ACR logo

ACR AC Portal

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, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study 3197339
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