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Home Pelvic Floor Dysfunction in Females
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Vaginal bulge, initial imaging 3194840
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
Usually appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vaginal protrusion, initial imaging 3194839
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
Usually appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Pelvic organ prolapse suspected, initial imaging 3194841
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
Usually appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis 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
Urinary dysfunction, involuntary leakage of urine, initial imaging 3194842
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
May be appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Urinary dysfunction, urgency, initial imaging 3194844
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
May be appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Urinary dysfunction, incomplete voiding, initial imaging 3194846
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
May be appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Urinary dysfunction, digital maneuvers to void, initial imaging 3194848
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
May be appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Urinary dysfunction, frequent urination, initial imaging 3194843
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
May be appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Urinary dysfunction, straining to void, initial imaging 3194845
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
May be appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Urinary dysfunction, splinting, initial imaging 3194847
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
May be appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis 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
Defecatory dysfunction, incontinence of gas, initial imaging 3194852
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
Usually appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Defecatory dysfunction, splinting, initial imaging 3194856
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
Usually appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Defecatory dysfunction, difficulty initiating defecation, initial imaging 3194854
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
Usually appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Defecatory dysfunction, straining during defecation, initial imaging 3194853
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
Usually appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Defecatory dysfunction, incontinence of liquid, initial imaging 3194851
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
Usually appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Defecatory dysfunction, incontinence of stool, initial imaging 3194850
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
Usually appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Defecatory dysfunction, incomplete evacuation, initial imaging 3194855
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
Usually appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Defecatory dysfunction, digital maneuvers to defecate, initial imaging 3194857
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
Usually appropriate
MR defecography
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis 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
Pelvic floor surgery, postoperative, chronic complications, not recurrent pelvic floor dysfunction, initial imaging 3194860
MR defecography
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Pelvic floor surgery, postoperative, subacute complications, not recurrent pelvic floor dysfunction, initial imaging 3194859
MR defecography
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI pelvis dynamic maneuvers without defecation
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis transperineal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transvaginal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Fluoroscopy voiding cystourethrography
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis transabdominal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis transrectal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Fluoroscopy cystocolpoproctography
1-10 mSv
☢☢☢
Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
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