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Home Imaging for Pulmonary Embolism, Known Clot
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Thromboembolic disease, chronic, surveillance 3198629
CTA pulmonary arteries with IV contrast
1-10 mSv
☢☢☢
Usually appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
Arteriography pulmonary
10-30 mSv
☢☢☢☢
May be appropriate
Arteriography pulmonary with right heart catheterization
10-30 mSv
☢☢☢☢
May be appropriate
(Disagreement)
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
V/Q scan lung
1-10 mSv
☢☢☢
May be appropriate
(Disagreement)
V/Q scan with SPECT or SPECT/CT lung
1-10 mSv
☢☢☢
May be appropriate
(Disagreement)
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
MRA chest without IV contrast
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 heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate