ACR MRI Accreditation
Feeling overwhelmed by the whole process?
Do you feel like you need someone to hold your hand?
at Simply Physics we understand how intimidating obtaining
ACR MRI Accreditation can be. Filling out the forms,
collecting and filming the clinical images, acquiring
the phantom images. You wonder if you've overlooked something
or if maybe you've made some avoidable mistake. Are your
scan parameters acceptable? According to the most recent
numbers from the ACR, 32%
of all sites fail on their first attempt!
also understand how important ACR MRI Accreditation can
be for your business. Delays in accreditation can cost
money, both in lost revenue and in the cost of resubmission.
our years of experience to work for you and take you
through the all of the steps painlessly, efficiently
and, most important, accurately.
MRI accreditation process can be divided into 3 broad
out the forms, while tedious is not inherently difficult.
We can easily talk you through that step.
and filming the clinical images. (See below for services.)
filming and burning a CD ROM with the phantom images.
(See below for services.)
The ACR requires example images of the Brain, C-spine, L-spine and Knee. Most
fail do so because they haven't followed all of the ACR's published recommendations
regarding resolution, anatomic coverage and filmed information, not because their
system is incapable of acquiring adequate images. The key concept here is pay
attention to details! This is accomplished by our Clinical Pre-Submission
Review as outlined below:
- We send you a Clinical Submission
Checklist, one page per each anatomical part.
- You fill out all of your scan parameters
for each protocol, (FOV, matrix, TE, TR, etc.)
- You send the checklist to Simply
Physics where we review it for appropriateness.
- We send it back with suggestions
to improve your protocols to meet the ACR recommendations.
- You implement the suggested changes,
acquire the images and film them. (We will provide you
with a list of the most common filming mistakes so
- You send the images to Simply Physics.
- We review the images for technical
accuracy. Did you properly implement the suggested changes?
Was all of the information properly filmed?
- If everything is OK then you send
the films to the ACR --- You're Done!
- If problems are found, we send
back to you our recommendations for changes, either in
how the images are filmed or possibly changes to the
- You implement the changes and resend
the images for re-review, by that time, you should be
In addition to the clinical images, which the ACR sends to two practising radiologists
for review, you must also send 5 sets of images of the ACR MRI Phantom. These
images, which consist of a sagittal localizer, ACR T1, ACR T2, Site T1 and Site
T2, are sent by the ACR to an MRI physicist for review. Dr. NessAiver, the CEO
of Simply Physics, has performed over 500 such reviews for the ACR and will personally
guarantee that if he says your images will pass they WILL PASS or Simply Physics
will pay the $500 resubmission fee. Simply Physics offers a Phantom
Review as outlined below:
- We send you a Guide to Proper
Phantom Positioning document.
- You acquire the required images
as described in the ACR Phantom Test Guide. (Don't worry,
we'll talk you through any questions you might have.)
- You send the images to Simply Physics
for review using one of three methods:
- If you are a GE user, then
you can send the images to Simply Physics on a 2.3
In addition to the review described below, Simply Physics will burn the images
onto a CD ROM for a nominal fee of $50.
- If you have the ability to
burn the images onto a CD ROM yourself (many Siemens
users or facilities with PACs systems) then send us your
- All other users must send their
images to DesAcc which will burn your images onto
a CD ROM (for $200) which you then send to Simply
- We will perform a full review of
both the ACR and Site images and send you a detailed
report. (Click here for an example report)
- If your images are acceptable then
we tell you to send them to the ACR. If there are problems,
we will clearly describe them and provide recommendations
on how to eliminate them. These recommendations may be
as simple as changing scan parameters or as envolved
as having your service engineer perform major surgery
on your scanner.
you don't feel comfortable obtaining the phantom images
yourself then, alternatively, Dr. NessAiver can come to
your site and acquire the phantom images for you. He can
also review your filmed clinical images at that time to
speed the process along.
Evaluation and/or Acceptance Testing
Since August, 2002 the ACR has required that all accredited
sites have a Quality Conrol program which consists of Daily/Weekly
testing by the technologist and yearly performance testing
done by a qualified MRI Scientist or Medical Physicist.
To date, the ACR has not required sites to provide evidence
of this testing. That is about to change. The ACR will
soon begin requiring that all renewing sites provide a
copy of their most recent yearly report or acceptance
test report for new magnets. Please go
Quality Control section for a descption of
contact Simply Physics directly for a quote for your
system(s) at (410) 982-6599 or email at firstname.lastname@example.org.