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| The ''' (ACR)''', founded in 1923, is a professional medical society representing more than 38,000 diagnostic radiologists, radiation oncologists, interventional radiologists, nuclear medicine physicians and medical physicists. The ACR is centered on six core functional areas: membership value, quality and safety, advocacy, economics, research, and education. | |||
| <!-- | |||
| | dean = Paul H. Ellenbogen, ], ] | |||
| | vice-president = Deborah Levine, ], ] | |||
| | head = Bibb Allen, Jr., ], ] | |||
| | head_label = Chair, Board of Chancellors | |||
| -->{{Infobox organization | |||
| |name = American College of Radiology | |||
| |image = | |||
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| |abbreviation = | |||
| |motto = Quality is our image | |||
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| |formation = {{start date|1922}} | |||
| |extinction = | |||
| |type = ] | |||
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| |purpose = | |||
| |headquarters = ], United States | |||
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| |website = {{URL|www.acr.org}} | |||
| }} | |||
| The ACR currently has 54 chapters — one from all 50 states, DC, Canada, Puerto Rico and the Council of Affiliated Regional Radiation Oncology Societies (CARROS).<ref>{{Cite web|url=https://www.acr.org/Member-Resources/ACR-Chapters|title=ACR Chapters|website=www.acr.org|access-date=2018-06-14}}</ref> | |||
| The '''American College of Radiology''' ('''ACR'''), founded in 1923, is a ] ] ] composed of diagnostic radiologists, radiation oncologists, interventional radiologists, ] physicians, and ]s. It is based in ], with offices in ], and ] The college publishes ''The ]'' (''JACR'') and ''The ACR Bulletin''. | |||
| The purpose of the ACR is “to serve patients and society by empowering members to advance the practice, science and professions of radiological care.” The College’s core values include leadership, integrity, quality and innovation. | |||
| ==Appropriateness criteria== | |||
| During the 1990s, the ACR undertook a massive project to define national guidelines for appropriate use of imaging technologies. The product of this effort is called the ACR Appropriateness Criteria (ACR-AC). The ACRAC were formally introduced during testimony by K.K. Wallace, MD (then chair of ACR Board of Chancellors) to the ] in 1993. Dr. Wallace indicated that the ACR stood ready to define a system of patient care guidelines for radiology to eliminate inappropriate utilization of radiologic services.<ref>{{Cite journal | |||
| | volume = 192 | |||
| | issue = 1 | |||
| | last = Cascade | |||
| | first = P. N. | |||
| | title = Setting appropriateness guidelines for radiology. | |||
| | journal = Radiology | |||
| | date = July 1994 | |||
| | pmid = 8208965 | |||
| | url = https://dl.dropboxusercontent.com/s/lnsr8i3aui5bdjn/Setting_appropriateness_guidelines_for_radiology_OCR.pdf | |||
| | pages=50A–54A | |||
| }} | |||
| </ref> | |||
| ==Medical Imaging Accreditation== | |||
| Following appointment of panel chairs in late 1993, the first panelists were selected during early 1994 and by spring, deliberations had begun.<ref>{{Cite journal | |||
| Since 1987, the College has accredited more than 39,000 medical imaging facilities in 10 imaging modalities, including: | |||
| | doi = 10.1148/radiology.214.1.r00ja493 | |||
| | volume = 214 Suppl | |||
| | last = Cascade | |||
| | first = P. N. | |||
| | title = The American College of Radiology. ACR Appropriateness Criteria project. | |||
| | journal = Radiology | |||
| | date = January 2000 | |||
| | pmid = 10646480 | |||
| | url = https://dl.dropboxusercontent.com/s/4c3klp777487koa/The_American_College_of_Radiology._ACR_Appropriateness_Criteria_project_OCR.pdf | |||
| | pages=3–46 | |||
| }} | |||
| </ref> Ten years later, the ACRAC are the only comprehensive North American practice guidelines for diagnostic imaging selection, radiotherapy protocols, and indications for image guided interventional procedures. They embody the best current evidence for choosing appropriate imaging evaluation and interventional procedures for a large number of clinical conditions. | |||
| # Breast MRI | |||
| Further, the ACR has committed to continuously updating the content of these guidelines and has developed the human resources infrastructure to carry this out in the future. By 1999 there were 210 clinicians and scientists serving on 10 panels. These include 35 representatives from 19 specialties other than radiology. The 2000 version contained over 140 clinical conditions with 820 variants. Currently, the ACR website lists over 190 conditions with more than 900 variants. | |||
| # Breast Ultrasound | |||
| # Computed Tomography | |||
| # Mammography | |||
| # Magnetic Resonance Imaging | |||
| # Nuclear Medicine | |||
| # Positron Emission Tomography | |||
| # Radiation Oncology Practice | |||
