Publications and standards

RCR guidance and standards cover a wide range of topics including the delivery of high-quality radiology services, guidance on good practice, use of information technology resources and workforce reports. Electronic copies of the majority of our publications are available to download free of charge. 

All of our guidance and standards are drafted by working parties including Fellows and members of the RCR.

Publications are reviewed regularly by the Clinical Radiology Professional Support and Standards Board to ensure that they remain relevant and up to date.

If you need further help please contact us by emailing: publications@rcr.ac.uk

Please see our page on ordering a publication for information on how to place your order off-line.

Find Documents

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Evidence-based indications for the use of PET-CT in the United Kingdom 2022 -

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Current
These guidelines mark the 30th anniversary of clinical positron emission tomography (PET) in the UK. Since its introduction into the UK clinical practice in 1992 by Professor Michael Maisey, PET, followed by positron emission tomography-computed tomography (PET-CT), has become a key multimodality molecular imaging technique in the assessment of a wide range of medical conditions. Now in its fourth edition, this 2022 document provides updated indications with key references underpinning the use of fluorodeoxyglucose (FDG) and non-FDG PET-CT tracers in malignant and non-malignant diseases in...
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Professional duty of candour – Guidance for radiologists -

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Current
The Faculty of Clinical Radiology has developed this document with the aim of providing radiologists with guidance and real-world examples on the implementation of the duty of candour. The document recognises the unique circumstances faced by radiologists and all who work in imaging. It is not possible to provide guidance for every situation, but the aim is to provide an approach which will help colleagues navigate an unfamiliar process in the best possible way for our patients and the professionals who care for them.
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Standards for the education and training of reporting practitioners in musculoskeletal plain radiographs -

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Current
This joint publication from the Royal College of Radiologists (RCR) and College of Radiographers (CoR) defines the education and training required for all members of the multi-professional team who report MSK plain radiographs. This includes the learning outcomes to be achieved, minimum requirements for assessment, and recommendations on how education programmes for MSK plain film reporters should be designed and structured. This document will support effective team working in the delivery of clinical imaging services by ensuring that all members of the multi-professional team reporting MSK...
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Implementing Ordercomms (electronic requesting) in radiology -

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Current
The use of electronic requesting for diagnostic imaging tests continues to increase across the healthcare landscape. In order to maintain the core benefits of paperless requesting, build additional value for staff and patients, and avoid new risks, it is vital that radiologists and other radiology staff work closely with clinical and IT colleagues in the procurement, implementation and ongoing deployment of these systems and their interfaces with other hospital systems. Ease of use and fast, effective two-way communication between the referring clinician and the radiology department remain...
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Radiology reporting networks – Understanding the technical options - BFCR(22)2

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Current
This document specifies what imaging departments could link to a radiology (image and report sharing) network. It has been written by NHS radiologists with the help of industry experts; the detail is beyond what most radiologists will require but hopefully it will be of use to clinical PACS leads, PACS and IT teams when they begin to procure standards-based, vendor-neutral, seamlessly interoperable network radiology platforms (NRPs).
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The radiologist and nuclear medicine: Third edition - BFCR(22)1

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Current
This document addresses the specific issues related to radiologists working in a nuclear medicine environment.
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Recommendations for cross-sectional imaging in cancer management, Third edition - BFCR(22)3

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Updated edition of the successful Recommendations for Cross-sectional imaging in cancer management
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Review of molecular radiotherapy services in the UK - RCR(21)$

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This document provides the four nations with a comprehensive, pragmatic blueprint to allow the development of molecular radiotherapy services in preparation for the new agents which are soon to arrive.
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Diagnosis of thoracic aortic dissection in the emergency department - BFCR(21)6

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Current
The diagnosis of thoracic aortic dissection (TAD) is often difficult to establish in emergency department (ED) patients attending with chest pain. Key to making the diagnosis is the awareness among emergency physicians (EPs) of the need to consider the diagnosis in patients presenting with chest pain. EPs should also have an awareness that TAD can present subtly or in young patients and that their pain may have migrated or dissipated by the time they are seen. Surveillance data suggest that opportunities to diagnose cases of TAD are being missed in the ED, often with catastrophic consequences...
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Radiological guidance for the recognition and reporting of osteoporotic vertebral fragility fractures (VFFs) - BFCR(21)5

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Current
This dedicated guidance is designed to facilitate radiological recognition and actionable reporting of vertebral fragility fractures

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