Fiscal Year 2023 Top Accomplishments

Advocacy and Economics

ACR^® worked with physician organizations to encourage Congress to scrutinize the administration’s implementation of the No Surprises Act and ensure it adheres to the original intent of Congress — to provide an equal playing field for both providers and insurers in dispute resolutions while taking patients out of the middle.

ACR continued to advocate for biomedical research funding through the National Institutes of Health (NIH) during the congressional appropriations cycle. Met with leaders at NIH and the U.S. Department of Health and Human Services to advocate for medical imaging and additional prominence in the president’s Cancer Moonshot initiative.

Clinical Research

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ACR Center for Research and Innovation™

Reported radiation oncology clinical trial results to advance patient care:

NRG-RTOG 1112: Showed improved survival for patients with advanced hepatocellular carcinoma with the addition of stereotactic body radiation therapy to Sorafenib.
NRG-RTOG 1005: Revealed that women with high-risk, early-stage breast cancer could reduce treatment time with a radiation boost to the surgical cavity concurrently with hypo-fractionated whole breast radiation, following a lumpectomy.
NRG-RTOG 0631: Found that stereotactic radiotherapy did not improve pain relief for patients with localized vertebral spinal metastases and that conventional external radiotherapy should continue as the standard of care.

Conducted research to advance screening and diagnostic imaging methodologies:

Expanded TMIST and the Contrast-Enhanced Mammography Tomographic Imaging Screening Trial (CMIST) to advance breast screening methodology.
Launched the Lung Cancer AI project to create an AI-ready dataset from 15,000 lung cancer screening patients.

New IDEAS: Imaging Dementia—Evidence for Amyloid Scanning Study

Accrued 4,269 participants who self-identified as either Black/African American or Hispanic/Latinx; this underrepresented minority cohort was 40% of total accruals.

Fund for Collaborative Research in Imaging Grant

Provided stimulus funds in the amounts of $200,000 each to promising, novel research projects for potential advancement in the field of radiology:

Christopher Whitlow, MD, Wake Forest University and Allison Shapiro, PhD, MPH, University of Colorado, for a proof-of-concept study on preclinical imaging biomarkers of Alzheimer’s disease neuropathology in young adults with youth-onset diabetes.
Sherwin Chan, MD, PhD, and Alain Cuna, MD, The Children’s Mercy Hospital, for a randomized controlled trial of bowel ultrasound for the diagnosis of necrotizing enterocolitis.

ACR National Clinical Imaging Research Registry (ANCIRR)

Supported AI development by collecting real-world data and evidence:

Engaged in planning for the Breast Imaging Research Registry and Liver Imaging Research Registry.
Developed registries to demonstrate the benefit of structured reporting for expanding reimbursement.
Created datasets of patient clinical data and associated medical images from multiple institutions to study outcomes.

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Digital Media

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Increased The Voice of Radiology Blog readership by 46% over the last fiscal year.

Launched the Alzheimer’s Network for Treatment and Diagnostics (ALZ-NET) website in collaboration with the Alzheimer’s Association to collect clinical data and offer better insight into long-term health outcomes for patients who receive new FDA-approved Alzheimer's drugs and therapies. Received more than 40,000 views and 22,000 engagements in the first seven months. ALZ-NET enrolled 15 active sites and 100 additional sites began the start-up process.

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Member Communication

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Top JACR articles included a white paper on incidental findings in the ED and a series on federated learning in medical imaging (Part I and Part II).

The ACR Radiology Well-Being Program released the Well-Being 360 Report, investigating the state of well-being in radiology and crowdsourced ideas to reduce burnout.

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Information Technology and Informatics

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ACR Informatics worked with ACR leaders, industry, government and the medical community to complete the following initiatives: ACR 2022 Imaging Informatics Summit, Cybersecurity Resource Hub launch and a workshop on safe, effective, reliable and transparent AI.

The ACR Data Science Institute^® (DSI) engaged with industry, government and the medical community to prepare ACR members for the rapidly evolving healthcare landscape through the ACR-SIIM Data Science Summit: Quantifying the Value of AI: Investment, Costs, Reimbursement and Benefits.

Initiated ACR Connect, providing expanded local processing capabilities, distributed computation and increased on-site workflow capability for a variety of ACR programs.

Applied the ACR Cortex learning and assessment platform to support case-based learning and knowledge assessment for DXIT, Case in Point^® and RadExam as well as the ACR Education Center re-launch.

Developed a new, integrated member management system to consolidate member data across a variety of ACR systems, providing a streamlined, secure platform to improve the member experience with a secure single sign-on that drives self-service.

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ACR Institute for Radiologic Pathology (AIRP®)

Started the ACR^® Engage page for AIRP alumni.

Initiated the Visiting Faculty Application page on acr.org.

Increased international course participation for Brazil, Austria, Portugal, Columbia, Canada, Spain, Brazil, Argentina, Saudi Arabia, Hong Kong and Australia/New Zealand.

