Home Acute Onset Flank Pain-Suspicion of Stone Disease (Urolithiasis)
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Flank pain, acute, stone disease on recent imaging, recurrent symptoms, follow-up imaging 3196626
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢
3-10 mSv [ped]
☢☢☢☢
Usually appropriate
US color Doppler kidneys and bladder retroperitoneal
0 mSv
O
0 mSv [ped]
O
May be appropriate
(Disagreement)
US kidneys and bladder retroperitoneal
0 mSv
O
0 mSv [ped]
O
May be appropriate
Radiography abdomen and pelvis
1-10 mSv
☢☢☢
0.3-3 mSv [ped]
☢☢☢
May be appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢
3-10 mSv [ped]
☢☢☢☢
May be appropriate
Radiography intravenous urography
1-10 mSv
☢☢☢
0.3-3 mSv [ped]
☢☢☢
Usually not appropriate
MRI abdomen and pelvis without and with IV contrast
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
MRI abdomen and pelvis without IV contrast
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
MRU without and with IV contrast
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
MRU without IV contrast
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢
10-30 mSv [ped]
☢☢☢☢☢
Usually not appropriate
CTU without and with IV contrast
10-30 mSv
☢☢☢☢
10-30 mSv [ped]
☢☢☢☢☢
Usually not appropriate