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Home Chronic Chest Pain-Noncardiac Etiology Unlikely: Low to Intermediate Probability of Coronary Artery Disease
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Chest pain, chronic, low-mod prob of CAD 3073531
US echocardiography transthoracic stress
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart with function and vasodilator stress perfusion without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
SPECT or SPECT/CT MPI stress only
1-10 mSv
☢☢☢
Usually appropriate
Rb-82 PET/CT heart
10-30 mSv
☢☢☢☢
Usually appropriate
SPECT or SPECT/CT MPI rest and stress
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA coronary arteries without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart with function and inotropic stress without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart with function and inotropic stress 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 coronary calcium
1-10 mSv
☢☢☢
May be appropriate
Arteriography coronary
1-10 mSv
☢☢☢
Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without 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