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Home Back Pain-Child
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Cervical spine pain, red flag, radiography negative, next imaging study 3198960
MRI cervical spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI cervical spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI cervical spine with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI complete spine with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
CT cervical spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT cervical spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US cervical spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT cervical spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT complete spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT myelography cervical spine
10-30 mSv
☢☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT myelography complete spine
30-100 mSv
☢☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate