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

Subchondral stress fracture suspected, ankle, radiography negative, next imaging study

3197369

MRI ankle without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT ankle without IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT ankle

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

US ankle

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Radiography ankle repeat in 10-14 days

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually not appropriate

MRI ankle without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT ankle with IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

CT ankle without and with IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate