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Introduction The American College of Radiology, with more than 30,000 members, is the principal organization of radiologists, radiation oncologists and clinical medical physicists in the United States. The College is a nonprofit professional society whose primary purposes are to advance the science of radiology, improve service to the patient, study the socioeconomic aspects of the practice of radiology, and encourage continuing education for radiologists, radiation oncologists, medical physicists and persons practicing in allied professional fields. The American College of Radiology will periodically define new standards for radiologic practice to help advance the science of radiology and to improve the quality of service to patients throughout the United States. Existing standards will be reviewed for revision or renewal as appropriate on their fourth anniversary or sooner, if needed. Each standard, representing a policy statement by the College, has undergone a thorough consensus process in which it has been subjected to extensive review, requiring the approval of the Commission on Standards and Accreditation as well as the ACR Board of Chancellors, the ACR Council Steering Committee, and the ACR Council.