The American College of Radiology, in disseminating its standards, attaches the following disclaimer: The standards of the American College of Radiology (ACR) are not rules but an attempt to define principles of practice that should generally produce high-quality radiologic practice. The physician and medical physicist may exceed an existing standard as determined by the individual patient and available resources. The standards should not be deemed inclusive of all proper methods of care or exclusive of other methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding the propriety of any specific procedure or course of conduct must be made by the physician and medical physicist in light of all circumstances presented by the individual situation. Adherence to ACR standards will not ensure a successful outcome in every situation. It is prudent to document the rationale for deviation from these suggested standards in the physician's and medical physicist's policies and procedure manual or, if not addressed there, in the patient's medical record.
The report is based on several conferences held jointly by the American College of Radiology and the American College of Surgeons during 1996 and 1997, which included the following participants, who are also coauthors: American College of Radiology: James D. Cox, MD (Editor), Professor and Head, Division of Radiation Oncology, M.D. Anderson Cancer Center, Houston, TX; Lawrence W. Bassett, MD, Iris Cantor Breast Professor, UCLA School of Medicine, Los Angeles, CA; Barbara L. Fowble, MD, Senior Member and Clinical Director of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, PA; Jay R. Harris, MD, Chief, Department of Radiation Oncology, Brigham and Women's Hospital and Dana Farber Cancer Institute, Boston, MA; Eric A. Strom, MD, Assistant Professor of Radiation Oncology, M.D. Anderson Cancer Center, Houston, TX; J. Frank Wilson, MD, Professor and Chair, Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI. American College of Surgeons: David P. Winchester, MD (Editor), Professor and Chairman, Department of Surgery, Evanston Northwestern Healthcare, Evanston, IL (also representative of the Society of Surgical Oncology); Kirby I. Bland, MD, J. Murray Beadsley Professor and Chair, Department of Surgery, Brown University School of Medicine, Providence, RI; Monica Morrow, MD, Director, Lynn Sage Comprehensive Breast Center, Northwestern University Medical School, Chicago, IL; S. Eva Singletary, MD, Professor of Surgery, Department of Surgical Oncology, M.D. Anderson Cancer Center, Houston, TX. College of American Pathologists: Patrick L. Fitzgibbons, MD, Department of Pathology, St. Jude Medical Center, Fullerton, CA; Stuart J. Schnitt, MD, Associate Professor of Pathology, Harvard Medical School, Boston, MA. American College of Radiology Staff: John Curry, Executive Director; Marie Zinninger, Assistant Executive Director; Sandra Smith Bjork, Director, Standards; Margaret Wyatt, Administrative Assistant.
David P. Winchester MD,
American College of Surgeons, the Society of Surgical Oncology, and the College of American Pathologists
American College of Radiology served as co-editors for this report, which was approved by the American College of Radiology, the American College of Surgeons, the Society of Surgical Oncology, and the College of American Pathologists