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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, tibia and fibula, immediate need-to-know, radiography indeterminate, next imaging study 3197335
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT tibia and fibula
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography tibia and fibula repeat in 10-14 days
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate