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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, ankle, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study 3197286
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography ankle repeat in 10-14 days
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate