Home Chronic Hand and Wrist Pain
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Wrist pain, chronic, old scaphoid fracture on radiography, next imaging study, evaluate for osteonecrosis 3196870
MRI wrist without IV contrast
0 mSv
O
0 mSv [ped]
O
Usually appropriate
CT wrist without IV contrast
<0.1 mSv

Usually appropriate
MRI wrist without and with IV contrast
0 mSv
O
0 mSv [ped]
O
May be appropriate
US wrist
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
Radiographic arthrography wrist
<0.1 mSv

Usually not appropriate
MR arthrography wrist
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
CT arthrography wrist
<0.1 mSv

Usually not appropriate
CT wrist with IV contrast
<0.1 mSv

Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv

Usually not appropriate
Bone scan wrist
1-10 mSv
☢☢☢

Usually not appropriate