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Home Primary Bone Tumors
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Primary bone tumor suspected, wrist, indeterminate or aggressive on radiography, next imaging study 3165318
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
May be appropriate
CT wrist without IV contrast
<0.1 mSv
☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography skeletal survey
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate