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Home Inflammatory Ear Disease
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Otitis media, symptoms worsen, initial imaging 3198593
MRI head and internal auditory canal without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT temporal bone with IV contrast
1-10 mSv
☢☢☢
Usually appropriate
CTV head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRV head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRV head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT temporal bone without IV contrast
1-10 mSv
☢☢☢
May be appropriate
Radiography skull
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI head and internal auditory canal with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI head and internal auditory canal without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT temporal bone without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CTV head and neck with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
WBC scan with SPECT or SPECT/CT skull base
1-10 mSv
☢☢☢
Usually not appropriate