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Home Management of Vertebral Compression Fractures
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Vertebral compression fracture on radiography, lumbar, symptomatic, new, hx of malignancy, next imaging study 3195992
MRI cervical and lumbar spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI cervical and lumbar spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lumbar spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lumbar spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thoracic and lumbar spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thoracic and lumbar spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT cervical and lumbar spine without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
CT lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT thoracic and lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Image-guided biopsy lumbar spine

Varies
Varies 		May be appropriate
MRI cervical and lumbar spine with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI complete spine with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lumbar spine with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI thoracic and lumbar spine with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
SPECT or SPECT/CT cervical and lumbar spine
1-10 mSv
☢☢☢
May be appropriate
SPECT or SPECT/CT complete spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
SPECT or SPECT/CT lumbar spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
SPECT or SPECT/CT thoracic and lumbar spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT myelography cervical and lumbar spine
10-30 mSv
☢☢☢☢
May be appropriate
CT myelography lumbar spine
10-30 mSv
☢☢☢☢
May be appropriate
CT myelography thoracic and lumbar spine
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT skull base to mid-thigh
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT myelography complete spine
30-100 mSv
☢☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT cervical and lumbar spine with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical and lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate