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Home Sinusitis–Child
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Ped, sinusitis, acute, uncomplicated, initial exam 3074064
Radiography paranasal sinuses
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
MRI paranasal sinuses without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI paranasal sinuses without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT paranasal sinuses with IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT paranasal sinuses without IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT paranasal sinuses without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Ped, sinusitis, persistent or recurrent, initial exam 3141659
CT paranasal sinuses without IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
Radiography paranasal sinuses
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
MRI paranasal sinuses without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI paranasal sinuses without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT paranasal sinuses with IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT paranasal sinuses without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped, functional endoscopic sinus surgery planning 3141661
CT paranasal sinuses without IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
Radiography paranasal sinuses
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
MRI paranasal sinuses without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI paranasal sinuses without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT paranasal sinuses with IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT paranasal sinuses without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped, sinusitis, chronic, initial exam 3141660
CT paranasal sinuses without IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
Radiography paranasal sinuses
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
MRI paranasal sinuses without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI paranasal sinuses without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT paranasal sinuses with IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT paranasal sinuses without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Ped, sinusitis, orbital or intracranial complications suspected, initial exam 3074066
CT head and paranasal sinuses with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI head and paranasal sinuses without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRV head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRV head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CTA head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTV head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography paranasal sinuses
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
CT head and paranasal sinuses without and with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head and paranasal sinuses without IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI head and paranasal sinuses without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Ped, sinusitis, invasive fungal suspected, initial exam 3141498
MRI paranasal sinuses without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT paranasal sinuses with IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRA head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRV head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRV head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CTA head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTV head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography paranasal sinuses
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
MRI paranasal sinuses without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT paranasal sinuses without IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT paranasal sinuses without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
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