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ARRT Seeks Comments on Proposed Changes to the Limited Scope of Practice in Radiography Content Specifications

The American Registry of Radiologic Technologists (ARRT) is looking for help from state licensing agencies and professionals working as Limited Scope of Practice in Radiography Operators. We encourage you to review the proposed changes to the Limited Scope of Practice in Radiography Examination Content Specifications.

Our goal is to produce comprehensive, accurate, and fair documents that cover the knowledge and cognitive skills required of limited scope of practice in radiography operators. ARRT’s examinations are job-related. That is, we only include topics if knowledge of those topics relates directly to a clinical activity typically required in one’s job. Two surveys of possible tasks and procedures were sent to radiographers in 2024 to determine these topics. Results from these surveys and the expertise of the Limited Scope of Practice in Radiography Exam Committee were used to update the content specifications.

ARRT’s Limited Scope of Practice in Radiography Exam Committee (composed of radiographers from throughout the nation) began working on these documents in March 2026 and will complete work on them this fall. After that, ARRT’s Board of Trustees will review the proposed changes. The revised Limited Scope of Practice in Radiography Examination Content Specifications have a scheduled implementation date of January 1, 2028.

SUMMARY OF THE PROPOSED CHANGES TO THE CONTENT SPECIFICATIONS 

In the Patient Care section, more details were added to patient education and medical emergencies. Equipment sterilization, sterile technique, and needles were removed.

In the Safety section, automatic exposure control, pregnancy, and resources (e.g., Image Wisely®, Image Gently®) were added. 

In the Image Production section, image contrast and subject contrast were added to the factors affecting radiography quality chart. All content relating to computed radiography (CR) was removed.

In the Procedures section, mandible was added to the skull and sinuses section.

On Attachment A, some positions and projections were added and removed based on the survey data and expertise of the Limited Scope of Practice in Radiography Exam Committee.

On Attachment B, some tasks were added, removed, or edited based on the survey data and expertise of the Limited Scope of Practice in Radiography Exam Committee.

REVIEW THE DOCUMENTS AND PROVIDE FEEDBACK

We invite you to review the documents below and provide feedback through an online survey (live until June 25, 2026). The survey is the official method by which we track feedback. The Limited Scope of Practice in Radiography Exam Committee will review all comments and may make additional changes based on your feedback.

Note: In the drafts, additions are in blue and deletions are in strikethrough red.

QUESTIONS?

Thank you for your contribution to this important project.