ACR AC Portal

Home Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae

Variants

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Stress fracture suspected, hand, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study

3197315

MRI hand without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT hand without IV contrast

<0.1 mSv
☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT hand

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

US hand

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Radiography hand repeat in 10-14 days

<0.1 mSv
☢

Usually not appropriate

MRI hand without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT hand with IV contrast

<0.1 mSv
☢

Usually not appropriate

CT hand without and with IV contrast

<0.1 mSv
☢

Usually not appropriate