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Home Suspected Primary Bone Tumors
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Primary bone tumor suspected, hand, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198838
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT hand with IV contrast
<0.1 mSv
☢
May be appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
May be appropriate
CT hand without IV contrast
<0.1 mSv
☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy hand

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate