The ACR's Mammography Accreditation Program has been helping facilities improve the quality of mammography through peer review and professional feedback since 1987. Initially conceived as a voluntary program, accreditation became mandatory when the Mammography Quality Standards Act (MQSA) of 1992 required all U.S. mammography facilities to become accredited and certified by October 1, 1994. Currently, the ACR is the largest of four accrediting bodies approved by the U.S. Food and Drug Administration, accrediting 12,729 units at 8325 facilities by October 1, 2004. Between 1987 and 1991, 70% of the mammography units applying for accreditation with the ACR passed on their first attempts. In 2003, 88.3% of the units passed on their first attempts, indicating a marked improvement in the quality of mammography in the United States since MQSA went into effect 10 years ago.
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http://dx.doi.org/10.1016/j.jacr.2004.12.005 | DOI Listing |
Cancer Manag Res
January 2025
School of Physics, Universiti Sains Malaysia, Penang, 11800 Gelugor, Malaysia.
Introduction: Breast cancer is a significant worldwide health issue, particularly in Jordan, where early detection via mammography is essential for effective disease management. Despite the little radiation risk associated with mammography, it is crucial to monitor radiation exposure to guarantee patient safety. This study intends to assess skin entrance exposure and compute the Mean Glandular Dose (MGD) in mammography units to determine adherence to established criteria and pinpoint areas for enhancement.
View Article and Find Full Text PDFJ Am Coll Radiol
March 2024
Radiology Associates of Albuquerque, Albuquerque, New Mexico.
Objective: To describe the rate and timeliness of diagnostic resolution after an abnormal screening mammogram in the ACR's National Mammography Database.
Methods: Abnormal screening mammograms (BI-RADS 0 assessment) in the National Mammography Database from January 1, 2008, to December 31, 2021, were retrospectively identified. The rates and timeliness of follow-up with diagnostic evaluation and biopsy were assessed and compared across patient and facility demographics.
J Am Coll Radiol
June 2023
Department of Radiology, Stanford University School of Medicine, Stanford, California; Senior Vice Chair of Strategy and Clinical Operations; Chair of the ACR's Commission on Quality and Safety.
Objective: To explore factors influencing the expansion of the peer-based technologist Coaching Model Program (CMP) from its origins in mammography and ultrasound to all imaging modalities at a single tertiary academic medical center.
Methods: After success in mammography and ultrasound, efforts to expand the CMP across all Stanford Radiology modalities commenced in September 2020. From February to April 2021 as lead coaches piloted the program in these novel modalities, an implementation science team designed and conducted semistructured stakeholder interviews and took observational notes at learning collaborative meetings.
J Am Coll Radiol
June 2019
Center for Evidence-Based Imaging and Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Purpose: To assess the incidence and clinical significance of discrepancy in subspecialty interpretation of outside breast imaging examinations for newly diagnosed breast cancer patients presenting to a tertiary cancer center.
Materials And Methods: This Institutional Review Board-approved retrospective study included patients presenting from July 2016 to March 2017 to a National Cancer Institute-designated comprehensive cancer center for second opinion after breast cancer diagnosis. Outside and second opinion radiology reports of 252 randomly selected patients were compared by two subspecialty breast radiologists to consensus.
J Am Coll Radiol
January 2017
Radiology Partners, El Secundo, California.
A major outcome of the current health care reform process is the move away from unrestricted fee-for-service payment models toward those that are based on the delivery of better patient value and outcomes. The authors' purpose, therefore, is to critically evaluate and define those components of the overall imaging enterprise that deliver meaningful value to both patients and referrers and to determine how these components might be measured and quantified. These metrics might then be used to lobby providers and payers for sustainable payment solutions for radiologists and radiology services.
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