| # Stereotactic Breast Biopsy | |||
| # Ultrasound | |||
| ACR accreditation assures patients that they are receiving the highest level of image quality and safety. ACR’s accreditation process documents that a facility meets requirements for equipment, medical personnel and quality assurance. | |||
| ==Mammography accreditation== | |||
| The ACR provides the only national accreditation program for ].<ref>{{cite web|last=U.S. Food and Drug Administration|title=Facility Certification and Inspection (MQSA) - Accreditation Bodies|url=http://www.fda.gov/Radiation-EmittingProducts/MammographyQualityStandardsActandProgram/FacilityCertificationandInspection/ucm114147.htm|accessdate=2014-05-29|date=January 5, 2013}}</ref> The ] of 1992 requires all mammographers in the ] and its territories be accredited by a federally approved private non-profit or state accreditation body. | |||
| ==Appropriateness Criteria== | |||
| ==Political Action Committee== | |||
| The ACR Appropriateness Criteria® (ACR AC) are evidence-based guidelines that assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. The guidelines were created to help providers enhance quality of care and contribute to the most efficacious use of radiology. The ACR AC includes 178 diagnostic imaging and interventional radiology topics with 912 clinical variants and over 1,550 clinical scenarios. | |||
| By 2006, the bipartisan political action committee for the ACR (RADPAC) had become the second largest medical specialty PAC - only four years after its creation. | |||
| ACR AC are freely available to all physicians via ACR Select, a module contained within . | |||
| In 2014, RADPAC raised eyebrows when it decided to support Sens. ] and ] in their efforts to beat back challenges from radiologists who are members of the ACR. The PAC's leadership noted that Alexander and Roberts are influential members of the Senate's ] and therefore the PAC wanted to preserve its relationship with these incumbents.<ref>{{cite web|last1=Drusch|first1=Andrea|title=Why Is the Radiology PAC Rallying Against Radiologists?|url=http://www.nationaljournal.com/politics/why-is-the-radiology-pac-rallying-against-radiologists-20140728|website=www.nationaljournal.com|publisher=National Journal|accessdate=July 30, 2014}}</ref> | |||
| In creating the ACR AC, the ACR Task Force on Appropriateness Criteria incorporated attributes for developing acceptable medical practice guidelines used by the Agency for Healthcare Research and Quality (AHRQ), as designed by the Institute of Medicine. | |||
| ==ACR Career Center== | |||
| ==Data Registries== | |||
| The ACR also hosts the ACR Career Center, one of the largest job sites specifically for radiologists. Employers are carefully screened and recruiters are not allowed, making the ACR Career Center the best place to find a job. The site is meant to be a "user-friendly meeting place for individual employers and job seekers." In addition to the online resources, the ACR Career Center also provides an on-site interview service in late November. | |||
| The ACR National Radiology Data Registry (NRDR®) develops benchmarks and comparisons to help imaging facilities improve quality of patient care with its collection of registries related to a range of radiological procedures. NRDR aims to help facilities measure progress, document quality, enhance strengths and identify opportunities for improvement by providing objective measures regarding processes and outcomes in comparison to similar facilities nationwide. Available registries include: | |||
| * CT Colonography (CTC) Registry | |||
| The ACR Career Center was previously known as the ACR Professional Bureau. It began a dramatic transformation in July 2008 from a simple job board to a full service career center. One of the most notable additions is an E-Library of resources for both employers and job seekers to assist in the recruiting and hiring process, as well as provide advice for on the job issues. | |||
| * Dose Index Registry (DIR) | |||
| * Interventional Radiology (IR) Registry | |||
| * General Radiology Improvement Database (GRID) | |||
| * Lung Cancer Screening Registry (LCSR) <sup>TM</sup> | |||
| * National Mammography Database (NMD) | |||
| NRDR has been approved as a Qualified Clinical Data Registry (QCDR) for 2018 MIPS Reporting. | |||
| == American College of Radiology Data Science Institute<sup>TM</sup> (ACR DSI) == | |||
| The ACR Data Science Institute™ collaborates with radiology professionals, industry leaders, government agencies, patients and other stakeholders to facilitate the development and implementation of machine learning and artificial intelligence (AI) applications that will help radiology professionals provide improved medical care. | |||
| ACR DSI Senior Scientists — a council of physicians, medical physicists, data scientists and software engineers — use their experience and skills in the areas of data science, framework, terminology, methodology and clinical integration to guide AI use case development for the radiological sciences. | |||
