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Home Pulmonary Arteriovenous Malformation (PAVM)
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
PAVM suspected, seizures, lung nodule on chest radiography, next imaging study 3197019
US echocardiography transthoracic with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA pulmonary arteries without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA pulmonary arteries with IV contrast
1-10 mSv
☢☢☢
Usually appropriate
US echocardiography transesophageal with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography pulmonary
10-30 mSv
☢☢☢☢
May be appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
(Disagreement)
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
(Disagreement)
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA pulmonary arteries without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Pertechnetate albumin pulmonary scan
1-10 mSv
☢☢☢
Usually not appropriate