What is the most recent American College of Radiology (ACR) Appropriateness Criteria guideline?

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Last updated: February 22, 2026 • View editorial policy

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Most Recent ACR Appropriateness Criteria Guidelines

The most recent American College of Radiology (ACR) Appropriateness Criteria guidelines available are from 2025 and 2024, with the newest being the ACR Appropriateness Criteria® Dementia: 2024 Update, published in 2025. 1

Available Recent ACR Guidelines

Here are the most current ACR Appropriateness Criteria guidelines based on the evidence provided:

2025 Publication (2024 Update)

  • ACR Appropriateness Criteria® Dementia: 2024 Update - This addresses imaging for dementia syndromes including Alzheimer disease, frontotemporal dementia, dementia with Lewy bodies, vascular dementia, and normal pressure hydrocephalus, as well as mild cognitive impairment and rapidly progressive dementia. 1

2024 Publications

  • ACR Appropriateness Criteria® Acute Onset of Scrotal Pain: 2024 Update - Provides evidence-based recommendations for imaging acute scrotal conditions, with ultrasound established as the first-line modality. 1

  • ACR Appropriateness Criteria® Endometriosis - Addresses imaging for diagnosis and treatment planning of endometriosis. 1

  • ACR Appropriateness Criteria® Imaging of Suspected Intracranial Hypotension - Covers diagnostic imaging for cerebrospinal fluid hypovolemia and leak localization. 1

2022 Publications

  • ACR Appropriateness Criteria® Suspected Pulmonary Embolism: 2022 Update 1
  • ACR Appropriateness Criteria® Acute Pyelonephritis: 2022 Update 1
  • ACR Appropriateness Criteria® Sinonasal Disease: 2021 Update (published 2022) 1
  • ACR Appropriateness Criteria® Osteomyelitis or Septic Arthritis-Child 1
  • ACR Appropriateness Criteria® Imaging of the Axilla 1

Key Features of ACR Appropriateness Criteria

All ACR Appropriateness Criteria are evidence-based guidelines reviewed annually by multidisciplinary expert panels using systematic analysis of peer-reviewed literature and established methodologies including RAND/UCLA Appropriateness Method and GRADE (Grading of Recommendations Assessment, Development, and Evaluation). 1, 2

Important Note

The ACR regularly updates these documents, and you should always verify you are accessing the most current version at www.acr.org/ac. 1

References

1
Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

2
Research

ACR Appropriateness Criteria® Methodology.

Journal of the American College of Radiology : JACR, 2021

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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