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Home Brain Tumors
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Brain tumor, treated, enlarging lesion on surveillance, next imaging study 3198619
MRI head perfusion with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI head perfusion without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MR spectroscopy head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI head without IV contrast with DTI
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
DOTATATE PET/CT brain
1-10 mSv
☢☢☢
May be appropriate
DOTATATE PET/MRI brain
1-10 mSv
☢☢☢
May be appropriate
FDG-PET/CT brain
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/MRI brain
1-10 mSv
☢☢☢
May be appropriate
MRI complete spine with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI functional (fMRI) head 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
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
Fluciclovine PET/MRI brain
1-10 mSv
☢☢☢
Usually not appropriate
Fluciclovine PET/CT brain
10-30 mSv
☢☢☢☢
Usually not appropriate