upper quadrant pain
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Routine admission and preoperative chest radiography
Category:
Conditions: Indications of cardiopulmonary disease
Published Date: 2000 (revised 2006)
Published by: American College of Radiology
Conditions: Indications of cardiopulmonary disease
Published Date: 2000 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Routine chest radiograph
Category:
Conditions: Cardiopulmonary respiratory or other condition for which a routine chest radiograph is recommended.Note: This guideline concerns the daily routine radiograph only and does not include postprocedural or postsurgical radiographs.
Published Date: 2006
Published by: American College of Radiology
Conditions: Cardiopulmonary respiratory or other condition for which a routine chest radiograph is recommended.Note: This guideline concerns the daily routine radiograph only and does not include postprocedural or postsurgical radiographs.
Published Date: 2006
Published by: American College of Radiology
ACR Appropriateness Criteria: Routine chest radiographs in uncomplicated hypertension
Category:
Conditions: Uncomplicated hypertension
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
Conditions: Uncomplicated hypertension
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Screening for pulmonary metastases
Category:
Conditions: Pulmonary metastases
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
Conditions: Pulmonary metastases
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Second and third trimester bleeding
Category:
Conditions: Second and third trimester vaginal bleeding
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Second and third trimester vaginal bleeding
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Seizures - child
Category:
Conditions: Seizures
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
Conditions: Seizures
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Shortness of breath - suspected cardiac origin
Category:
Conditions: Shortness of breath suspected cardiac origin
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
Conditions: Shortness of breath suspected cardiac origin
Published Date: 1995 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Shoulder trauma
Category:
Conditions: Shoulder trauma
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Shoulder trauma
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Single brain metastasis
Category:
Conditions: Single brain metastasis
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
Conditions: Single brain metastasis
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Soft tissue masses
Category:
Conditions: Soft tissue masses
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Soft tissue masses
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Solitary pulmonary nodule
Category:
Conditions: Solitary pulmonary nodule
Published Date: 1995 Sep (revised 2005)
Published by: American College of Radiology
Conditions: Solitary pulmonary nodule
Published Date: 1995 Sep (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Stage 1 breast carcinoma
Category:
Conditions: Stage I breast carcinoma
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: Stage I breast carcinoma
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Staging and followup of ovarian cancer
Category:
Conditions: Ovarian cancer
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
Conditions: Ovarian cancer
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Staging evaluation - Hodgkin's disease
Category:
Conditions: Hodgkin's disease
Published Date: 2000 (revised 2005)
Published by: American College of Radiology
Conditions: Hodgkin's disease
Published Date: 2000 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Staging of bronchogenic carcinoma
Category:
Conditions: Bronchogenic carcinoma non-small cell and small cell lung carcinoma
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Bronchogenic carcinoma non-small cell and small cell lung carcinoma
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Staging of testicular malignancy
Category:
Conditions: Testicular cancer
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
Conditions: Testicular cancer
Published Date: 1996 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Stress/insufficiency fracture including sacrum, excluding other vertebrae
Category:
Conditions: Stress/insufficiency fractures including sacrum excluding other vertebrae
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Stress/insufficiency fractures including sacrum excluding other vertebrae
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Suspected adnexal masses
Category:
Conditions: Adnexal masses
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Adnexal masses
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Suspected ankle fractures
Category:
Conditions: Ankle fractures
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Ankle fractures
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Suspected bacterial endocarditis
Category:
Conditions: Bacterial endocarditis
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
Conditions: Bacterial endocarditis
Published Date: 1998 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Suspected congenital heart disease in the adult
Category:
Conditions: Congenital heart disease
Published Date: 1998 (revised 2007)
Published by: American College of Radiology
Conditions: Congenital heart disease
Published Date: 1998 (revised 2007)
Published by: American College of Radiology
ACR Appropriateness Criteria: Suspected liver metastases
Category:
Conditions: Liver metastases
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
Conditions: Liver metastases
Published Date: 1998 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Suspected lower extremity deep vein thrombosis
Category:
Conditions: Lower extremity deep vein thrombosis
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Lower extremity deep vein thrombosis
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Suspected lower urinary tract trauma
Category:
Conditions: Suspected lower urinary tract trauma
Published Date: 1996 (revised 2007 Jan)
Published by: American College of Radiology
Conditions: Suspected lower urinary tract trauma
Published Date: 1996 (revised 2007 Jan)
Published by: American College of Radiology
ACR Appropriateness Criteria: Suspected physical abuse - child
Category:
Conditions: Physical abuse of children
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Physical abuse of children
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Suspected small bowel obstruction
Category:
Conditions: Small bowel obstruction
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Small bowel obstruction
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Suspected spine trauma
Category:
Conditions: Suspected spine trauma
Published Date: 2007
Published by: American College of Radiology
Conditions: Suspected spine trauma
Published Date: 2007
Published by: American College of Radiology
ACR Appropriateness Criteria: Suspected upper extremity deep vein thrombosis (DVT)
Category:
Conditions: Upper extremity deep vein thrombosis (DVT)
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Upper extremity deep vein thrombosis (DVT)
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR Appropriateness Criteria: Treatment of acute nonvariceal gastrointestinal tract bleeding
Category:
Conditions: Acute nonvariceal gastrointestinal (GI) tract bleedingNote: Varices are also an important cause of upper GI (UGI) bleeding. However since these involve the diagnosis and management of portal hypertension variceal bleeding will not be described in this document.
