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Home Urinary Tract Infection–Child
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
UTI, first febrile, response to medical management, initial imaging 3196709
US kidneys and bladder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Voiding urosonography
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
Nuclear medicine cystography

0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
MRI abdomen and pelvis 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
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
DMSA renal scan
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		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