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Home Thoracic Outlet Syndrome
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Thoracic outlet syndrome, arterial, imaging after surgery or intervention 3180670
US duplex Doppler subclavian artery and vein
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Catheter venography upper extremity
1-10 mSv
☢☢☢
Usually not appropriate
MRV chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRV chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTV chest with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate