Home Suspected Small-Bowel Obstruction
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Small bowel obstruction suspected, acute presentation, initial imaging 3074217
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢
3-10 mSv [ped]
☢☢☢☢
Usually appropriate
Fluoroscopy small bowel follow-through
1-10 mSv
☢☢☢
3-10 mSv [ped]
☢☢☢☢
May be appropriate
Radiography abdomen and pelvis
1-10 mSv
☢☢☢
0.3-3 mSv [ped]
☢☢☢
May be appropriate
(Disagreement)
MRI abdomen and pelvis without and with IV contrast
0 mSv
O
0 mSv [ped]
O
May be appropriate
MRI abdomen and pelvis without IV contrast
0 mSv
O
0 mSv [ped]
O
May be appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢
3-10 mSv [ped]
☢☢☢☢
May be appropriate
US abdomen and pelvis
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
Fluoroscopy small bowel enteroclysis
1-10 mSv
☢☢☢

Usually not appropriate
MR enteroclysis
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
MR enterography
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢
10-30 mSv [ped]
☢☢☢☢☢
Usually not appropriate
CT enteroclysis
10-30 mSv
☢☢☢☢
3-10 mSv [ped]
☢☢☢☢
Usually not appropriate
CT enterography
10-30 mSv
☢☢☢☢
3-10 mSv [ped]
☢☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Small bowel obstruction suspected, intermittent or low grade, indolent presentation 3074218
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢
3-10 mSv [ped]
☢☢☢☢
Usually appropriate
CT enterography
10-30 mSv
☢☢☢☢
3-10 mSv [ped]
☢☢☢☢
Usually appropriate
Fluoroscopy small bowel enteroclysis
1-10 mSv
☢☢☢

May be appropriate
Fluoroscopy small bowel follow-through
1-10 mSv
☢☢☢
3-10 mSv [ped]
☢☢☢☢
May be appropriate
MR enteroclysis
0 mSv
O
0 mSv [ped]
O
May be appropriate
MR enterography
0 mSv
O
0 mSv [ped]
O
May be appropriate
MRI abdomen and pelvis without and with IV contrast
0 mSv
O
0 mSv [ped]
O
May be appropriate
MRI abdomen and pelvis without IV contrast
0 mSv
O
0 mSv [ped]
O
May be appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢
3-10 mSv [ped]
☢☢☢☢
May be appropriate
CT enteroclysis
10-30 mSv
☢☢☢☢
3-10 mSv [ped]
☢☢☢☢
May be appropriate
US abdomen and pelvis
0 mSv
O
0 mSv [ped]
O
Usually not appropriate
Radiography abdomen and pelvis
1-10 mSv
☢☢☢
0.3-3 mSv [ped]
☢☢☢
Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢
10-30 mSv [ped]
☢☢☢☢☢
Usually not appropriate