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, shoulder, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study

3197352

MRI shoulder without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Bone scan whole body with SPECT or SPECT/CT shoulder

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT shoulder without IV contrast

1-10 mSv
☢☢☢

May be appropriate

US shoulder

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Radiography shoulder repeat in 10-14 days

<0.1 mSv
☢

Usually not appropriate

MRI shoulder without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT shoulder with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

CT shoulder without and with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate