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Home Epigastric Pain
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Epigastric pain, peptic ulcer suspected, initial imaging 3194200
Fluoroscopy biphasic esophagram
1-10 mSv
☢☢☢
Usually appropriate
Fluoroscopy upper GI series
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
Fluoroscopy single contrast esophagram
1-10 mSv
☢☢☢
May be appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT abdomen with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
(Disagreement)
MRI abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI abdomen without and with IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI abdomen without IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT abdomen with IV contrast multiphase
10-30 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