ACR AC Portal

Home Acute Spinal Trauma

Variants

Age 16 years or older. Acute cervical, thoracic or lumbar spine blunt trauma. Suspected or confirmed ligamentous, spinal cord or nerve root injury, with or without trauma identified on CT. Next imaging study.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Cervical spine trauma, acute, blunt, ligamentous injury, with or without trauma on CT, next imaging study

3198854

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Arteriography cervical spine

1-10 mSv
☢☢☢

Usually not appropriate

Arteriography complete spine

30-100 mSv
☢☢☢☢☢

Usually not appropriate

MRA cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CTA cervical spine with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

CT myelography cervical spine

10-30 mSv
☢☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

CTA complete spine with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

CT myelography complete spine

30-100 mSv
☢☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate