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Home Liver Lesion — Initial Characterization

Variants

Indeterminate, greater than 1 cm liver lesion on initial imaging with CT (noncontrast or single-phase) or noncontrast MRI. Normal liver. No suspicion or evidence of extrahepatic malignancy or underlying liver disease.

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Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Liver lesion, >1cm, indeterminate on noncontrast or single phase CT, normal liver, no extrahepatic malignancy

3191931

MRI abdomen without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT abdomen with IV contrast multiphase

10-30 mSv
☢☢☢☢

Usually appropriate

US abdomen

0 mSv
O

0 mSv [ped]
O

May be appropriate
(Disagreement)

US abdomen with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

Image-guided biopsy liver

Varies

Usually not appropriate

DOTATATE PET/CT skull base to mid-thigh

1-10 mSv
☢☢☢

Usually not appropriate

Liver spleen scan

1-10 mSv
☢☢☢

Usually not appropriate

RBC scan abdomen and pelvis

1-10 mSv
☢☢☢

Usually not appropriate

CT abdomen without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate

FDG-PET/CT skull base to mid-thigh

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Octreotide scan with SPECT or SPECT/CT chest and abdomen

10-30 mSv
☢☢☢☢

Usually not appropriate