The American Registry of Radiologic Technologists (ARRT) is looking for help from state licensing agencies and professionals working in Fluoroscopy. We encourage you to review and comment on the proposed changes to the Fluoroscopy Examination Content Specifications.
Our goal is to produce comprehensive, accurate, and fair documents that cover the knowledge and cognitive skills in fluoroscopy. ARRT’s fluoroscopy examination is job-related. We only include fluoroscopy topics if they relate directly to patient care, patient and occupational dose reduction, image recording, quality control, and to safety operate a fluoroscopic unit. The examination does not assess the knowledge and cognitive skills required for the performance of fluoroscopic imaging procedures. A survey of possible tasks was sent to radiographers in 2024 to determine what tasks are being performed related to fluoroscopy. Results from this survey and the expertise of the Fluoroscopy Examination Committee were used to update the content specifications.
ARRT’s Fluoroscopy Examination Committee (made up of radiographers, registered radiologist assistants, a radiologist, and two physicists from across the country) began developing these documents in May 2026 and expects to complete them this fall. The ARRT Board of Trustees will then review the proposed changes. The revised Fluoroscopy Examination Content Specifications are scheduled for implementation date on January 1, 2028.
SUMMARY OF THE PROPOSED CHANGES TO THE CONTENT SPECIFICATIONS
In the Patient Care section, additional content was added to the patient education area. The contrast reactions section was updated to include complications and reactions from contrast. Medical data review, infection control, and monitoring and maintaining medical equipment topics were also added.
In the Safety section, under radiation physics and radiobiology, topics related to radiosensitivity were deleted. The dose-response curves were added. Under radiation protection, additional content was added to the dose and documentation area. 3D fluoroscopy, beam angulation variation, and resources (e.g., Image Wisely, Image Gently) were also added to this area.
In the Image Production section, under equipment operation, binning in flat panel detectors and magnification in image intensifiers were added. The informatics area was moved from patient care to this section and updated. Under image evaluation and quality control area, subject and image are given as examples of contrast. Spatial and temporal are given as examples to resolution.
Additional tasks were added to Attachment A, Task Inventory for Fluoroscopy Examination to cover the added topics.
REVIEW THE DOCUMENTS AND PROVIDE FEEDBACK
We invite you to review the documents below and provide feedback through an online survey (live until August 20, 2026). The survey is the official method by which we track feedback. The Fluoroscopy Examination 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.