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ACR-AAPM-SIIM Practice Guidelines and Technical Standards
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SIIM's Resources

SIIM Collaborates with ACR and AAPM

SIIM collaborates with the ACR and the AAPM on the development of practice parameters in the field of imaging informatics. The practice guidelines and technical standards documents listed below were published online freely available in the February 2013 issue of the Journal of Digital Imaging.

The above practice parameters and technical standards were revised in 2017. SIIM member representatives on the 2017 collaborative committees are listed under the specific practice parameter or technical standard.

ACR-AAPM-SIIM-SPR Practice Parameter for Digital Radiography (2017)

This practice parameter was developed and revised collaboratively by the American College of Radiology (ACR), the American Association of Physicists in Medicine (AAPM), the Society for Imaging Informatics in Medicine (SIIM), and the Society for Pediatric Radiology (SPR).

  • Katherine P. Andriole, PhD
  • Elizabeth A. Krupinski, PhD
  • J. Anthony Seibert, PhD
  • Alexander J. Towbin, MD
  • Srini Tridandapani, MD

The intent of this document is to provide guidance and assistance in the understanding and clinical use of digital radiography equipment (other than mammography) in order to deliver necessary image quality at an appropriate radiation dose and to ultimately provide excellent safety and care for patients undergoing digital radiography examinations. An introduction to the realm of digital radiography, including definitions, is presented in section I. As new capabilities and complexities arise with digital imaging devices, the qualifications and responsibilities of personnel—including the physician, medical physicist, radiologist assistant, radiologic technologist, and image management specialist—are affected as outlined in section II.

ACR-AAPM-SIIM Practice Practice Parameter for Determinants Of Image Quality In Digital Mammography (2017)

This practice parameter was developed and revised collaboratively by the American College of Radiology (ACR), the American Association of Physicists in Medicine (AAPM), and the Society for Imaging Informatics in Medicine (SIIM).

  • Elizabeth A. Krupinski, PhD
  • Matthew B. Morgan, MD, MS
  • Eliot L. Siegel, MD

For the purposes of this practice parameter, digital mammography is defined as the radiographic examination of the breast utilizing dedicated electronic detectors to record the image (rather than screen-film) and having the capability for image display on computer monitors. This practice parameter in digital mammography does not pertain to computed tomography (CT) mammography.

In many parts of this practice parameter, the level of technical detail regarding the determinants of image quality for digital mammography is advanced and is intended to provide radiologists, Qualified Medical Physicists, mammography technologists, regulators, and other support personnel directly involved in clinical implementation and oversight an expanded knowledge of the issues pertinent to assessing and maintaining digital mammography image quality from the acquisition, display, and data storage aspects of the process. Where basic technical requirements for digital mammography overlap with those for digital radiography in general, users are directed to consult the referenced ACR practice parameters. All interested individuals are encouraged to review the ACR–AAPM–SIIM Practice Parameter for Digital Radiography. Furthermore, the ACR Subcommittee on Quality Assurance in Mammography has developed a Digital Mammography Quality Control (QC) Manual.

ACR-AAPM-SIIM Technical Standard for Electronic Practice of Medical Imaging (2017)

This technical standard became effective in 2007 upon the sunset of the ACR Technical Standard for Teleradiology and the ACR Technical Standard for Digital Image Data Management, and has been revised by the American College of Radiology (ACR), the American Association of Physicists in Medicine (AAPM), and the Society for Imaging Informatics in Medicine (SIIM).

  • Katherine P. Andriole, PhD
  • Elizabeth A. Krupinski, PhD
  • J. Anthony Seibert, PhD
  • Alexander J. Towbin, MD

Increasingly, medical imaging and patient information are being managed using digital data during acquisition, transmission, storage, display, interpretation, and consultation. The management of these data during each of these operations may have an impact on the quality of patient care.

This technical standard is applicable to any system of digital image data management, from a single-modality or single-use system to a complete picture archiving and communication system (PACS) to the electronic transmission of patient medical images from one location to another for the purposes of interpretation and/or consultation. It defines goals,qualifications of personnel, equipment guidelines, specifications of data manipulation and management, and quality control and quality improvement procedures for the use of digital image data that should result in high-quality radiological care. A glossary of commonly use terminology and a reference list is included.

ACR-AAPM-SIIM Practice Parameter for Electronic Medical Information Privacy and Security (2014)

The practice parameter for electronic medical information privacy and security was developed and revised collaboratively by the American College of Radiology (ACR), the American Association of Physicists in Medicine (AAPM), and the Society for Imaging Informatics in Medicine (SIIM).

  • Katherine P. Andriole, PhD
  • Steve G. Langer, PhD
  • Paul G. Nagy, PhD

Medical imaging and related patient information are increasingly being managed via digital acquisition, transmission, storage, display, and interpretation. The secure management of these data may have an impact on the quality of patient care, on patient's rights, and on health care professionals and their current practices and legal responsibilities.

The responsibility that physicians have to protect their patients from harm extends to protecting patient privacy and patient information. Physicians should carefully document their privacy and security policies and communicate this information to their patients. The responsibility to protect patient privacy and to secure patient data from loss or corruption is a critical requirement for the provision of medical care. Additionally, failing to comply with Electronic Protected Health Information (ePHI) state or federal regulations could result in financial and/or criminal penalties as described in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and subsequently strengthened by the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 regarding civil and criminal enforcement of HIPAA rules.

The goal of this practice parameter is to recommend actions for the protection, privacy, security, and integrity of recorded patient information while allowing appropriate access for care and management of patients. Policy and procedure recommendations (sections II and III) are provided, and the tools available to ensure privacy and security are described in section IV. Use cases for specific situations (eg, research use of PHI) are given in Appendix A of this document to elucidate risks and costs for data and applications, as well as the specific legal and practice requirements and the tools used to ensure compliance. Research, educational, and marketing uses of patient information requirements are outlined in section V. The practice parameter concludes in section VI with a list of medical/legal entities and government agencies that may have more restrictive rules and considerations for security and privacy.