ACR Appropriateness Criteria Resources

• Breast
  • Breast cancer screening
  • Breast pain
  • Monitoring response to neoadjuvant systemic therapy for breast cancer
• Cardiac
  • Acute chest pain - suspected aortic dissection
  • Acute chest pain - suspected pulmonary embolism
  • Acute nonspecific chest pain - low probability for coronary artery disease
  • Asymptomatic patient risk for coronary artery disease
  • Chest pain suggestive of acute coronary syndrome
  • Chronic chest pain - high probability of coronary artery disease
  • Chronic chest pain - low to intermediate probability for coronary artery disease
  • Imaging for transcatheter aortic valve replacement
  • Known or suspected congenital heart disease in the adult
  • Nonischemic myocardial disease with clinical manifestations (ischemic cardiomyopathy already excluded)
  • Suspected infective endocarditis
  • Suspected pulmonary hypertension
• Gastrointestinal
  • Acute (non-localized) abdominal pain and fever or suspected abdominal abscess
  • Acute pancreatitis
  • Chronic liver disease
  • Colorectal cancer screening
  • Crohn disease
  • Imaging of mesenteric ischemia
  • Jaundice
  • Left lower quadrant pain - suspected diverticulitis
  • Liver lesion - initial characterization
  • Palpable abdominal mass
  • Pretreatment staging of colorectal cancer
  • Right lower quadrant pain - suspected appendicitis
  • Right upper quadrant pain
  • Staging of pancreatic ductal adenocarcinoma
  • Suspected liver metastases
  • Suspected small-bowel obstruction
• Musculoskeletal
  • Acute hand and wrist trauma
  • Acute hip pain - suspected fracture
  • Acute trauma to the ankle
  • Acute trauma to the foot
  • Acute trauma to the knee
  • Chronic ankle pain
  • Chronic back pain - suspected sacroiliitis/spondyloarthropathy
  • Chronic elbow pain
  • Chronic extremity joint pain - suspected inflammatory arthritis
  • Chronic foot pain
  • Chronic hip pain
  • Chronic wrist pain
  • Follow-up of malignant or aggressive musculoskeletal tumors
  • Imaging after shoulder arthroplasty
  • Imaging after total hip arthroplasty
  • Imaging after total knee arthroplasty
  • Metastatic bone disease
  • Nontraumatic knee pain
  • Osteonecrosis of the hip
  • Primary bone tumors
  • Soft-tissue masses
  • Stress (fatigue/insufficiency) fracture, including sacrum, excluding other vertebrae
  • Suspected osteomyelitis of the foot in patients with diabetes mellitus
  • Suspected osteomyelitis, septic arthritis, or soft tissue infection (excluding spine and diabetic foot)
  • Suspected spine trauma
• Neurologic
  • Ataxia
  • Cerebrovascular disease
  • Chronic neck pain
  • Cranial neuropathy
  • Dementia and movement disorders
  • Focal neurologic deficit
  • Head trauma
  • Headache
  • Hearing loss and/or vertigo
  • Imaging in the diagnosis of thoracic outlet syndrome
  • Low back pain
  • Myelopathy
  • Neck nass/adenopathy
  • Neuroendocrine imaging
  • Orbits, vision and visual loss
  • Plexopathy
  • Seizures and epilepsy
  • Sinonasal disease
  • Suspected spine trauma
  • Tinnitus
• Pediatric
  • Back pain - child
  • Head trauma - child
  • Headache - child
  • Hematuria - child
  • Limping child - ages 0-5 years
  • Seizures - child
  • Sinusitis - child
  • Suspected physical abuse
• Thoracic
  • Acute chest pain - suspected pulmonary embolism
  • Blunt chest trauma
  • Imaging in the diagnosis of thoracic outlet syndrome
  • Imaging of possible tuberculosis
  • Non-invasive clinical staging of bronchogenic carcinoma
  • Occupational lung diseases
  • Pulmonary hypertension
  • Screening for pulmonary metastases
• Urologic
  • Acute onset flank pain-suspicion of stone disease (urolithiasis)
  • Acute onset of scrotal pain - without trauma, without antecedent mass
  • Acute pyelonephritis
  • Hematospermia
  • Hematuria
  • Incidentally discovered adrenal mass
  • Indeterminate renal mass
  • Lower urinary tract symptoms: suspicion of benign prostatic hyperplasia
  • Post-treatment follow-up of prostate cancer
  • Post-treatment follow-up of renal cell carcinoma
  • Post-treatment surveillance of bladder cancer
  • Pretreatment staging of invasive bladder cancer
  • Prostate cancer - pretreatment detection, staging, and surveillance
  • Recurrent lower urinary tract infections in women
  • Renal cell carcinoma staging
  • Renal failure
  • Renal transplant dysfunction
  • Renovascular hypertension
  • Staging of testicular malignancy
• Vascular
  • Abdominal aortic aneurysm: interventional planning and follow-up
  • Blunt chest trauma - suspected aortic injury
  • Clinically suspected pulmonary arteriovenous malformation (PAVM)
  • Follow-up of lower extremity arterial bypass surgery
  • Imaging for transcatheter aortic valve replacement
  • Imaging in the diagnosis of thoracic outlet syndrome
  • Imaging of mesenteric ischemia
  • Nontraumatic aortic disease
  • Penetrating neck injury
  • Pulsatile abdominal mass, suspected abdominal aortic aneurysm
  • Radiologic management of iliac artery occlusive disease
  • Recurrent symptoms following lower extremity angioplasty
  • Renovascular hypertension
  • Sudden onset of cold, painful leg
  • Suspected lower-extremity deep vein thrombosis
  • Suspected thoracic aortic aneurysm
  • Thoracic aorta interventional planning and follow-up
  • Upper extremity swelling
• Female
  • Abnormal vaginal bleeding
  • Acute pelvic pain in the reproductive age group
  • Clinically suspected adnexal mass
  • First trimester bleeding
  • Infertility
  • Ovarian cancer screening
  • Pelvic floor dysfunction
  • Pretreatment evaluation and follow-up of endometrial cancer
  • Pretreatment planning of invasive cancer of the cervix
  • Staging and follow-up of ovarian cancer
• Radiation Oncology
  • Pre-Irradiation evaluation and management of brain metastases
  • Pretreatment evaluation and follow-up of endometrial cancer
  • Pretreatment planning of invasive cancer of the cervix
  • Non-invasive clinical staging of bronchogenic carcinoma
  • Prostate cancer - pretreatment detection, staging, and surveillance