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Variants

Suspected acute pyelonephritis. History of pelvic renal transplant with native kidneys in situ and no other complications (eg, no history of pyelonephritis, diabetes, history of stones or renal obstruction, prior renal surgery, advanced age, vesicoureteral reflux, lack of response to therapy, or pregnancy). Initial imaging.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Pyelonephritis suspected, acute, pelvic renal transplant hx, native kidneys in situ, no other complications, initial imaging

3195312

US duplex Doppler kidney transplant

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT abdomen and pelvis with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT abdomen and pelvis without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT abdomen and pelvis without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

May be appropriate

US abdomen

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US color Doppler kidneys and bladder retroperitoneal

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Fluoroscopy voiding cystourethrography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

Fluoroscopy antegrade pyelography

1-10 mSv
☢☢☢

Usually not appropriate

Radiography abdomen and pelvis

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Radiography intravenous urography

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

MRI abdomen without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRU without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRU without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT abdomen with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT abdomen without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

DMSA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

CT abdomen without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate

CTU without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate