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, tibia and fibula, radiography negative, next imaging study

3197387

MRI lower leg without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT lower leg without IV contrast

0.1-1mSv
☢☢

May be appropriate

Bone scan whole body with SPECT or SPECT/CT tibia and fibula

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

US lower leg

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Radiography tibia and fibula repeat in 10-14 days

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually not appropriate

MRI lower leg without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lower leg with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT lower leg without and with IV contrast

0.1-1mSv
☢☢

Usually not appropriate