Guides · checked October 2026

Guides for radiology managers, QA leads and radiologists

Short, sourced answers to the questions people in this work actually search for. Each guide links the official pages it relies on and says plainly where RadQA fits and where it doesn't.

• Radiology peer review explainedWhat radiology peer review is, how it differs from peer feedback and REALMs, and how to set up sampling, blinding and scoring.
• RADPEER scoring explained: 1, 2a, 2b, 3a and 3bWhat each RADPEER score means, which scores ACR says need internal review, and why UK REALMs don't score cases.
• Radiology discrepancy meetings (REALM): the RCR standardsWhat REALMs are, what replaced discrepancy meetings, and the RCR standards on frequency, attendance, anonymity and no blame.
• Radiology QA metrics: what to measureThe quality measures radiology departments use, from turnaround and alert acknowledgement to peer review, REALM and dose audits.
• Double reporting in radiology: when and whyWhat double reporting is, what the Quality Standard for Imaging expects, and how it differs from peer review and second opinions.
• Communicating critical and urgent findings in radiologyWhat the 2022 AoMRC recommendations say about alerts, fail-safe systems and acknowledgement of imaging reports.
• Radiology reporting turnaround times: NHS England targetsNHS England's 2023 diagnostic imaging reporting turnaround times by urgency, and how to measure them properly.
• Quality Standard for Imaging (QSI) explainedWho owns the Quality Standard for Imaging, how the QSI Quality Mark works since UKAS stepped back, and what QSI 2026 asks for.
• Image quality audit and reject analysis in radiographyWhat QSI and IR(ME)R guidance expect on image quality audit, reject analysis and dose, and how to run a useful audit.
• What to check in a radiology report auditA practical checklist for auditing radiology reports: laterality, impression vs findings, critical communication, follow-up, addenda.

General information, checked October 2026. Not legal, regulatory or clinical advice. RadQA is a quality-assurance assistant for imaging departments. It is not a diagnostic device and does not replace radiologist reporting or clinical judgement. Validate against your own systems and local governance before production use.