ACR logo

ACR AC Portal

Home Suspected New-Onset and Known Nonacute Heart Failure
Variants
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