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