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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, sacrum, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study 3197364
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sacrum without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT pelvis
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT sacrum
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT sacrum without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US sacrum
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography pelvis repeat in 10-14 days
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Radiography sacrum repeat in 10-14 days
0.1-1mSv
☢☢
Usually not appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI sacrum without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT sacrum with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT sacrum without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate