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Home Asymptomatic Patient at Risk for Coronary Artery Disease
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
CAD low risk, asymptomatic, initial imaging 3084021
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transthoracic stress
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
MRA coronary arteries without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA coronary arteries without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI heart function with stress without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI heart function with stress without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT coronary calcium
1-10 mSv
☢☢☢
Usually not appropriate
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
SPECT or SPECT/CT MPI rest and stress
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate