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ACR Appropriateness Criteria®. Access guidelines to assist in making the most appropriate imaging or treatment decision for breast-related conditions. for breast cancer, as addressed in the most recent guideline issued jointly by the American. College of Radiology (ACR) and the Society for Breast ImagingAbstract Content : I will explain the new 2018 ACR guidelines as outlined in their Appropriateness Criteria for breast imaging in the pregnant and lactating The Mammography Quality Standards Act (MQSA) requires all U.S. mammography facilities to be accredited.