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Home Primary Bone Tumors
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Primary bone tumor suspected, lumbosacral spine, indeterminate or aggressive on radiography, next imaging study 3165311
MRI lumbosacral spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lumbosacral spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT lumbosacral spine without IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT lumbosacral spine without and with IV contrast
10-30 mSv
☢☢☢☢
May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US lumbosacral spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography skeletal survey
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbosacral spine with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate