National Comprehensive Cancer Network

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NCCN Guidelines® & Clinical Resources

NCCN Imaging Appropriate Use Criteria (NCCN Imaging AUC™)

About NCCN Imaging AUC™

NCCN Imaging Appropriate Use Criteria (NCCN Imaging AUC™) include information designed to support clinical decision-making around the use of imaging in patients with cancer and are based directly on the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®). NCCN Imaging AUC™ are available free of charge to registered users of NCCN.org. View the NCCN Imaging AUC™ User Guide.

NCCN Imaging AUC™ include recommendations pertaining to cancer screening, diagnosis, staging, treatment response assessment, follow-up, and surveillance. Additional information includes the indication, imaging modality, and frequency of use, as well as clinical notes related to the specific recommendation. NCCN Imaging AUC™ also document information on disease stage and histology. All imaging procedures recommended in the NCCN Guidelines®, including radiographs, computed tomography (CT) scans, magnetic resonance imaging (MRI), functional nuclear medicine imaging (PET, SPECT) and ultrasound, are included within NCCN Imaging AUC™.

NCCN Imaging AUC™ are accessible through an easy to use web-based user interface. The NCCN Imaging AUC™ include a full complement of imaging AUC in oncology care. NCCN, a CMS-approved Provider Led Entity (PLE), is committed to assuring that the most up-to-date recommendations are available and reviews and updates NCCN Imaging AUC™ on a continual basis to ensure that the recommendations take into account the most current evidence.

NCCN Imaging AUC™ Development

NCCN develops imaging appropriate use criteria based upon each multidisciplinary Guidelines Panel's evaluation of available scientific evidence, including published literature and the expert judgment of the panel members. The widely accepted NCCN Categories of Evidence and Consensus score individual NCCN Imaging AUC™. NCCN Imaging AUC™ directly reflect the NCCN Guidelines. Imaging information is extracted from the algorithm and footnotes on Guidelines pages as well as appendices and "Principles of Imaging" pages included in selected Guidelines. Discretization into disease and imaging-related elements within a database follows data extraction. Select Guidelines panel members (e.g. chair, vice-chair and radiologist) then further review the content for accuracy on a Guideline-by-Guideline basis. Presentation of the NCCN Imaging AUC™ in a web-based user interface provides a searchable and user-customized display of approved NCCN Imaging AUC™.

Transparency of NCCN Guideline and AUC development is central to the philosophy, policies, and procedures of NCCN.  NCCN publishes publically the policies and processes for developing and maintaining the NCCN Guidelines. Identification of newly published research, NCCN Member Institution review, external stakeholder submissions, and panel review occur on an ongoing basis with at least annual review performed for NCCN Guidelines for each disease. Additional evaluation of evidence for Guidelines revision occurs more frequently as new therapies and/or other potentially practice-changing data become available. NCCN updates NCCN Imaging AUC™ to correspond to the relevant NCCN Guidelines. The NCCN Imaging AUC™ reflect the conclusions of the multidisciplinary NCCN Guidelines Panels.

View the NCCN Imaging AUC™ User Guide.

Share Your Feedback
NCCN is interested in working with all constituencies in the cancer care delivery system. We encourage you, as a colleague, to provide input as to how NCCN can enhance the utility and user-friendliness of our information products. Please contact us at ImagingAUC@nccn.org with your questions, concerns, or comments.

Commercial Licensing of NCCN Imaging AUC™
NCCN is interested in working with organizations through permissions and licensing arrangements to permit the use of NCCN Content in commercial products. NCCN Imaging AUC™ are available for commercial use through license of the NCCN Imaging Appropriate Use Criteria Compendium (NCCN Imaging AUC Compendium™). If you are interested in becoming a licensee of NCCN Content, please contact C. Lyn Fitzgerald, Senior Vice President, U.S. and Global Development.

The NCCN Imaging Appropriate Use Criteria (NCCN Imaging AUC™) is copyrighted by NCCN. All rights reserved. NCCN Content may not be reproduced in any form for any purpose without the express written permission of NCCN. Permissions Requests Section