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This statement is the first American College of Cardiology (ACC)/AHA document on clinical competence in vascular computed tomography (CT) and magnetic resonance imaging (MRI) and is designed to assist in the assessment of physicians' competence on a procedure-specific basis. The minimum experience, knowledge base, and technical skills necessary for the competent performance of vascular CT and MRI are specified. These represent the minimum experience requirements for the assessment of competence in these disciplines (or procedures) in the broadest sense. Whenever possible, the specifications are primarily based on consensus of expert opinion in the absence of extensive literature that links these factors with competence. The specifications are applicable to different practice settings and training backgrounds and can accommodate a number of ways in which physicians can demonstrate competence in the performance of specific procedures. Expertise in the performance of these procedures in patients with infrequently encountered diagnoses or of less commonly performed variations of standard procedures may require additional experience or training. Therefore, it is expected that even highly competent practitioners will occasionally benefit from consultation with colleagues who have even more highly specialized interests, experience, or skills. Due to the quantity and complexity of nonvascular findings that may be imaged with either technique, competence in imaging and interpretation of these findings is beyond the scope of this document.  This document addresses physicians who have already completed a formal training program and is not meant to encompass the training requirements for performing vascular MRI and CT. The process of acquiring these skills is different once one has completed a formal training program. Training guidelines will be covered in the latest edition of Core Cardiology Training (COCATS) for cardiology trainees and in other documents put forth by other societies (1).  In addition to members of the ACCF and the AHA, the Writing Committee included representatives of the SAIP, the SCAI, the SCCT, the SCMR, and the SVMB. Representation by an outside organization does not necessarily imply endorsement. In addition to content peer reviewers, “official” reviewers were provided by the ACC and the AHA. This document was approved for publication by the governing bodies of the ACC and the AHA. In addition, the governing boards from the SAIP, the SCAI, the SCCT, the SCMR, and the SVMB formally endorsed this document.

ACCF/AHA 2007 Clinical Competence Statement on vascular imaging with computed tomography and magnetic resonance