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Home Congenital or Acquired Heart Disease
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Aortic coarctation suspected, TTE inadequate, next imaging study. 3196459
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Arteriography coronary with ventriculography
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
(Disagreement)
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography pulmonary
10-30 mSv
☢☢☢☢
Usually not appropriate
MRA abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA neck without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI heart function with stress without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI heart function with stress without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT heart
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
SPECT or SPECT/CT MPI rest and stress
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate