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Home Suspected Primary Bone Tumors
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Primary bone tumor suspected, wrist, osteoid osteoma suspected on radiography, next imaging study 3109113
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT wrist with IV contrast
<0.1 mSv
☢
May be appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
May be appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy wrist

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate