This article provides evidence-based guidance for imaging lactating women across screening, diagnostic, and staging scenarios. Imaging should not be deferred because of lactation; mammography with digital breast tomosynthesis, targeted ultrasound, and contrast-enhanced MRI have defined roles based on age, presenting complaint, and cancer risk and may be used similarly to nonlactating patients. Physiologic changes during lactation can alter breast appearance and complicate clinical and imaging as…
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Immediate Release of Radiology Results in Cancer Care: Insights from a National Study of Oncology Patients
The 21st Century Cures Act mandates near-immediate electronic release of test results, including radiology reports, which may be challenging for oncology patients who undergo frequent imaging. This study explored oncology patients’ experiences with immediate release of radiology results and their preferences for supportive interventions.
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ACR Appropriateness Criteria® Penetrating Trauma-Abdomen and Pelvis: Update 2026
Penetrating urinary tract trauma requires timely imaging to correctly identify the location and extent of injury and guide management. In patients with suspected penetrating upper tract trauma, CT of the abdomen and pelvis with intravenous contrast and CT urography without and with contrast are usually appropriate for initial imaging, with CT urography providing superior evaluation of the collecting system and ureters. CT protocols without dedicated urographic phases may be appropriate in select…
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ACR Appropriateness Criteria® Staging and Follow-Up of Adrenal Cancer
Primary adrenal gland malignancies include adrenocortical carcinoma (ACC) and pheochromocytoma. For initial staging and restaging or surveillance of known or suspected ACC, MRI of the abdomen and pelvis without and with contrast, CT of the abdomen and pelvis with contrast, CT of the chest with contrast, and fluorine-18-2-fluoro-2-deoxy-D-glucose (FDG)-PET/CT, or FDG-PET/MRI are recommended to assess for local extent and distant metastases or to evaluate for recurrence. For initial staging and re…
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ACR Appropriateness Criteria® Suspected Physical Abuse-Child: Update 2025
For suspected physical abuse in infants and toddlers (<24 months), a radiographic skeletal survey and noncontrast head CT are usually appropriate first-line imaging, even if no injuries are apparent. These studies often reveal occult fractures or intracranial hemorrhages. For children >24 months without neurologic or visceral signs of injury, imaging is more targeted: radiographs of areas of concern are obtained, and skeletal surveys are used selectively, reflecting the lower yield of occu…