Revision History

This article applies to all modalities except radiation oncology.  

After you finish and submit your application, ACR staff will ensure that everything is received (fees, survey agreement if applicable, etc.) and accept your application. You will then receive an email stating that your online testing package is available.

Facilities seeking ACR accreditation will upload required clinical and phantom images (if applicable) to an encrypted, secure server for accreditation review. In addition to decreasing the turnaround time for receiving an accreditation final report, uploading images mitigates the risk of losing images during transit. If your facility has a technical limitation that prohibits you from uploading images electronically, please contact ACR staff for assistance (diagnostic programs 1-800-770-0145; breast imaging programs 1-800-227-6440).

Submitting Materials for Accreditation: General Information

Once the testing package is available, you may access it by logging into ACRedit (for stereotactic breast biopsy and breast ultrasound, log in to ACRedit Plus) and clicking on “My Testing Packages”. Select “Modify” under the Action column, fill out all required data forms and upload all required documentation. While modifying a testing package for a given modality, a navigation pane on the left side will track the progress of your submission. At the beginning of the process, each item will have an 'X' next to it, indicating that section is not completed. As you complete each section, a ‘’ will appear. All items must have a green check prior to submitting your testing package.

Image Upload Options

On the ‘Upload Images’ screen, there are two choices for image uploads. ACRedit Web Client is recommended when uploading images that are saved on the computer, disk or thumb drive. TRIAD Windows Client must be used if uploading images directly from your PACS. You can switch between these two methods at any time as long as the correct radio button is selected on the Image Upload page of your testing package. Keep in mind when switching between programs you will need to refresh the page to reflect the correct file count. You will be able to add or delete images until your online testing package is submitted. Once your testing package is fully submitted, you cannot make any changes to the images you have submitted.

ACRedit Web Client

  • Compatible with your Windows PC or MAC

  • No software to install

  • Requires only an internet connection

  • View images using the NilRead DICOM viewer provided prior to submitting images and testing packages

  • See Image Uploads Using ACRedit Web Client for more details

TRIAD Windows Client

  • Requires software installations, which may require administrative privileges (your IT department may need to be involved)

  • Compatible with your Windows PC

  • Allows you to connect directly to your PACS for image retrieval

  • View images using the NilRead DICOM viewer provided prior to submitting images and testing packages

  • See Image Uploads Using TRIAD Windows Client for more details 

Please note the following: 

  • DICOM images are required for accreditation submission for most modalities but preferred for all modalities. There are several ways you may save your DICOM images to prepare for image upload, including:

    • Export the images from your PACS and save them to your computer

    • Export the images from your PACS and save them onto a CD/DVD or a thumb drive

    • Export the images from the unit in which they were acquired and save them onto a CD/DVD or thumb drive

  • Only post processed images (not raw) should be submitted for accreditation

  • Upload only required images/sequences for accreditation (refer to testing instructions for the relevant modality).

  • Do not upload lossy compressed DICOM images for accreditation

  • Do not upload physician reports

  • Do not upload anonymized images for accreditation

  • While uploading your images, if you get an error message noting an unsupported file type, review the acceptable file types for the modality/exam and ensure that only those file types are being uploaded. Note: some modalities/exams may allow images to be uploaded as jpeg, jpg, png, gif, tif, tiff or bmp files

  • Once the images are uploaded, you must view all the uploaded images prior to submission to ensure all (and only) required images have been uploaded successfully and are viewable using the NilRead DICOM viewer

  • DO NOT TAKE CELL PHONE IMAGES and upload as electronic

  • DO NOT SCAN paper or color photo prints and upload as electronic

  • Non-digital images (i.e., scanned documents saved as jpg) are not acceptable for clinical or phantom image 

Revision History for this Article



Description of Revision(s)



Article created; FAQs incorporated; No criteria changes

1-6-2020NotesAdded additional notes for image consideration regarding cell phone, scanned and non-digital images



Changes in Facility/Personnel/Modality

Image Submission with ACRedit Web Client

Changes in Facility/Personnel/Modality: MAP