Performed a complete overhaul of the case archive system.

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ACR Education Center

Launched in-person courses after a 2.5-year closure due to the pandemic, complete with new case engine software as well as upgraded workstations and monitors.

Extended virtual course access from 14 days to one month, allowing participants more time to review content and work through cases.

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Lifelong Learning

The Accreditation Council for Continuing Medical Education (ACCME) awarded ACR the highest accreditation status — Accreditation With Commendation — for the sixth year in a row, the longest accreditation term offered.

Collaborated with ACR commissions to develop educational sessions for the ACR 2023 Annual Meeting, providing more than 1,100 CME credits to several hundred participants.

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Radiology Leadership Institute® (RLI)

711 residents and fellows participated in 2021–2022 RLI resident leadership programing, including RLI Resident Milestones, RLI Leadership Essentials, RLI Kickstart Your Career, and RLI Resident and Young Physician Leadership (held in conjunction with the 2021 RLI Summit) programs
The RLI Taking the Lead podcast celebrated its four-year anniversary with the release of its 47th episode.

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Membership Engagement

Delivered the ACR 2023 Annual Meeting to 1,303 in-person registrants and 269 virtual registrants. Participants attended caucus meetings, elections, Council deliberations and the Chapter Leaders Workshop. The meeting also provided programming to young and early career professionals, residents and medical students.

Awarded four chapter grants to support innovative initiatives at the chapter level.

24 chapters received Chapter Recognition Awards for excellence in government relations, meetings/education, membership, quality and safety, and overall excellence.

386 medical students participated in the 2023 Medical Student Symposium.

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Harvey L. Neiman Health Policy Institute® (HPI)

Awarded the Harvey L. Neiman & Richard Duszak Grants to two groups:
- Paul Yi, MD, University of Maryland, and Jeremias Sulam, PhD, Johns Hopkins University, for their project on advancing equity in artificial intelligence.
- Zachary Bercu, MD; Michal Horny, PhD; Hanzhou Li, MD; and John Moon, MD, Emory University, for their project on optimizing interventional radiology pain management.
Amazon Web Services (AWS) selected the interactive HPI tool, Cancer Equity Atlas, for AWS Health Equity Initiative to achieve equitable health outcomes in underserved populations.
Developed a new interactive heat map tool for common radiology procedures, comparing reimbursement rates for Medicaid vs. Medicare.
Selected as the coinvestigator for an RSNA Emerging Issues Grant to increase osteoporosis screening in elderly Asian Americans.
National news outlets feature two HPI studies:
- U.S. News and World Report picked up this HPI study, originally posted in JAMA Network Open, about the influence of cost sharing on breast cancer screening follow up imaging.
- NPR and 280 other news outlets published the JAMA Network Open HPI study, showing that ER imaging by nonphysician providers led to a 5.3% increase in imaging.

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Patient- and Family-Centered Care (PFCC)

Connected with patients and providers to promote awareness about Ovarian Cancer (September), Breast Cancer Screening (October) and Lung Cancer Screening (November).

Launched the first Lung Cancer Screening Day, Saturday, Nov. 12, 2022, with the National Lung Cancer Roundtable and Radiology Healthy Equity Coalition. The event encourages medical facilities to allow people access to screenings without having to take a day off work.

Accreditation
	Facilities					Units
	2019	2020	2021	2022	2023	2019	2020	2021	2022	2023
Breast MRI	1,949	1,983	2,035	2,042	1,746	2,184	2,229	2,280	2,285	1,946
Breast US	2,434	2,447	2,491	2,510	2,551	-	-	-	-	-
CT	7,383	7,362	7,316	7,318	7,235	10,380	10,479	10,489	10,569	10,415
MRI	7,355	7,334	7,214	7,126	7,192	7,528	9,613	9,509	9,454	9,502
Mammography	8,497	8,478	8,533	8,616	8,622	18,737	21,506	23,246	23,906	13,015*
Nuclear Medicine	3,475	3,407	3,349	3,266	3,163	5,661	5,572	5,455	5,292	5,124
PET	1,634	1,641	1,649	1,656	1,662	1,764	1,793	1,810	1,821	1,805
Stereo Breast Biopsy	1,606	1,611	1,617	1,643	1,669	1,833	1,834	1,836	1,862	1,895
Ultrasound	5,495	5,473	5,384	5,363	5,354	-	-	-		-
Radiation Oncology	760	787	773	754	736	-	-	-		-

	2019	2020	2021	2022	2023
Breast Imaging Center of Excellence Facilities	1,151	1,176	1,206	1,232	1239
Diagnostic Imaging Center of Excellence Facilities	512	512	546	535	721
RADPEER® Physician Groups	1,001	976	890	823	790
RADPEER Physicians	17,940	17,850	18,931	22,056	21,177

