ACR logo

ACR AC Portal

Home Assessment of Cardiac Function and Baseline Cardiac Risk Stratification in Oncology Patients
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Cardiac risk stratification, prior to initiation of oncologic therapy, no cardiac symptoms, initial imaging 3198446
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Nuclear medicine ventriculography
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US echocardiography transthoracic stress
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function with stress without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function with stress without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT coronary calcium
1-10 mSv
☢☢☢
May be appropriate
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
N-13 ammonia PET/CT heart
1-10 mSv
☢☢☢
May be appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Rb-82 PET/CT heart
10-30 mSv
☢☢☢☢
May be appropriate
SPECT or SPECT/CT heart
10-30 mSv
☢☢☢☢
May be appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography coronary
1-10 mSv
☢☢☢
Usually not appropriate
Arteriography coronary with ventriculography
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA chest without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CTA pulmonary arteries with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
PYP scan heart
1-10 mSv
☢☢☢
Usually not appropriate
PYP scan with SPECT or SPECT/CT heart
1-10 mSv
☢☢☢
Usually not appropriate