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Home Parathyroid Adenoma
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hyperparathyroidism, secondary, initial imaging 3194219
US parathyroid
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT neck without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Sestamibi dual-phase scan neck
1-10 mSv
☢☢☢
Usually appropriate
Sestamibi dual-phase scan with SPECT or SPECT/CT neck
1-10 mSv
☢☢☢
Usually appropriate
Sestamibi scan and I-123 thyroid scan with SPECT or SPECT/CT neck
1-10 mSv
☢☢☢
Usually appropriate
Sestamibi scan and pertechnetate thyroid scan with SPECT or SPECT/CT neck
1-10 mSv
☢☢☢
Usually appropriate
Sestamibi scan and pertechnetate thyroid scan


May be appropriate
(Disagreement)
MRI neck with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT neck with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Sestamibi scan and I-123 thyroid scan
1-10 mSv
☢☢☢
May be appropriate
(Disagreement)
Venous sampling parathyroid

Varies
Varies 		Usually not appropriate
MRI neck without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT neck without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate