The Nationwide Evaluation of X-ray Trends (NEXT) program is a partnership between the Conference of Radiation Control Program Directors, Inc. (CRCPD) and the Food and Drug Administration (FDA) Center for Devices and Radiological Health (CDRH), with financial support from the American College of Radiology (ACR) since 1998, to characterize the radiation doses patients receive during diagnostic x-ray examinations.

The NEXT survey program selects a particular radiological examination for study and captures radiation exposure data from a nationally representative sample of U.S. clinical facilities. Volunteer state radiation control personnel conduct the surveys using reference phantoms most of which are clinically validated to represent the radiation attenuation presented by an average-size patient. Surveys are repeated periodically to track trends as technology and clinical practices change.

The NEXT trifold brochures contain a summary of significant technical findings of a particular survey, and are intended to provide a brief snapshot of the state-of-practice to both the radiation protection specialist and to the practicing radiological community.   Clinical facilities can compare findings at their site or patient exposure and clinical quality indicators with statistical findings representing the U.S. practicing community. The companion brochure ‘ Thirty Years of NEXT’ briefly summarizes selected technical parameters of most of the past surveys.

NEXT protocols provide procedures for capturing technical data associated with the practice of the surveyed diagnostic x-ray procedure, including patient skin-entrance air kerma, image quality, clinical technique factors, quality of film processing, and general QA/QC procedures.  NEXT protocols must be used in conjunction with the associated NEXT phantom in order to compare acquired exposure data with existing NEXT survey results.