Published Date: 2006
Published by: American College of Radiology
Conditions: Acute nonvariceal gastrointestinal (GI) tract bleedingNote: Varices are also an important cause of upper GI (UGI) bleeding. However since these involve the diagnosis and management of portal hypertension variceal bleeding will not be described in this document.
Published Date: 2006
Published by: American College of Radiology
ACR Appropriateness Criteria: Urinary tract infection - child
Category:
Conditions: Urinary tract infection (UTI)
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
Conditions: Urinary tract infection (UTI)
Published Date: 1999 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Vertigo and hearing loss
Category:
Conditions: VertigoHearing loss
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
Conditions: VertigoHearing loss
Published Date: 1996 (revised 2006)
Published by: American College of Radiology
ACR Appropriateness Criteria: Vomiting in infants up to 3 months of age
Category:
Conditions: Vomiting in newborns and infants
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
Conditions: Vomiting in newborns and infants
Published Date: 1995 (revised 2005)
Published by: American College of Radiology
ACR practice guideline for radiation oncology
Category: Radiation Oncology, Radiology
Conditions: Cancer
Published Date: 1990 (revised 2004)
Published by: American College of Radiology
Conditions: Cancer
Published Date: 1990 (revised 2004)
Published by: American College of Radiology
ACR practice guideline for the performance of high-dose-rate brachytherapy
Category:
Conditions: Cancer
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Cancer
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
ACR practice guideline for the performance of low-dose-rate brachytherapy
Category:
Conditions: Cancer including prostate head and neck breast cervical and endometrial cancers and obstructive esophageal or bronchial lesions
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Cancer including prostate head and neck breast cervical and endometrial cancers and obstructive esophageal or bronchial lesions
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Practice guideline for the performance of stereotactic body radiation therapy
Category: Radiation Oncology, Radiology
Conditions: Cancer (localized malignant conditions)
Published Date: 2004
Published by: American College of Radiology
Conditions: Cancer (localized malignant conditions)
Published Date: 2004
Published by: American College of Radiology
Practice guideline for the performance of therapy with unsealed radiopharmaceutical sources
Category: Nuclear Medicine, Radiation Oncology, Radiology
Conditions: Medical conditions requiring therapy with radiopharmaceuticals:Hyperthyroidism (diffuse toxic goiter [Graves' disease] toxic nodular goiter and solitary toxic nodule)Residual or metastatic thyroid cancerMyeloproliferative disorders such as polycythemia vera and thrombocytosisMalignant ascitesMalignant pleural effusionMalignant pericardial effusionMalignant brain cystsSkeletal metastasesB-cell non-Hodgkin's lymphoma
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Conditions: Medical conditions requiring therapy with radiopharmaceuticals:Hyperthyroidism (diffuse toxic goiter [Graves' disease] toxic nodular goiter and solitary toxic nodule)Residual or metastatic thyroid cancerMyeloproliferative disorders such as polycythemia vera and thrombocytosisMalignant ascitesMalignant pleural effusionMalignant pericardial effusionMalignant brain cystsSkeletal metastasesB-cell non-Hodgkin's lymphoma
Published Date: 1996 (revised 2005)
Published by: American College of Radiology
Practice guideline for the performance of total body irradiation
Category: Oncology, Radiation Oncology, Radiology
Conditions: Hematologic and other malignanciesVarious genetic disorders
Published Date: 2006
Published by: American College of Radiology
Conditions: Hematologic and other malignanciesVarious genetic disorders
Published Date: 2006
Published by: American College of Radiology
Practice guideline for transperineal permanent brachytherapy of prostate cancer
Category: Oncology, Radiation Oncology, Radiology
Conditions: Clinically localized prostate cancer
Published Date: 2000 (revised 2005)
Published by: American College of Radiology
Conditions: Clinically localized prostate cancer
Published Date: 2000 (revised 2005)
Published by: American College of Radiology