National Radiology Data Registry
	Active Facilities					Exams
	2019	2020	2021	2022	2023	2019	2020	2021	2022	2023
3D Printing		4	11	18	18		90	1,538	2,411	2,758
CTC	35	30	28	26	20	17438	18,880	20,293	21,654	22,498
DIR	2,278	2,265	2,245	2,184	2,181	95,070,428	115,661,257	137,482,800	178,790,964	192,152,280
GRID	676	745	777	1,024	982	53,147,273	75,140,154	94,386,827	128,123,182	154,722,295
LCSR	3,190	3,284	3,537	3,461	3,067	1,579,951	2,277,630	3,123,796	4,246,969	4,855,123
NMD	439	406	410	361	312	28,784,432	33,135,006	37,192,720	41,139,719	43,674,440
All	4,664	4,772	4,992	5,210

Accreditation
	Facilities					Units
	2019	2020	2021	2022	2023	2019	2020	2021	2022	2023
Breast MRI	1,949	1,983	2,035	2,042	1,746	2,184	2,229	2,280	2,285	1,946
Breast US	2,434	2,447	2,491	2,510	2,551	-	-	-	-	-
CT	7,383	7,362	7,316	7,318	7,235	10,380	10,479	10,489	10,569	10,415
MRI	7,355	7,334	7,214	7,126	7,192	7,528	9,613	9,509	9,454	9,502
Mammography	8,497	8,478	8,533	8,616	8,622	18,737	21,506	23,246	23,906	13,015*
Nuclear Medicine	3,475	3,407	3,349	3,266	3,163	5,661	5,572	5,455	5,292	5,124
PET	1,634	1,641	1,649	1,656	1,662	1,764	1,793	1,810	1,821	1,805
Stereo Breast Biopsy	1,606	1,611	1,617	1,643	1,669	1,833	1,834	1,836	1,862	1,895
Ultrasound	5,495	5,473	5,384	5,363	5,354	-	-	-		-
Radiation Oncology	760	787	773	754	736	-	-	-		-

	2019	2020	2021	2022	2023
Breast Imaging Center of Excellence Facilities	1,151	1,176	1,206	1,232	1239
Diagnostic Imaging Center of Excellence Facilities	512	512	546	535	721
RADPEER® Physician Groups	1,001	976	890	823	790
RADPEER Physicians	17,940	17,850	18,931	22,056	21,177

Fiscal Year 2023 Top Accomplishments

Advocacy and Economics

Advocacy and Economics Detailed Highlights

Clinical Research

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Clinical Research Detailed Highlights

ACR Center for Research and Innovation™

New IDEAS: Imaging Dementia—Evidence for Amyloid Scanning Study

Fund for Collaborative Research in Imaging Grant

ACR National Clinical Imaging Research Registry (ANCIRR)

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Digital Media

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Digital Media Detailed Highlights

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Member Communication

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Member Communication Detailed Highlights

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Information Technology and Informatics

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Information Technology and Informatics Detailed Highlights

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ACR Institute for Radiologic Pathology (AIRP®)

ACR Institute for Radiologic Pathology (AIRP®) Detailed Highlights

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ACR Education Center

ACR Education Center Detailed Highlights

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Lifelong Learning

Lifelong Learning Detailed Highlights

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Radiology Leadership Institute® (RLI)

Radiology Leadership Institute Detailed Highlights

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Membership Engagement

Membership Engagement Detailed Highlights

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Harvey L. Neiman Health Policy Institute® (HPI)

Harvey L. Neiman Health Policy Institute® (HPI) Detailed Highlights

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Patient- and Family-Centered Care (PFCC)

PFCC Detailed Highlights

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Quality & Safety

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Clinical Research Detailed Highlights

ACR Center for Research and Innovation™

New IDEAS: Imaging Dementia—Evidence for Amyloid Scanning Study

Fund for Collaborative Research in Imaging Grant

ACR National Clinical Imaging Research Registry (ANCIRR)

Digital Media Detailed Highlights

Member Communication Detailed Highlights

Information Technology and Informatics Detailed Highlights

ACR Institute for Radiologic Pathology (AIRP®)

ACR Institute for Radiologic Pathology (AIRP®) Detailed Highlights

ACR Education Center

ACR Education Center Detailed Highlights

Lifelong Learning

Lifelong Learning Detailed Highlights

Radiology Leadership Institute® (RLI)

Radiology Leadership Institute Detailed Highlights

Membership Engagement

Membership Engagement Detailed Highlights

Harvey L. Neiman Health Policy Institute® (HPI)

Harvey L. Neiman Health Policy Institute® (HPI) Detailed Highlights

Patient- and Family-Centered Care (PFCC)

PFCC Detailed Highlights

Quality & Safety

Quality & Safety Detailed Highlights

Q&S By the Numbers

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Get the Latest ACR News

Quality & Safety Detailed Highlights

Q&S By the Numbers