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

3197358

MRI wrist without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT wrist without IV contrast

<0.1 mSv
☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT wrist

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

US wrist

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Radiography wrist repeat in 10-14 days

<0.1 mSv
☢

Usually not appropriate

MRI wrist without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT wrist with IV contrast

<0.1 mSv
☢

Usually not appropriate

CT wrist without and with IV contrast

<0.1 mSv
☢

Usually not appropriate