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Agency for Care Effectiveness
Published

When not to order chest X-ray ACG

Condition

Infectious diseases

Guidance type

ACG

6 July 2026

Published on 24 May 2021
Last Updated on 24 May 2021

This ACE Clinical Guideline (ACG) outlines some common clinical contexts in which chest X-ray (CXR) is unlikely to confer clinical benefits. Examples of targeted use of CXR in these clinical contexts are included where applicable

Download the ACG

When not to order chest X-ray (May 2021) [PDF]

Request for a hardcopy

Click here

Registered doctors, pharmacists and nurses may claim 1 Continuing Medical Education (CME)/Continuing Professional Education (CPE) point under category 3A/ category V-B for reading each ACG.

ACG recommendations

  1. General medical examination: CXR may not be indicated.

  2. Preoperative testing: CXR may not be indicated.

  3. Lung cancer screening: CXR is not indicated.

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