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Home Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Stress fracture suspected, sacrum, radiography negative, next imaging study 3197266
US sacrum
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sacrum without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT pelvis
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT sacrum
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT sacrum without IV contrast
1-10 mSv
☢☢☢
May be appropriate
Radiography pelvis repeat in 10-14 days
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Radiography sacrum repeat in 10-14 days
0.1-1mSv
☢☢
Usually not appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI sacrum without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT sacrum with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT sacrum without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate