ACR AC Portal

Home Suspected Spine Trauma-Child

Variants

Child, 3 to 16 years of age, acute cervical spine trauma, at least one risk factor with reliable clinical examination (based on PECARN or NEXUS). Initial imaging.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Neck trauma, abnormal mental status or neuro exam

3149747

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate
(Disagreement)

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate
(Disagreement)

US cervical spine

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Arteriography cervicocerebral

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

MRA neck without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA neck without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT cervical spine without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CTA neck with IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

CT myelography cervical spine

10-30 mSv
☢☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate