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Home Osteomyelitis or Septic Arthritis-Child (Excluding Axial Skeleton)
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Osteomyelitis suspected, tibia/fibula, initial imaging 3194977
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography tibia and fibula
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Bone scan whole body and 3-phase bone scan leg

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan leg
1-10 mSv
☢☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate