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Home Dysphagia
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Dysphagia, oropharyngeal, known cause 3074196
Fluoroscopy barium swallow modified
1-10 mSv
☢☢☢
Usually appropriate
Fluoroscopy biphasic esophagram
1-10 mSv
☢☢☢
May be appropriate
Fluoroscopy pharynx dynamic and static imaging
1-10 mSv
☢☢☢
May be appropriate
Fluoroscopy single contrast esophagram
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Esophageal transit nuclear medicine scan
1-10 mSv
☢☢☢
Usually not appropriate
CT neck and chest with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck and chest without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck and chest without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Dysphagia, oropharyngeal, unexplained 3074197
Fluoroscopy biphasic esophagram
1-10 mSv
☢☢☢
Usually appropriate
Fluoroscopy barium swallow modified
1-10 mSv
☢☢☢
May be appropriate
Fluoroscopy pharynx dynamic and static imaging
1-10 mSv
☢☢☢
May be appropriate
(Disagreement)
Fluoroscopy single contrast esophagram
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Esophageal transit nuclear medicine scan
1-10 mSv
☢☢☢
May be appropriate
CT neck and chest with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck and chest without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck and chest without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Dysphagia, retrosternal, not immunocompromised 3074198
Fluoroscopy biphasic esophagram
1-10 mSv
☢☢☢
Usually appropriate
Fluoroscopy barium swallow modified
1-10 mSv
☢☢☢
May be appropriate
Fluoroscopy single contrast esophagram
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Esophageal transit nuclear medicine scan
1-10 mSv
☢☢☢
May be appropriate
Fluoroscopy pharynx dynamic and static imaging
1-10 mSv
☢☢☢
Usually not appropriate
CT neck and chest with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck and chest without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck and chest without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Dysphagia, retrosternal, immunocompromised 3074199
Fluoroscopy biphasic esophagram
1-10 mSv
☢☢☢
Usually appropriate
Fluoroscopy barium swallow modified
1-10 mSv
☢☢☢
May be appropriate
Fluoroscopy single contrast esophagram
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Fluoroscopy pharynx dynamic and static imaging
1-10 mSv
☢☢☢
Usually not appropriate
Esophageal transit nuclear medicine scan
1-10 mSv
☢☢☢
Usually not appropriate
CT neck and chest with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck and chest without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck and chest without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Dysphagia, postop <1 mo 3149291
Fluoroscopy single contrast esophagram
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
CT neck and chest with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT neck and chest without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Fluoroscopy barium swallow modified
1-10 mSv
☢☢☢
Usually not appropriate
Fluoroscopy biphasic esophagram
1-10 mSv
☢☢☢
Usually not appropriate
Fluoroscopy pharynx dynamic and static imaging
1-10 mSv
☢☢☢
Usually not appropriate
Esophageal transit nuclear medicine scan
1-10 mSv
☢☢☢
Usually not appropriate
CT neck and chest without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Dysphagia, postop >1 mo 3149292
Fluoroscopy single contrast esophagram
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
CT neck and chest with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Fluoroscopy barium swallow modified
1-10 mSv
☢☢☢
May be appropriate
Fluoroscopy biphasic esophagram
1-10 mSv
☢☢☢
May be appropriate
Esophageal transit nuclear medicine scan
1-10 mSv
☢☢☢
May be appropriate
Fluoroscopy pharynx dynamic and static imaging
1-10 mSv
☢☢☢
Usually not appropriate
CT neck and chest without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck and chest without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
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