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, knee, radiography normal, next imaging study

3195054

Image-guided aspiration knee

Varies

Usually appropriate

MRI knee without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI knee 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 knee

0 mSv
O

0 mSv [ped]
O

May be appropriate

Bone scan whole body and 3-phase bone scan knee

3-10 mSv [ped]
☢☢☢☢

May be appropriate

3-phase bone scan knee

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 knee with IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

CT knee without and with IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

CT knee without IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate