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Home Suspected Primary Bone Tumors
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Primary bone tumor suspected, shoulder, osteoid osteoma suspected on radiography, next imaging study 3198819
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy shoulder

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 shoulder
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