| == Specialized Medical Education == | |||
| * '''ACR Education Center''' ― The ACR Education Center, located in Reston, VA, offers specialized mini-fellowships in more than a dozen clinical areas. The center combines faculty lectures with intensive, self-paced review of hundreds of cases. | |||
| * '''American Institute for Radiologic Pathology (AIRP®)''' ― The AIRP is a program of the American College of Radiology that conducts five courses for radiology residents and fellows, and seven categorical courses for practicing radiologists and other physicians each year in Silver Spring, MD. | |||
| * '''Radiology Leadership Institute® (RLI)''' ― The RLI is a source of leadership and business management training specifically for radiologists, with content developed by top business school faculty and radiology educators. | |||
| * The ACR also provides '''online education courses''', lifelong learning and CME for medical students and physicians throughout their careers. | |||
| == Publications == | |||
| * '''The Journal of the American College of Radiology (JACR®)''' – The official journal of the American College of Radiology, ''JACR'' informs its readers of timely, pertinent and important topics affecting the practice of diagnostic radiologists, interventional radiologists, medical physicists and radiation oncologists. | |||
| * '''ACR Bulletin''' – The ''ACR Bulletin'' is a monthly publication covering topics relevant to the practice of radiology, empowering members to advance the science, practice and professions of radiological care. | |||
| == Collaborations == | |||
| The ACR provides patient information through the website Radiologyinfo.org<ref>{{Cite web|url=http://www.radiologyinfo.org|title=RadiologyInfo.org|website=www.radiologyinfo.org|language=en|access-date=2018-06-14}}</ref>, co-produced by the Radiological Society of North America, to help patients understand how various radiology procedures and radiation therapy are performed. | |||
| Image Wisely®<ref>{{Cite web|url=http://www.imagewisely.org|title=Radiation Safety in Adult Medical Imaging - Image Wisely|website=www.imagewisely.org|access-date=2018-06-14}}</ref> is a collaborative initiative of the American College of Radiology, the Radiological Society of North America, the American Society of Radiologic Technologists and the American Association of Physicists in Medicine. The campaign’s objective is lowering the amount of radiation used in medically necessary imaging studies and eliminating unnecessary procedures. | |||
| Image Gently®<ref>{{Cite web|url=http://www.imagegently.org|title=Pediatric Radiology & Imaging {{!}} Radiation Safety – Image Gently|website=www.imagegently.org|language=en-US|access-date=2018-06-14}}</ref> is conducted by the Alliance for Radiation Safety in Pediatric Imaging and founded by the Society for Pediatric Radiology, the American College of Radiology, the American Society of Radiologic Technologists and the American Association of Physicists in Medicine. Its mission is to improve safe and effective imaging care of children worldwide. | |||
| Choosing Wisely®<ref>{{Cite web|url=http://choosingwisely.org/|title=Choosing Wisely {{!}} Promoting conversations between providers and patients|website=choosingwisely.org|language=en-US|access-date=2018-06-14}}</ref> is an initiative of the American Board of Internal Medicine (ABIM) Foundation that seeks to advance a national dialogue on avoiding unnecessary medical tests, treatments and procedures. is one of many collaborating national organizations representing medical specialists that have asked their members to identify tests or procedures commonly used in their field whose necessity should be questioned and discussed. | |||
| Radiology Support, Communication and Alignment Network (R-SCAN™)<ref>{{Cite web|url=https://rscan.org/|title=R-SCAN: Radiology Support Communication and Alignment Network|last=User|first=Super|website=rscan.org|language=en-gb|access-date=2018-06-14}}</ref>, sponsored by Transforming Clinical Practice Initiative (TCPi), is a collaborative action plan that brings radiologists and referring clinicians together to improve imaging appropriateness based upon Choosing Wisely topics. R-SCAN’s Web-based tools and clinical decision support (CDS) technology aims to help optimize imaging care, reduce unnecessary imaging exams and lower cost. Participation in R-SCAN is free, and radiologists, primary care physicians, emergency care physicians and other clinicians who order imaging are welcome to participate. | |||
| Mammography Saves Lives®<ref>{{Cite web|url=http://www.mammographysaveslives.org|title=Home - Mammography Saves Lives|website=www.mammographysaveslives.org|language=en|access-date=2018-06-14}}</ref> is a coalition comprised of the American College of Radiology, the Society of Breast Imaging and the American Society of Breast Disease. The coalition was founded to reduce confusion regarding when and how often women should receive mammograms. | |||
