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Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Colorectal cancer screening, 5 yr follow-up after initial negative screening, average risk 3198656
CT colonography without IV contrast screening
10-30 mSv
☢☢☢☢
Usually appropriate
Fluoroscopy barium enema double-contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoroscopy barium enema single-contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Colorectal cancer screening, initial, average risk 3198655
CT colonography without IV contrast screening
10-30 mSv
☢☢☢☢
Usually appropriate
Fluoroscopy barium enema double-contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoroscopy barium enema single-contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Colorectal cancer screening, initial, elevated risk 3198658
CT colonography without IV contrast screening
10-30 mSv
☢☢☢☢
Usually appropriate
Fluoroscopy barium enema double-contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoroscopy barium enema single-contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Colorectal cancer screening, 5 yr follow-up after initial negative screening, elevated risk 3198659
CT colonography without IV contrast screening
10-30 mSv
☢☢☢☢
Usually appropriate
Fluoroscopy barium enema double-contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoroscopy barium enema single-contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Colorectal cancer screening, high risk 3198660
Fluoroscopy barium enema double-contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoroscopy barium enema single-contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT colonography without IV contrast screening
10-30 mSv
☢☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Colorectal cancer screening, high risk, cannot tolerate colonoscopy 3198662
CT colonography without IV contrast screening
10-30 mSv
☢☢☢☢
Usually appropriate
Fluoroscopy barium enema double-contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoroscopy barium enema single-contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Colorectal cancer screening, elevated risk, incomplete colonoscopy 3198667
CT colonography without IV contrast screening
10-30 mSv
☢☢☢☢
Usually appropriate
Fluoroscopy barium enema double-contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoroscopy barium enema single-contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Colorectal cancer screening, elevated risk, cannot tolerate colonoscopy 3198666
CT colonography without IV contrast screening
10-30 mSv
☢☢☢☢
Usually appropriate
Fluoroscopy barium enema double-contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoroscopy barium enema single-contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Colorectal cancer screening, average risk, cannot tolerate colonoscopy 3198664
CT colonography without IV contrast screening
10-30 mSv
☢☢☢☢
Usually appropriate
Fluoroscopy barium enema double-contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoroscopy barium enema single-contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Colorectal cancer screening, high risk, incomplete colonoscopy 3198663
CT colonography without IV contrast screening
10-30 mSv
☢☢☢☢
Usually appropriate
Fluoroscopy barium enema double-contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoroscopy barium enema single-contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Colorectal cancer screening, average risk, incomplete colonoscopy 3198665
CT colonography without IV contrast screening
10-30 mSv
☢☢☢☢
Usually appropriate
Fluoroscopy barium enema double-contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoroscopy barium enema single-contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
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