ACR AC Portal

Home Syncope

Variants

Presyncope or syncope. Low probability of cardiovascular etiology based on history, physical examination, and ECG findings. Initial imaging.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Syncope, low probability of cardiovascular etiology, initial imaging

3194043

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

May be appropriate

US duplex Doppler carotid artery

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transesophageal

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transthoracic resting

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transthoracic stress

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI head without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI head without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI heart function and morphology without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI heart function and morphology without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT head with IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

CT head without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT head without IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

CTA chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CTA coronary arteries with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

SPECT or SPECT/CT MPI rest only

1-10 mSv
☢☢☢

Usually not appropriate

SPECT or SPECT/CT MPI stress only

1-10 mSv
☢☢☢

Usually not appropriate

CT heart function and morphology with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

SPECT or SPECT/CT MPI rest and stress

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate