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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 function assessment, during oncologic therapy, cardiac symptoms, ischemia not excluded, initial imaging 3198448
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US echocardiography transthoracic stress
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
MRI heart function with stress without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Rb-82 PET/CT heart
10-30 mSv
☢☢☢☢
Usually appropriate
SPECT or SPECT/CT heart
10-30 mSv
☢☢☢☢
Usually appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		May be appropriate
(Disagreement)
Arteriography coronary
1-10 mSv
☢☢☢
May be appropriate
Arteriography coronary with ventriculography
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
MRI heart function with stress without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
CTA pulmonary arteries with IV contrast
1-10 mSv
☢☢☢
May be appropriate
N-13 ammonia PET/CT heart
1-10 mSv
☢☢☢
May be appropriate
(Disagreement)
Nuclear medicine ventriculography
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		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
CT coronary calcium
1-10 mSv
☢☢☢
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
PYP scan heart
1-10 mSv
☢☢☢
Usually not appropriate
PYP scan with SPECT or SPECT/CT heart
1-10 mSv
☢☢☢
Usually not appropriate