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Home Lower Extremity Chronic Venous Disease
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Iliocaval disease suspected, severe post thrombotic changes, initial imaging 3196600
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTV abdomen and pelvis with IV contrast
10-30 mSv
☢☢☢☢
Usually appropriate
MRV abdomen and pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler IVC and iliac veins
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Catheter venography iliac veins
10-30 mSv
☢☢☢☢
May be appropriate
Catheter venography lower extremity
0.1-1mSv
☢☢
May be appropriate
CTV lower extremity with IV contrast
10-30 mSv
☢☢☢☢
May be appropriate
(Disagreement)
MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
US intravascular iliac veins
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)