ACR logo

ACR AC Portal

Home Suspected Pulmonary Embolism
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Pulmonary embolism suspected, low pretest probability, positive D-dimer, initial imaging 3195262
CTA pulmonary arteries with IV contrast
1-10 mSv
☢☢☢
Usually appropriate
V/Q scan lung
1-10 mSv
☢☢☢
Usually appropriate
MRA pulmonary arteries without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CTA triple rule out
1-10 mSv
☢☢☢
May be appropriate
(Disagreement)
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography pulmonary with right heart catheterization
10-30 mSv
☢☢☢☢
Usually not appropriate
MRA pulmonary arteries without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA chest with IV contrast with CTV lower extremities
1-10 mSv
☢☢☢
Usually not appropriate