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.
Journal of the American College of Radiology : JACR. 2026 Feb 05 [Epub ahead of print]
Dustin A Gress, M Mahesh, Kevin W Dickey, John F Angle, D Duane Baldwin, Stephen Balter, Wayne Batchelor, Lisa Bruedigan, Christopher Davis, Deirdre Elder, R Paul Guillerman, Maged N Guirguis, David Hardwick, Carrie M Hayes, Jeremy J Heit, A Kyle Jones, Melissa Kirkwood, Andrew Kuhls-Gilcrist, Bonnie Martin-Harris, William W Mayo-Smith, Sarah E McKenney, Richard Miguel, Donald L Miller, Eric Monroe, Kristi Moore, Thomas L Morgan, Kari J Nelson, Kathryn Petrovic, Shellie Pike, Carlos A Pino, Travis Prowant, Jonathan W Revels, Vinil Shah, Andrew Y Wang, David B Weiss, Darcy J Wolfman, Kevin A Wunderle, Jessica Zarzour, Michael E Zychowicz, Alan H Matsumoto
American College of Radiology, Reston, Virginia. Electronic address: ., Johns Hopkins University School of Medicine, Baltimore, Maryland., Medical University of South Carolina, Charleston, South Carolina., Division Director, Vascular and Interventional Radiology, Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia., Endourology Fellowship Director; Director of Urologic Research, Department of Urology, Loma Linda University Health, Loma Linda, California., Departments of Radiology and Medicine, The Columbia University Medical Center, New York, New York., President, Medicine Service Line, Inova Health System, Inova Schar Heart & Vascular, Inova Health System, Fairfax, Virginia., Executive Director, Conference of Radiation Control Program Directors, Frankfort, Kentucky., National Subspecialty Lead for Advanced Practice Providers, Radiology Partners Phoenix, Mesa, Arizona., Radiation Safety Officer/Laser Safety Officer, University of Colorado Hospital, Aurora, Colorado., Chief of Thoracic Imaging, Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio., System Chair of Pain Management, Ochsner Health System, New Orleans, Louisiana., Rome Radiology Group, Rome, Georgia., Advanced Vascular Centers, Portland, Oregon., Chief of Neuroimaging and Neurointervention, Stanford University, Stanford, California., Deputy Program Director, Medical Physics Graduate Program, The University of Texas MD Anderson Cancer Center Graduate School of Biomedical Sciences, Houston, Texas., Chief, Vascular Surgery, Division of Vascular and Endovascular Surgery, UT Southwestern Medical Center, Dallas, Texas., Director, KOL Management, Canon Medical Systems, Tustin, California., Associate Dean for Faculty Affairs; Director, NU Swallowing Cross-Systems Collaborative Laboratory, Northwestern University, Evanston, Illinois., Vice-Chair, Radiology Education, Brigham and Women's Hospital, Boston, Massachusetts., University of California, Davis, California., Regional Director - New England; Boston Field Office Director & Chief Medical Physicist, West Physics, Atlanta, Georgia., U.S. Food and Drug Administration, Silver Spring, Maryland., University of Wisconsin, Madison, Wisconsin., Chair, Department of Radiologic Sciences, School of Health Related Professions, University of Mississippi Medical Center, Jackson, Mississippi., Versant Medical Physics and Radiation Safety, Kalamazoo, Michigan., University of Utah Health, Salt Lake City, Utah., Vice President, Global Accreditation and Certification Product Development, Joint Commission, Joint Commission International, Oakbrook Terrace, Illinois., Radiology Consultants of Iowa, Cedar Rapids, Iowa., Anesthesiology, Naval Medical Center San Diego, San Diego, California., Virginia Commonwealth University Health System, Richmond, Virginia., Department of Radiology, New York University Grossman School of Medicine, New York, New York., Chief, Neuororadiology Division, Department of Radiology and Biomedical Imaging, University of California, San Francisco, California., Division Chief of Gastroenterology and Hepatology; Chief of Interventional Endoscopy, Division of Gastroenterology and Hepatology, University of Virginia, Charlottesville, Virginia., Division Head, Trauma and Oncology, Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia., Division of Medical Physics, Department of Radiology, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio., Vice Chair of Education, Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama., Director, Orthopedic Nurse Practitioner Training, Duke University School of Nursing, Durham, North Carolina., Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia.