PPTS Portal Home

Adopted 2026 (CSC/BOC)

Document Navigator

Document Navigator

ACR–AAPM TECHNICAL STANDARD FOR MEDICAL PHYSICS PERFORMANCE MONITORING OF PET/MRI EQUIPMENT

I.

INTRODUCTION

II.

QUALITY MANAGEMENT

II.

QUALITY MANAGEMENT

A.

Quality Management Team

II.

QUALITY MANAGEMENT

B.

Service Records

II.

QUALITY MANAGEMENT

C.

Records of Devices and Tools

II.

QUALITY MANAGEMENT

D.

Policies (as applicable)

II.

QUALITY MANAGEMENT

E.

Reporting Structure for Findings

III.

QUALITY ASSURANCE

III.

QUALITY ASSURANCE

A.

Periodic Review of Settings/Protocols/Clinical Outputs

III.

QUALITY ASSURANCE

B.

Calibration of Measurement Devices/Tools

IV.

QUALITY CONTROL

IV.

QUALITY CONTROL

A.

Acceptance Testing

IV.

QUALITY CONTROL

B.

Equipment Performance Evaluation

IV.

QUALITY CONTROL

C.

Continuous Quality Control

V.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

A.

Qualified Medical Physicist

V.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

B.

Physician

V.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

C.

Technologist

V.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

D.

Medical Physicist Assistant

V.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

E.

Radiation Safety Officer

V.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

F.

Information Technology (IT) Professional

VI.

RADIATION SAFETY IN IMAGING

VII.

MR SAFETY GUIDELINES

VIII.

RADIATION SHIELDING CONSIDERATIONS

ACKNOWLEDGEMENTS

Writing Committee – members represent their societies in the initial and final revision of this practice parameter

ACR
Mawlawi, Osama PhD, Chair
Deng, Shengwen PhD
Surasi, Devaki Shilpa MD
Trzasko, Joshua D PhD

AAPM
DiFilippo, Frank PhD
Nie, Xingyu PhD
Salazar, Jessica DMP
Wang, Jian-xiong PhD
Zhao, Xuandong PhD
Zhou, Yuxiang PhD

Committee on Practice Parameters and Technical Standards – Medical Physics

(ACR Committee responsible for sponsoring the draft through the process)

Pacella, Matthew A MS, Chair	Bevins, Nicholas PhD	Buckey, Courtney R PhD	Butler, Renee MS
DeAngelis, Dylan MS	Deng, Shengwen PhD	Dieguez Gonzalez, Ana MS	Grice, Jared V DMP
Gros, Sebastien PhD	Keenan, Mary Ann DMP	Schaeffer, Colin PhD	Schofield, Deborah L PhD
Tarver, Russell B MS

Committee on Practice Parameters and Technical Standards

(ACR Committee responsible for sponsoring the draft through the process)

Caplin, Drew M MD, Chair

Amurao, Maxwell MBA, PhD, Chair, Commission on Medical Physics

Larson, David B MBA, MD, Chair, Commission on Quality and Safety

Comments Reconciliation Committee

Chu, Sammy MD - CSC, Co-Chair	Edmonson, Heidi A PhD - CSC, Chair	Amurao, Maxwell MBA, PhD	Caplin, Drew M MD
Deng, Shengwen PhD	DiFilippo, Frank PhD	Larson, David B MBA, MD	Mawlawi, Osama PhD
Nie, Xingyu PhD	Pacella, Matthew A MS	Rubin, Eric MD - CSC	Salazar, Jessica DMP
Schoppe, Kurt MD - CSC	Surasi, Devaki Shilpa MD	Trzasko, Joshua D PhD	Wang, Jian-xiong PhD
Zhao, Xuandong PhD	Zhou, Yuxiang PhD

REFERENCES

1. American College of Radiology. ACR–AAPM Technical Standard for Diagnostic Medical Physics Performance Monitoring of Magnetic Resonance (MR) Imaging Equipment. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=57+&releaseId=2
2. American College of Radiology. ACR–AAPM Technical Standard for Medical Physics Performance Monitoring of PET/CT Imaging Equipment. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=198.
3. Amurao M, Gress DA, Keenan MA, Halvorsen PH, Nye JA, Mahesh M. Quality management, quality assurance, and quality control in medical physics. Journal of Applied Clinical Medical Physics. 24(3):e13885, 2023 Mar.
4. Catana C. Attenuation correction for human PET/MRI studies. Physics in Medicine & Biology. 65(23):23TR02, 2020 12 02.
5. American College of Radiology. ACR Practice Parameter for Continuing Medical Education. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=130+&releaseId=2
6. SeibertJ AnthonyJAUC Davis Health, Sacramento, CA, USA., BlatnicaAnthony PAPTufts Medical Center, Boston, MA, USA., ClementsJessica BJBSouthern California Permanente Medical Group, Los Angeles, CA, USA., et al. AAPM medical physics practice guideline 7.a.: Supervision of medical physicist assistants. J Appl Clin Med Phys 21:11-15, .
7. PfeifferDouglasDBoulder Community Health, Boulder, CO, USA., Al-HallaqHaniaHThe University of Chicago, Chicago, IL, USA., HalvorsenPerPBeth Israel - Lahey Health, Burlington, MA, USA., et al. AAPM medical physics practice guideline 3.b.: Levels of supervision for medical physicists in clinical training. J Appl Clin Med Phys 22:11-15, .
8. American Association of Physicists in Medicine. AP 125-A Statement on the description of involvement of Medical Physicists in clinical procedures. Available at: https://www.aapm.org/org/policies/details.asp?id=2561. .
9. American College of Radiology. ACR–ACNM–SNMMI–SPR Practice Parameter for the Use of Radiopharmaceuticals in Diagnostic Procedures. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=171+&releaseId=2
10. American College of Radiology. ACR Practice Parameter for Performing and Interpreting Magnetic Resonance Imaging (MRI). Available at: https://gravitas.acr.org/PPTS/GetDocumentView?docId=146+&releaseId=2
11. American Association of Physicists in Medicine. AP 131-A Medical Physicist Assistants: Task Delegation and Supervision. Available at: https://www.aapm.org/org/policies/details.asp?id=2567. .
12. United States Nuclear Regulatory Commission. 10 CFR 35.50 Training for radiation safety officer and associate radiation safety officer. Available at: http://www.nrc.gov/reading-rm/doc-collections/cfr/part035/part035-0050.html.
13. Matthias J. P. van Osch, Andrew G. Webb, van Osch, M.J.P., Webb, A.G. Safety of Ultra-High Field MRI: What are the Specific Risks?. Curr Radiol Rep 2, 61 (2014). https://doi.org/10.1007/s40134-014-0061-0. https://link.springer.com/article/10.1007/s40134-014-0061-0.
14. Parikh N, Friedman KP, Shah SN, Chandarana H. Practical guide for implementing hybrid PET/MR clinical service: lessons learned from our experience. Abdom Imaging. 2015 Aug;40(6):1366-73.
15. Kamvosoulis P, Currie GM. PET/MRI, Part 1: Establishing a PET/MRI Facility. J Nucl Med Technol. 2021 Jun;49(2):120-125.
16. American College of Radiology. ACR Committee on MR Safety. 2026 ACR Manual on MR Safety. Available at: https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/Clinical/Radiology-Safety/Manual-on-MR-Safety.pdf.
17. American College of Radiology. Magnetic Resonance Imaging Quality Control Manual. Available at: https://www.acr.org/-/media/ACR/Files/Clinical-Resources/QC-Manuals/MR_QCManual.pdf.
18. International Electrotechnical Commission, IEC technical committee, IEC 60601-2-33:2022. Medical electrical equipment - Part 2-33: Particular requirements for the basic safety and essential performance of magnetic resonance equipment for medical diagnosis. 2022, International Electrotechnical Commission. https://webstore.iec.ch/en/publication/67211.
19. Conroy L, Faught JT, Bowers E, et al. Medical physics practice guideline 4.b: Development, implementation, use and maintenance of safety checklists. J Appl Clin Med Phys 24:e13895, 2023 Mar.
20. American College of Radiology. ACR Committee on Drugs and Contrast Media. Manual on Contrast Media. Available at: https://www.acr.org/Clinical-Resources/Clinical-Tools-and-Reference/Contrast-Manual.
21. American College of Radiology. ACR–SPR Practice Parameter for the use of Intravascular Contrast Media. Available at https://gravitas.acr.org/PPTS/GetDocumentView?docId=142+&releaseId=2
22. National Council on Radiation Protection and Measurements. Structural Shielding Design for Medical X-Ray Imaging Facilities. NCRP 147. Bethesda, Md 2004.
23. Madsen MT, Anderson JA, Halama JR, et al. AAPM Task Group 108: PET and PET/CT shielding requirements. Med Phys. 2006 Jan;33(1):4-15.