Celebrating 20 Years of ACR Appropriateness Criteria


ACR Appropriateness Criteria

December 2014

This Year (2014) marks the 20th anniversary of the inception of ACR Appropriateness Criteria® (AC), commemorating two decades of evidence-based guidance for clinicians to order the right procedure at the right time for diagnostic imaging, interventional radiology, and radiology oncology. Today, the AC has become the most complete radiology guidance available. Check out some key AC milestones and facts below.

  • In April 1993, former chair of the BOC Karl K. Wallace Jr., MD, FACR, testified before Congress that the ACR would take a leadership role in defining appropriate imaging for patients by developing practice guidelines. By 1994, early development of the AC had begun.
  • Initial efforts included 10 panels of experts. Today, over 30 panels of experts work on the AC, covering 201 topics with more than 900 clinical scenarios.
  • In 2000, the Appropriateness Criteria Task Force became the Committee on Appropriateness Criteria under the ACR Commission on Quality and Safety. Together, panel leaders and the committee chairs oversee the activities of the expert panels.
  • In July 2012, the ACR entered an agreement with the National Decision Support Company to distribute and license the AC content in the clinical point-of-care decision support platform called ACR Select™.
  • Today, the AC provides the most current and comprehensive evidence-based decision support content for appropriate diagnostic imaging.  The AC are a critical resource in ensuring appropriate radiology utilization and enabling evidence- based recommendations.

For more information on the AC and ACR Select, visit http://www.acr.org/Quality-Safety/Appropriateness-Criteria.


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