Recommendations From the Blue Ribbon Panel on Fluoroscopy Safety
There are many challenges associated with the safe use of fluoroscopy. These challenges include but are not limited to highly variable regulatory requirements, scope of practice concerns, inconsistent education and training, and lack of staff empowerment. Challenges are further compounded by the increasing use of fluoroscopy across a wide range of medical specialties. To facilitate consensus on how to address the issues, the ACR convened the multidisciplinary Blue Ribbon Panel on Fluoroscopy Safety (BRP-FS), with 32 organizations represented. The goal of the BRP-FS is to establish multi- and interspecialty consensus standards for the safe use of fluoroscopy in health care, including minimum and uniform standards for the education and training of fluoroscopy users that apply across geographic and professional boundaries, for the benefit of all patients and health care providers. Recommendations are made for local practices, professional organizations, industry, regulatory agencies, and accreditation bodies. Foundational to the recommendations of the BRP-FS are the personnel training and procedure classification frameworks in National Council on Radiation Protection and Measurement Commentary No. 33.
Authors
- Jeremy Josef Heit (ORCID: https://orcid.org/0000-0003-1055-8000)
- Eric J. Monroe
- Jessica G. Zarzour (ORCID: https://orcid.org/0000-0003-4926-4683)
- Andrew Kuhls‐Gilcrist
- M Mahesh
- Thomas L. Morgan (ORCID: https://orcid.org/0000-0003-1988-5067)
- Alan H. Matsumoto (ORCID: https://orcid.org/0000-0001-7162-1590)
- Bonnie Martin‐Harris (ORCID: https://orcid.org/0000-0001-7840-3764)
- Melissa L. Kirkwood (ORCID: https://orcid.org/0000-0002-1342-9549)
- Kristi Moore
- Michael E. Zychowicz
- Dustin A. Gress (ORCID: https://orcid.org/0000-0003-2978-8420)
- Andrew Y. Wang (ORCID: https://orcid.org/0000-0002-6519-7882)
- Carrie Hayes
- Sarah E. McKenney (ORCID: https://orcid.org/0000-0003-3109-0208)
- Kathryn Petrovic
- Jonathan Revels (ORCID: https://orcid.org/0000-0002-1513-2407)
- Deirdre Elder
- Vinil N. Shah (ORCID: https://orcid.org/0000-0003-0803-5067)
- Kevin Wunderle (ORCID: https://orcid.org/0000-0002-3256-5335)
- William W. Mayo-Smith (ORCID: https://orcid.org/0000-0001-9760-4975)
- K. Dickey
- Shellie Pike
- Darcy J. Wolfman (ORCID: https://orcid.org/0000-0002-5129-9167)
- Donald L. Miller (ORCID: https://orcid.org/0000-0002-4599-5086)
- K. K. Nelson
- John F. Angle (ORCID: https://orcid.org/0000-0002-5614-4789)
- David B. Weiss
- Carlos Pino
- Christopher Davis
- Travis Prowant
- David Hardwick
- Richard Miguel
- Lisa Bruedigan
- R. Paul Guillerman
- Wayne Batchelor
- Maged N. Guirguis
- Stephen Balter
- D. Duane Baldwin
- A. Kyle Jones
Institutions
- American College of Radiology (US)
- Northwestern University (US)
- Inova Health System (US)
- Brigham and Women's Hospital (US)
- Cincinnati Children's Hospital Medical Center (US)
- University of Colorado Hospital (US)
- Naval Medical Center San Diego (US)
- United States Food and Drug Administration (US)
- Joint Commission (US)
- Canon (Japan) (JP)
- Ochsner Health System (US)
- The University of Texas MD Anderson Cancer Center (US)
- University of Wisconsin–Madison (US)
- Johns Hopkins University (US)
- Medical University of South Carolina (US)
- Duke University (US)
- University of California, San Francisco (US)
- Virginia Commonwealth University (US)
- University of Utah (US)
- Loma Linda University (US)
- Columbia University Irving Medical Center (US)
- Johns Hopkins Medicine (US)
- University Health System (US)
- The Ohio State University Wexner Medical Center (US)
- University of Mississippi Medical Center (US)
- University of Alabama at Birmingham (US)
- Loma Linda University Health Care (US)
- Southwestern Medical Center (US)
- Office of the Chief Scientist (IL)
- Conference of Radiation Control Program Directors (US)
- Borgess Medical Center (US)
- University of Virginia Medical Center (US)
- Physicians' Clinic of Iowa (US)
- University of Virginia (US)
- HealthPartners (US)
- New York University (US)
- University of California, Davis (US)
- The University of Texas Southwestern Medical Center (US)
- University of Colorado Denver (US)
- Stanford University (US)
- Georgia Highlands College (US)
Publication Details
- Journal
- Journal of the American College of Radiology
- Published
- 2026-02-01
- DOI
- https://doi.org/10.1016/j.jacr.2025.12.020
- Citations
- 1
- Primary Topic
- Radiation Dose and Imaging
- Type
- article
- Field-Weighted Citation Impact
- 31.92