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Variants

Adult. Suspected or known hyperfunctioning pituitary adenoma (hyperthyroidism [high thyroid-stimulating hormone], Cushing syndrome [high adrenal corticotrophic hormone], hyperprolactinemia, acromegaly, or gigantism). Initial imaging.

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Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Pituitary adenoma suspected

3149680

MRI sella without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI sella without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI sella with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT sella with IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

CT sella without IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

Radiography sella

<0.1 mSv
☢

Usually not appropriate

Venous sampling petrosal sinus

Varies

Usually not appropriate

MRA head with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA head without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA head without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT sella without and with IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

CTA head with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate