Thompson MJ, Hardy V, Suchsland MZ, et al. - Since imaging testing can influence patients cognitively, socially, behaviorally, and emotionally, as suggested by a growing body of literature, and shared decision making around imaging testing may be facilitated by detecting patient-centered outcomes (PCOs), therefore, researchers investigated PCOs across a spectrum of clinical topics incorporated in the ACR’s Appropriateness Criteria (AC). They identified eligible articles of studies performed in any clinical setting in high-income countries, via a systematic review of AC evidence tables. They found 89 articles that described results of radiation exposure (n = 37), downstream testing (n = 20), complications (n = 19), incidental findings (n = 10), quality of life (n = 7), physical discomfort (n = 5), patient values and experiences (n = 4), patient financial and time costs (n = 4), psychosocial results (n = 4), and test duration (n = 2). Few PCOs included in the AC were found. The historical stress of diagnostic research on the accuracy, clinical utility, and selected results (eg, adverse events) was indicated by the findings. Measuring PCOs communicated directly from patients will be crucial as radiology moves to a more patient-centered approach.