Image	Categories	Number	Title	Link	hf:doc_categories
	NEXT, Publications		2002 Lumbosacral (LS) Spine Radiography Survey (trifold)	Download	next publications
	NEXT, Publications		2005 CT Facility Questionnaire	Download	next publications
	NEXT, Publications		2005 CT Survey Data Form	Download	next publications
	NEXT, Publications, X-ray		2018 ACA/ACCR Support Letter	Download	next publications x-ray
	NEXT, Publications		2018 Chiropractic Facilities State Assignments	Download	next publications
	NEXT, Publications		2018 Chiropractic Facility Patient Log Form	Download	next publications
	NEXT, Publications		2018-19 NEXT Chiropractic Survey Frequently Asked Questions	Download	next publications
	NEXT, Publications		Clinical Dose Log data form	Download	next publications
	NEXT, Publications		Facility Questionnaire For PDF export Aug02	Download	next publications
	Dental, NEXT, Publications, X-ray	E-16-2	Nationwide Evaluation of X-Ray Trends (Next) Tabulation and Graphical Summary of the 2014-2015 Dental Survey	Download	dental next publications x-ray
	Mammography, NEXT, Publications		Nationwide Evaluation of X-Ray Trends (Next) 1992 Mammography X-Ray Data (trifold)	Download	mammography next publications
	Dental, NEXT, Publications		Nationwide Evaluation of X-Ray Trends (NEXT) 1993 Dental X-Ray Data	Download	dental next publications
	Dental, NEXT, X-ray		Nationwide Evaluation of X-Ray Trends (NEXT) 1993 Dental X-Ray Data	Download	dental next x-ray publications
	NEXT, Publications		Nationwide Evaluation of X-Ray Trends (Next) 1995 Abdomen and LS Spine X-Ray Data	Download	next publications
	NEXT, Publications		Nationwide Evaluation of X-Ray Trends (NEXT) 1996 Upper G.I. Fluoroscopy Survey (trifold)	Download	next publications
	NEXT, Publications		Nationwide Evaluation of X-Ray Trends (Next) 1998 Pediatric Chest X-ray Data (trifold)	Download	next publications
	Dental, NEXT, X-ray	NEXT99D_T	Nationwide Evaluation of X-Ray Trends (NEXT) 1999 Dental X-ray Data	Download	dental next x-ray publications
	NEXT, Publications		Nationwide Evaluation of X-Ray Trends (Next) 2000 Computed Tomography (trifold)	Download	next publications
	NEXT, Publications		Nationwide Evaluation of X-Ray Trends (NEXT) 2002 Abdomen Radiography Survey (trifold)	Download	next publications
	NEXT, Protocols, Publications	E-09-4	Nationwide Evaluation of X-Ray Trends (Next) Protocol for 2003 Survey of Fluoroscopic X-Ray Systems	Download	next protocols publications
	NEXT, Protocols, Publications	E-08-2	Nationwide Evaluation of X-Ray Trends (Next) Protocol For 2005 Survey of Computed Tomography	Download	next protocols publications
	NEXT, Protocols, Publications	E-09-2	Nationwide Evaluation of X-Ray Trends (Next) Protocol for 2008-2009 Survey of Cardiac Catheterization	Download	next protocols publications
	NEXT, Publications, X-ray	E-09-5	Nationwide Evaluation of X-Ray Trends (Next) Summary of 2003 Fluoroscopy Survey	Download	next publications x-ray
	NEXT, Publications	E-07-2	Nationwide Evaluation of X-Ray Trends (Next) Tabulation and Graphical Summary of 2000 Survey of Computed Tomography	Download	next publications
	NEXT, Publications, X-ray	E-05-2	Nationwide Evaluation of X-Ray Trends (Next) Tabulation and Graphical Summary of 2001 Survey of Adult Chest Radiography	Download	next publications x-ray
	Dental, NEXT, X-ray	E-03-6-a	Nationwide Evaluation of X-Ray Trends (Next) Tabulation And Graphical Summary of the 1999 Dental Radiography Survey	Download	dental next x-ray publications
	NEXT, Publications	E-15-3	Nationwide Evaluation of X-Ray Trends (Next) Tabulation and Graphical Summary of the 2005-2006 Survey of Computed Tomography	Download	next publications
	NEXT, Publications	E-16-2	Nationwide Evaluation of X-Ray Trends (Next) Tabulation and Graphical Summary of the 2008-2009 Cardiac Catheterization Survey	Download	next publications
	Dental, NEXT, X-ray	E-16-2	Nationwide Evaluation of X-Ray Trends (NEXT) Tabulation and Graphical Summary of the 2014-2015 Dental Survey	Download	dental next x-ray publications
	NEXT, Publications		Nationwide Evaluation of X-Ray Trends 2001 Adult Chest Radiography (trifold)	Download	next publications
	Dental, NEXT, X-ray	NEXT_2014-15Dental_T	Nationwide Evaluation of X-Ray Trends 2014-2015 Dental Radiography (trifold)	Download	dental next x-ray publications
	NEXT, Publications	NEXT_2005-06CT_T	Nationwide Evaluation of X-Ray Trends Computed Tomography 2005 – 06 Preliminary Summary (trifold)	Download	next publications
	History, NEXT, Publications		Nationwide Evaluation of X-ray Trends Thirty Years of NEXT	Download	history next publications
	NEXT, Publications, X-ray		NEXT 1998 Protocol for the Survey of Pediatric Chest Radiography	Download	next publications x-ray
	NEXT, Protocols, Publications		NEXT 2000 Protocol for Survey of Computed Tomography (CT)	Download	next protocols publications
	NEXT, Protocols, Publications		NEXT 2001 Protocol for the Survey of Adult Chest Radiography	Download	next protocols publications
	NEXT, Publications		NEXT 2002 Protocol for the Survey of A/P Abdomen and Lumbo-Sacral Spine Radiography	Download	next publications
	Dental, NEXT, X-ray		Quality Control Recommendations For Diagnostic Radiography Volume 1 Dental Facilities July 2001	Download	dental next x-ray publications
	Dental, NEXT, Protocols, Publications		Summary of Dental Measurement Procedures (Abridged Protocol)	Download	dental next protocols publications
	Dental, NEXT, X-ray		Summary of Dental Measurement Procedures (Abridged Protocol) 1999	Download	dental next x-ray publications
	NEXT, Publications		Twenty-five Years of NEXT	Download	next publications