Home Suspected New-Onset and Known Nonacute Heart Failure
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Heart failure suspected, initial imaging 3148153
US echocardiography transthoracic resting
0 mSv
O
0 mSv [ped]
O
Usually appropriate
Radiography chest
<0.1 mSv
<0.03 mSv [ped]
Usually appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O
0 mSv [ped]
O
May be appropriate
(Disagreement)
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢
3-10 mSv [ped]
☢☢☢☢
May be appropriate
(Disagreement)
US echocardiography transthoracic stress
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
Arteriography coronary
1-10 mSv
☢☢☢

Usually not appropriate
MRI heart function and morphology without IV contrast
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
MRI heart with function and inotropic stress without and with IV contrast
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
MRI heart with function and inotropic stress without IV contrast
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
MRI heart with function and vasodilator stress perfusion without and with IV contrast
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
Nuclear medicine ventriculography
1-10 mSv
☢☢☢

Usually not appropriate
FDG-PET/CT heart
10-30 mSv
☢☢☢☢
3-10 mSv [ped]
☢☢☢☢
Usually not appropriate
Rb-82 PET/CT heart
10-30 mSv
☢☢☢☢

Usually not appropriate
SPECT or SPECT/CT MPI rest and stress
10-30 mSv
☢☢☢☢
10-30 mSv [ped]
☢☢☢☢☢
Usually not appropriate