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Home Tinnitus
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Tinnitus, pulsatile, bilateral, no retrotympanic lesion on otoscopy, initial imaging 3196634
MRA head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI head and internal auditory canal without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA head and neck with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRA head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI head and internal auditory canal without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRV head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT temporal bone without IV contrast
1-10 mSv
☢☢☢
May be appropriate
(Disagreement)
CTV head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US duplex Doppler carotid artery
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US duplex Doppler transcranial
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US head
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography cervicocerebral
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI head and internal auditory canal with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRV head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT temporal bone with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT temporal bone without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate