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