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Home Suspected Primary Bone Tumors
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Primary bone tumor suspected, radius and ulna, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198810
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
Usually appropriate
MRI forearm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT forearm without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy forearm

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT radius and ulna
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate