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Home Suspected Primary Bone Tumors
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Primary bone tumor suspected, tibia and fibula, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198811
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
Usually appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy lower leg

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 tibia and fibula
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