ACR AC Portal

Home Osteomyelitis or Septic Arthritis-Child (Excluding Axial Skeleton)

Variants

Child. 5 years of age or older. Concern for osteomyelitis or septic arthritis involving an extremity. Initial radiographs normal, or with findings suggestive of osteomyelitis. Next imaging study.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Osteomyelitis suspected, ankle, radiography normal, next imaging study

3195049

Image-guided aspiration ankle

Varies

Usually appropriate

MRI ankle without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI ankle without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lower extremity 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

Usually appropriate

US ankle

0 mSv
O

0 mSv [ped]
O

May be appropriate

Bone scan whole body and 3-phase bone scan ankle

3-10 mSv [ped]
☢☢☢☢

May be appropriate

3-phase bone scan ankle

1-10 mSv
☢☢☢

May be appropriate

Bone scan whole body

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

MRI whole body without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI whole body without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT ankle with IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

CT ankle without and with IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

CT ankle without IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate