Duke, which has been picked first six straight years, received 69 of the 74 first-place votes. Coming in second with the other five first-place votes was Maryland, Duke's Final Four opponent a year ago.
Picked to finish third was Virginia, which is coming off a 20-9 season.
North Carolina, faced with the loss of Joseph Forte and Brendan Haywood, placed fourth, marking the first time in the poll's history that UNC did not occupy one of the top three spots.
The poll, which began in 1970, has listed the Tar Heels as the top team a league-leading 15 times.
ACC rookie coach Skip Prosser's Wake Forest squad was picked to finish fifth, trailed by Georgia Tech, the ACC's sixth NCAA team last season.
Rounding out the poll were
N.C. State (7th), Florida State (8th) and Clemson (9th).
In the poll's 32-year history, the media's No. 1 or No. 2 ACC Operation Basketball preseason picks have gone on to win the ACC's regular season championship 27 times (including ties).
Women's Golf in 11th Place