ACR AC Portal

Home Malignant or Aggressive Primary Musculoskeletal Tumor-Staging And Surveillance

Variants

Malignant or aggressive primary musculoskeletal tumor. Initial staging. Evaluation for extrapulmonary metastasis.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Primary musculoskeletal tumor, aggressive, extrapulmonary metastasis evaluation, initial staging

3195758

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

MRI whole body without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate
(Disagreement)

Bone scan whole body

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT ankle

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT chest

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT elbow

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT femur

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT foot

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT hand

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT humerus

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT knee

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT pelvis

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT radius and ulna

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT shoulder

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT tibia and fibula

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT wrist

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

FDG-PET/MRI whole body

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Fluoride PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate
(Disagreement)

US ankle

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US chest

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US elbow

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US foot

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US forearm

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US hand

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US knee

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US lower leg

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US pelvis

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US shoulder

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US thigh

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US upper arm

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US wrist

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Radiography ankle

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually not appropriate

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually not appropriate

Radiography elbow

<0.1 mSv
☢

Usually not appropriate

Radiography femur

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

Radiography foot

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually not appropriate

Radiography hand

<0.1 mSv
☢

Usually not appropriate

Radiography humerus

<0.1 mSv
☢

Usually not appropriate

Radiography knee

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually not appropriate

Radiography radius and ulna

<0.1 mSv
☢

Usually not appropriate

Radiography shoulder

<0.1 mSv
☢

Usually not appropriate

Radiography tibia and fibula

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually not appropriate

Radiography wrist

<0.1 mSv
☢

Usually not appropriate

Radiography pelvis

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

MRI whole body without and with 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

CT foot with IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

CT foot without and with IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

CT foot without IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

CT hand with IV contrast

<0.1 mSv
☢

Usually not appropriate

CT hand without and with IV contrast

<0.1 mSv
☢

Usually not appropriate

CT hand without IV contrast

<0.1 mSv
☢

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

CT wrist with IV contrast

<0.1 mSv
☢

Usually not appropriate

CT wrist without and with IV contrast

<0.1 mSv
☢

Usually not appropriate

CT wrist without IV contrast

<0.1 mSv
☢

Usually not appropriate

CT elbow with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT elbow without and with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT elbow without IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT forearm with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT forearm without and with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT forearm without IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT lower leg with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT lower leg without and with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT lower leg without IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT thigh with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT thigh without IV contrast

0.1-1mSv
☢☢

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

CT pelvis with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT pelvis without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT shoulder with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

CT shoulder without and with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

CT shoulder without IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

CT thigh without and with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

CT upper arm with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

CT upper arm without and with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

CT upper arm without IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

CT pelvis without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate