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Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Osteonecrosis suspected, ankle, suspicious findings on radiography, next imaging study

3195732

MRI ankle without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI ankle without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT ankle without IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

May be 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

Bone scan ankle

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate