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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, lumbar spine symptoms, axial spondyloarthritis suspected, radiography and mri sacroiliac joints negative, next imaging study 3194637
Radiography lumbar spine
1-10 mSv
☢☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
MRI lumbar spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lumbar spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
US lumbar spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan with SPECT or SPECT/CT lumbar spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar 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