ACR AC Portal

Home Chronic Dyspnea-Noncardiovascular Origin

Variants

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Dyspnea, chronic, unclear etiology, initial imaging

3148169

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate
(Disagreement)

US chest

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Fluoroscopy chest

1-10 mSv
☢☢☢

Usually not appropriate

MRI chest without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI chest without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT chest without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT skull base to mid-thigh

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Dyspnea, chronic, COPD suspected, initial imaging

3148170

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

US chest

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Fluoroscopy chest

1-10 mSv
☢☢☢

Usually not appropriate

MRI chest without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI chest without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT chest without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

V/Q scan lung

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

FDG-PET/CT skull base to mid-thigh

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Dyspnea, chronic, small airways disease suspected, initial imaging

3148171

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

US chest

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Fluoroscopy chest

1-10 mSv
☢☢☢

Usually not appropriate

MRI chest without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI chest without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT chest without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT skull base to mid-thigh

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Dyspnea, chronic, COVID-19 infection hx, initial imaging

3148172

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

US chest

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Fluoroscopy chest

1-10 mSv
☢☢☢

Usually not appropriate

MRI chest without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI chest without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT chest without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT skull base to mid-thigh

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Dyspnea, chronic, COVID-19 infection hx suspected, initial imaging

3198746

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

US chest

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Fluoroscopy chest

1-10 mSv
☢☢☢

Usually not appropriate

MRI chest without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI chest without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT chest without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT skull base to mid-thigh

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Dyspnea, chronic, pleura disease suspected, initial imaging

3198747

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

US chest

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Fluoroscopy chest

1-10 mSv
☢☢☢

Usually not appropriate

MRI chest without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI chest without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT chest without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT skull base to mid-thigh

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Dyspnea, chronic, chest wall disease suspected, initial imaging

3148173

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

US chest

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Fluoroscopy chest

1-10 mSv
☢☢☢

Usually not appropriate

MRI chest without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI chest without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT chest without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT skull base to mid-thigh

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Dyspnea, chronic, diaphragm dysfunction suspected, initial imaging

3148174

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

US chest

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Fluoroscopy chest

1-10 mSv
☢☢☢

Usually not appropriate

MRI chest without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI chest without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT chest without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate