ACR AC Portal

Home Myelopathy

Variants

Acute onset myelopathy. Initial imaging.
Chronic or progressive myelopathy. Initial imaging.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Myelopathy, acute, thoracic and lumbar spine, initial imaging

3193979

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT myelography thoracic and lumbar spine

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Arteriography thoracic and lumbar spine

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

MRA thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CTA thoracic and lumbar spine with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate

Myelopathy, acute, cervical and thoracic spine, initial imaging

3193978

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT cervical and thoracic spine without IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT myelography cervical and thoracic spine

10-30 mSv
☢☢☢☢

May be appropriate

Radiography cervical and thoracic spine

1-10 mSv
☢☢☢

Usually not appropriate

Arteriography cervical and thoracic spine

10-30 mSv
☢☢☢☢

Usually not appropriate

MRA cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

CTA cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

Myelopathy, acute, thoracic spine, initial imaging

3193976

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT thoracic spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT myelography thoracic spine

10-30 mSv
☢☢☢☢

May be appropriate

Arteriography thoracic spine

1-10 mSv
☢☢☢

Usually not appropriate

Radiography thoracic spine

1-10 mSv
☢☢☢

Usually not appropriate

MRA thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CTA thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

Myelopathy, acute, complete spine, initial imaging

3193980

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT complete spine with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT complete spine without IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT myelography complete spine

30-100 mSv
☢☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Radiography complete spine

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Arteriography complete spine

30-100 mSv
☢☢☢☢☢

Usually not appropriate

MRA complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT complete spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CTA complete spine with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

Myelopathy, acute, cervical spine, initial imaging

3193975

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT myelography cervical spine

10-30 mSv
☢☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

Arteriography cervical spine

1-10 mSv
☢☢☢

Usually not appropriate

MRA cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical spine without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CTA cervical spine with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

Myelopathy, acute, lumbar spine, initial imaging

3193977

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT myelography lumbar spine

10-30 mSv
☢☢☢☢

May be appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

Arteriography lumbar spine

10-30 mSv
☢☢☢☢

Usually not appropriate

MRA lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CTA lumbar spine with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Myelopathy, chronic, thoracic spine, initial imaging

3193982

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT thoracic spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT myelography thoracic spine

10-30 mSv
☢☢☢☢

May be appropriate

Arteriography thoracic spine

1-10 mSv
☢☢☢

Usually not appropriate

Radiography thoracic spine

1-10 mSv
☢☢☢

Usually not appropriate

MRA thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CTA thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

Myelopathy, chronic, cervical and thoracic spine, initial imaging

3193984

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT cervical and thoracic spine without IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT myelography cervical and thoracic spine

10-30 mSv
☢☢☢☢

May be appropriate

Radiography cervical and thoracic spine

1-10 mSv
☢☢☢

Usually not appropriate

Arteriography cervical and thoracic spine

10-30 mSv
☢☢☢☢

Usually not appropriate

MRA cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

CTA cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

Myelopathy, chronic, complete spine, initial imaging

3193986

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT complete spine with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT complete spine without IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT myelography complete spine

30-100 mSv
☢☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Radiography complete spine

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Arteriography complete spine

30-100 mSv
☢☢☢☢☢

Usually not appropriate

MRA complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT complete spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CTA complete spine with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

Myelopathy, chronic, cervical spine, initial imaging

3193981

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT myelography cervical spine

10-30 mSv
☢☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

Arteriography cervical spine

1-10 mSv
☢☢☢

Usually not appropriate

MRA cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical spine without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CTA cervical spine with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

Myelopathy, chronic, lumbar spine, initial imaging

3193983

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT myelography lumbar spine

10-30 mSv
☢☢☢☢

May be appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

Arteriography lumbar spine

10-30 mSv
☢☢☢☢

Usually not appropriate

MRA lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CTA lumbar spine with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

Myelopathy, chronic, thoracic and lumbar spine, initial imaging

3193985

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT myelography thoracic and lumbar spine

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Arteriography thoracic and lumbar spine

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

MRA thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CTA thoracic and lumbar spine with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate