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Home Congenital or Acquired Heart Disease
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Connective tissue disease, aorta surveillance, TTE inadequate, next imaging study 3196462
MRA abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
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
MRA neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA neck 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
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography coronary with ventriculography
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Arteriography pulmonary
10-30 mSv
☢☢☢☢
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
CT heart function and morphology with IV contrast
10-30 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