| == ACR Foundation == | |||
| The mission of the ACR Foundation is to advance the profession and practice of radiology to benefit patients through specific emphasis on health policy research. The Foundation’s board has focused its efforts on advancing health policy research in an effort to: | |||
| * Demonstrate the critical role that radiologists have in the era of team-based health care to best serve patients and society | |||
| * Prioritize research opportunities to positively influence the policies that impact clinical care delivered to patients | |||
| * Develop empirical evidence that clarifies the role and value of radiology in evolving payment methodologies thus guiding policy-makers and payers in allocating resources to the most valuable patient care services | |||
| * Evaluate and demonstrate the important role that early detection of disease plays in population health management | |||
| == See also == | |||
| ==See also== | |||
| *] | *] | ||
| *] | |||
| *] | |||
| == References == | == References == | ||
Revision as of 15:20, 14 June 2018
The American College of Radiology (ACR), founded in 1923, is a professional medical society representing more than 38,000 diagnostic radiologists, radiation oncologists, interventional radiologists, nuclear medicine physicians and medical physicists. The ACR is centered on six core functional areas: membership value, quality and safety, advocacy, economics, research, and education.
The ACR currently has 54 chapters — one from all 50 states, DC, Canada, Puerto Rico and the Council of Affiliated Regional Radiation Oncology Societies (CARROS).
The purpose of the ACR is “to serve patients and society by empowering members to advance the practice, science and professions of radiological care.” The College’s core values include leadership, integrity, quality and innovation.
Medical Imaging Accreditation
Since 1987, the College has accredited more than 39,000 medical imaging facilities in 10 imaging modalities, including:
- Breast MRI
- Breast Ultrasound
- Computed Tomography
- Mammography
- Magnetic Resonance Imaging
- Nuclear Medicine
- Positron Emission Tomography
- Radiation Oncology Practice
- Stereotactic Breast Biopsy
- Ultrasound
ACR accreditation assures patients that they are receiving the highest level of image quality and safety. ACR’s accreditation process documents that a facility meets requirements for equipment, medical personnel and quality assurance.
Appropriateness Criteria
The ACR Appropriateness Criteria® (ACR AC) are evidence-based guidelines that assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. The guidelines were created to help providers enhance quality of care and contribute to the most efficacious use of radiology. The ACR AC includes 178 diagnostic imaging and interventional radiology topics with 912 clinical variants and over 1,550 clinical scenarios.
ACR AC are freely available to all physicians via ACR Select, a module contained within CareSelect Imaging.
In creating the ACR AC, the ACR Task Force on Appropriateness Criteria incorporated attributes for developing acceptable medical practice guidelines used by the Agency for Healthcare Research and Quality (AHRQ), as designed by the Institute of Medicine.
Data Registries
The ACR National Radiology Data Registry (NRDR®) develops benchmarks and comparisons to help imaging facilities improve quality of patient care with its collection of registries related to a range of radiological procedures. NRDR aims to help facilities measure progress, document quality, enhance strengths and identify opportunities for improvement by providing objective measures regarding processes and outcomes in comparison to similar facilities nationwide. Available registries include:
- CT Colonography (CTC) Registry
- Dose Index Registry (DIR)
- Interventional Radiology (IR) Registry
- General Radiology Improvement Database (GRID)
- Lung Cancer Screening Registry (LCSR)
- National Mammography Database (NMD)
NRDR has been approved as a Qualified Clinical Data Registry (QCDR) for 2018 MIPS Reporting.
American College of Radiology Data Science Institute (ACR DSI)
The ACR Data Science Institute™ collaborates with radiology professionals, industry leaders, government agencies, patients and other stakeholders to facilitate the development and implementation of machine learning and artificial intelligence (AI) applications that will help radiology professionals provide improved medical care.
ACR DSI Senior Scientists — a council of physicians, medical physicists, data scientists and software engineers — use their experience and skills in the areas of data science, framework, terminology, methodology and clinical integration to guide AI use case development for the radiological sciences.
Specialized Medical Education
- ACR Education Center ― The ACR Education Center, located in Reston, VA, offers specialized mini-fellowships in more than a dozen clinical areas. The center combines faculty lectures with intensive, self-paced review of hundreds of cases.
- American Institute for Radiologic Pathology (AIRP®) ― The AIRP is a program of the American College of Radiology that conducts five courses for radiology residents and fellows, and seven categorical courses for practicing radiologists and other physicians each year in Silver Spring, MD.
- Radiology Leadership Institute® (RLI) ― The RLI is a source of leadership and business management training specifically for radiologists, with content developed by top business school faculty and radiology educators.
- The ACR also provides online education courses, lifelong learning and CME for medical students and physicians throughout their careers.
Publications
- The Journal of the American College of Radiology (JACR®) – The official journal of the American College of Radiology, JACR informs its readers of timely, pertinent and important topics affecting the practice of diagnostic radiologists, interventional radiologists, medical physicists and radiation oncologists.
- ACR Bulletin – The ACR Bulletin is a monthly publication covering topics relevant to the practice of radiology, empowering members to advance the science, practice and professions of radiological care.
Collaborations
The ACR provides patient information through the website Radiologyinfo.org, co-produced by the Radiological Society of North America, to help patients understand how various radiology procedures and radiation therapy are performed.
Image Wisely® is a collaborative initiative of the American College of Radiology, the Radiological Society of North America, the American Society of Radiologic Technologists and the American Association of Physicists in Medicine. The campaign’s objective is lowering the amount of radiation used in medically necessary imaging studies and eliminating unnecessary procedures.
Image Gently® is conducted by the Alliance for Radiation Safety in Pediatric Imaging and founded by the Society for Pediatric Radiology, the American College of Radiology, the American Society of Radiologic Technologists and the American Association of Physicists in Medicine. Its mission is to improve safe and effective imaging care of children worldwide.
Choosing Wisely® is an initiative of the American Board of Internal Medicine (ABIM) Foundation that seeks to advance a national dialogue on avoiding unnecessary medical tests, treatments and procedures. The ACR is one of many collaborating national organizations representing medical specialists that have asked their members to identify tests or procedures commonly used in their field whose necessity should be questioned and discussed.
Radiology Support, Communication and Alignment Network (R-SCAN™), sponsored by Transforming Clinical Practice Initiative (TCPi), is a collaborative action plan that brings radiologists and referring clinicians together to improve imaging appropriateness based upon Choosing Wisely topics. R-SCAN’s Web-based tools and clinical decision support (CDS) technology aims to help optimize imaging care, reduce unnecessary imaging exams and lower cost. Participation in R-SCAN is free, and radiologists, primary care physicians, emergency care physicians and other clinicians who order imaging are welcome to participate.
Mammography Saves Lives® is a coalition comprised of the American College of Radiology, the Society of Breast Imaging and the American Society of Breast Disease. The coalition was founded to reduce confusion regarding when and how often women should receive mammograms.
ACR Foundation
The mission of the ACR Foundation is to advance the profession and practice of radiology to benefit patients through specific emphasis on health policy research. The Foundation’s board has focused its efforts on advancing health policy research in an effort to:
- Demonstrate the critical role that radiologists have in the era of team-based health care to best serve patients and society
- Prioritize research opportunities to positively influence the policies that impact clinical care delivered to patients
- Develop empirical evidence that clarifies the role and value of radiology in evolving payment methodologies thus guiding policy-makers and payers in allocating resources to the most valuable patient care services
- Evaluate and demonstrate the important role that early detection of disease plays in population health management
See also
References
- "ACR Chapters". www.acr.org. Retrieved 2018-06-14.
- "RadiologyInfo.org". www.radiologyinfo.org. Retrieved 2018-06-14.
- "Radiation Safety in Adult Medical Imaging - Image Wisely". www.imagewisely.org. Retrieved 2018-06-14.
- "Pediatric Radiology & Imaging | Radiation Safety – Image Gently". www.imagegently.org. Retrieved 2018-06-14.
- "Choosing Wisely | Promoting conversations between providers and patients". choosingwisely.org. Retrieved 2018-06-14.
- User, Super. "R-SCAN: Radiology Support Communication and Alignment Network". rscan.org. Retrieved 2018-06-14.
{{cite web}}:|last=has generic name (help) - "Home - Mammography Saves Lives". www.mammographysaveslives.org. Retrieved 2018-06-14.