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Home Inflammatory Back Pain: Known or Suspected Axial Spondyloarthropathy
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Inflammatory back pain, thoracic spine symptoms, axial spondyloarthritis suspected, initial imaging 3194622
Radiography sacroiliac joints
0.1-1mSv
☢☢
Usually appropriate
Radiography sacroiliac joints and thoracic spine
1-10 mSv
☢☢☢
Usually appropriate
US sacroiliac joints
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US thoracic spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI sacroiliac joints without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI sacroiliac joints without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI thoracic spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI thoracic spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan with SPECT or SPECT/CT sacroiliac joints
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT thoracic spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT sacroiliac joints with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT sacroiliac joints without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT thoracic spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT sacroiliac joints without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
CT thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT skull base to mid-thigh
10-30 mSv
☢☢☢☢
Usually not appropriate