ACR AC Portal

Home Osteoporosis and Bone Mineral Density

Variants

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Low bone mineral density suspected, initial imaging

3195363

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

TBS lumbar spine

<0.1 mSv
☢

Usually not appropriate

Radiography appendicular skeleton

0.1-1mSv
☢☢

Usually not appropriate

Radiography axial skeleton

Varies

Usually not appropriate

Osteoporosis, screening

3195362

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

TBS lumbar spine

<0.1 mSv
☢

Usually not appropriate

Radiography appendicular skeleton

0.1-1mSv
☢☢

Usually not appropriate

Radiography axial skeleton

Varies

Usually not appropriate

Osteoporosis, screening

3195364

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

TBS lumbar spine

<0.1 mSv
☢

Usually not appropriate

Radiography appendicular skeleton

0.1-1mSv
☢☢

Usually not appropriate

Radiography axial skeleton

Varies

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Bone mineral density assess, increased fracture risk on prior imaging, follow up imaging

3195366

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

TBS lumbar spine

<0.1 mSv
☢

May be appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

DXA VFA

<0.1 mSv
☢

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

Low bone mineral density, surveillance

3195365

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

TBS lumbar spine

<0.1 mSv
☢

May be appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

DXA VFA

<0.1 mSv
☢

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Vertebral fracture risk, T scores <−1.0, follow up imaging

3195367

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA VFA

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

Radiography axial skeleton

Varies

May be appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

TBS lumbar spine

<0.1 mSv
☢

Usually not appropriate

Radiography appendicular skeleton

0.1-1mSv
☢☢

Usually not appropriate

Vertebral fracture risk, T scores <−1.0, self reported prior vertebral fracture, follow up imaging

3195369

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA VFA

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

Radiography axial skeleton

Varies

May be appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

TBS lumbar spine

<0.1 mSv
☢

Usually not appropriate

Radiography appendicular skeleton

0.1-1mSv
☢☢

Usually not appropriate

Vertebral fracture risk, T scores <−1.0, follow up imaging

3195371

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA VFA

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

Radiography axial skeleton

Varies

May be appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

TBS lumbar spine

<0.1 mSv
☢

Usually not appropriate

Radiography appendicular skeleton

0.1-1mSv
☢☢

Usually not appropriate

Vertebral fracture risk, T scores <−1.0, glucocorticoid therapy equivalent to >= 5mg of prednisone >=3 months, follow up imaging

3195368

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA VFA

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

Radiography axial skeleton

Varies

May be appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

TBS lumbar spine

<0.1 mSv
☢

Usually not appropriate

Radiography appendicular skeleton

0.1-1mSv
☢☢

Usually not appropriate

Vertebral fracture risk, T scores <−1.0, height loss >4cm, follow up imaging

3195370

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA VFA

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

Radiography axial skeleton

Varies

May be appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

TBS lumbar spine

<0.1 mSv
☢

Usually not appropriate

Radiography appendicular skeleton

0.1-1mSv
☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Bone mineral density assess, bone loss risk factors, initial imaging

3195374

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

TBS lumbar spine

<0.1 mSv
☢

Usually not appropriate

Radiography appendicular skeleton

0.1-1mSv
☢☢

Usually not appropriate

Radiography axial skeleton

Varies

Usually not appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

Usually not appropriate

Bone mineral density assess, bone loss risk factors, premenopausal, initial imaging

3195373

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

TBS lumbar spine

<0.1 mSv
☢

Usually not appropriate

Radiography appendicular skeleton

0.1-1mSv
☢☢

Usually not appropriate

Radiography axial skeleton

Varies

Usually not appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Low bone mineral density, bone loss risk factors, follow up imaging

3195376

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

TBS lumbar spine

<0.1 mSv
☢

Usually not appropriate

Low bone mineral density, bone loss risk factors, premenopausal, follow up imaging

3195375

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

DXA distal forearm

<0.1 mSv
☢

May be appropriate

QCT lumbar spine and hip

1-10 mSv
☢☢☢

May be appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

TBS lumbar spine

<0.1 mSv
☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Osteoporosis suspected, advanced degenerative spine changes, scoliosis, initial imaging

3195378

DXA distal forearm

<0.1 mSv
☢

Usually appropriate

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

QCT lumbar spine and hip(s)

1-10 mSv
☢☢☢

Usually appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

Radiography appendicular skeleton

0.1-1mSv
☢☢

Usually not appropriate

Radiography axial skeleton

Varies

Usually not appropriate

Osteoporosis suspected, condition that may spuriously elevate bone mineral density, initial imaging

3195380

DXA distal forearm

<0.1 mSv
☢

Usually appropriate

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

QCT lumbar spine and hip(s)

1-10 mSv
☢☢☢

Usually appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

Radiography appendicular skeleton

0.1-1mSv
☢☢

Usually not appropriate

Radiography axial skeleton

Varies

Usually not appropriate

Osteoporosis suspected, advanced degenerative spine changes, no scoliosis, initial imaging

3195379

DXA distal forearm

<0.1 mSv
☢

Usually appropriate

DXA lumbar spine and hip(s)

<0.1 mSv
☢

Usually appropriate

QCT lumbar spine and hip(s)

1-10 mSv
☢☢☢

Usually appropriate

QUS calcaneus

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SXA distal forearm

<0.1 mSv
☢

Usually not appropriate

Radiography appendicular skeleton

0.1-1mSv
☢☢

Usually not appropriate

Radiography axial skeleton

Varies

Usually not appropriate