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Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hypopituitarism known 3149679
MRI sella without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT sella with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography sella
<0.1 mSv
☢
Usually not appropriate
Venous sampling petrosal sinus

Varies
Varies 		Usually not appropriate
MRA head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT sella without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT sella without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CTA head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hypopituitarism suspected 3149678
MRI sella without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT sella with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography sella
<0.1 mSv
☢
Usually not appropriate
Venous sampling petrosal sinus

Varies
Varies 		Usually not appropriate
MRA head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT sella without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT sella without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CTA head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Pituitary adenoma suspected 3149680
MRI sella without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT sella with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT sella without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography sella
<0.1 mSv
☢
Usually not appropriate
Venous sampling petrosal sinus

Varies
Varies 		Usually not appropriate
MRA head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT sella without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CTA head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Pituitary adenoma 3149681
MRI sella without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT sella with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT sella without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography sella
<0.1 mSv
☢
Usually not appropriate
Venous sampling petrosal sinus

Varies
Varies 		Usually not appropriate
MRA head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT sella without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CTA head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Diabetes insipidus 2986
MRI sella without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT sella with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT sella without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography sella
<0.1 mSv
☢
Usually not appropriate
Venous sampling petrosal sinus

Varies
Varies 		Usually not appropriate
MRA head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT sella without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CTA head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Pituitary apoplexy 3074282
MRI sella without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT sella with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT sella without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
(Disagreement)
Radiography sella
<0.1 mSv
☢
Usually not appropriate
Venous sampling petrosal sinus

Varies
Varies 		Usually not appropriate
MRA head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT sella without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CTA head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Pituitary or sellar mass resection, monitor 3074283
MRI sella without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT sella with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT sella without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography sella
<0.1 mSv
☢
Usually not appropriate
Venous sampling petrosal sinus

Varies
Varies 		Usually not appropriate
MRA head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT sella without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CTA head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Precocious puberty 3149677
MRI sella without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography sella
<0.1 mSv
☢
Usually not appropriate
Venous sampling petrosal sinus

Varies
Varies 		Usually not appropriate
MRA head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT sella with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT sella without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT sella without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CTA head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Precocious puberty 3149676
MRI sella without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sella with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography sella
<0.1 mSv
☢
Usually not appropriate
Venous sampling petrosal sinus

Varies
Varies 		Usually not appropriate
MRA head with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT sella with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT sella without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT sella without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CTA head with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
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