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Home Imaging after Total Hip Arthroplasty
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hip replaced, asymptomatic, follow-up imaging 3196545
Radiography hip
1-10 mSv
☢☢☢
Usually appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan hip
1-10 mSv
☢☢☢
Usually not appropriate
Bone scan with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoride PET/CT skull base to mid-thigh
10-30 mSv
☢☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hip replaced, symptomatic, initial imaging 3196547
Radiography hip
1-10 mSv
☢☢☢
Usually appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided aspiration hip

Varies
Varies 		Usually not appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan hip
1-10 mSv
☢☢☢
Usually not appropriate
Bone scan with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoride PET/CT skull base to mid-thigh
10-30 mSv
☢☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hip replaced, symptomatic, hx of acute injury, radiography performed, next imaging study 3196549
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided aspiration hip

Varies
Varies 		Usually not appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan hip
1-10 mSv
☢☢☢
Usually not appropriate
Bone scan with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Bone scan and gallium scan hip
10-30 mSv
☢☢☢☢
Usually not appropriate
Bone scan and gallium scan with SPECT or SPECT/CT hip
10-30 mSv
☢☢☢☢
Usually not appropriate
FDG-PET/CT skull base to mid-thigh
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT skull base to mid-thigh
10-30 mSv
☢☢☢☢
Usually not appropriate
WBC scan and sulfur colloid scan hip
10-30 mSv
☢☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hip replaced, symptomatic, infection not excluded, radiography performed, next imaging study 3196551
Image-guided aspiration hip

Varies
Varies 		Usually appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
WBC scan and sulfur colloid scan hip
10-30 mSv
☢☢☢☢
Usually appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
May be appropriate
Radiographic arthrography hip
<0.1 mSv
☢
Usually not appropriate
Bone scan hip
1-10 mSv
☢☢☢
Usually not appropriate
Bone scan with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Bone scan and gallium scan hip
10-30 mSv
☢☢☢☢
Usually not appropriate
Bone scan and gallium scan with SPECT or SPECT/CT hip
10-30 mSv
☢☢☢☢
Usually not appropriate
FDG-PET/CT skull base to mid-thigh
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT skull base to mid-thigh
10-30 mSv
☢☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hip replaced, symptomatic, infection excluded, radiography performed, next imaging study 3196553
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
Image-guided anesthetic injection hip

Varies
Varies 		May be appropriate
Bone scan with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiographic arthrography hip
<0.1 mSv
☢
Usually not appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan hip
1-10 mSv
☢☢☢
Usually not appropriate
CT arthrography hip
1-10 mSv
☢☢☢
Usually not appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Fluoride PET/CT skull base to mid-thigh
10-30 mSv
☢☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hip replaced, symptomatic, trunnionosis suspected, adverse reaction to metal debris suspected, radiography performed, next imaging study 3196556
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
May be appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Hip replaced, symptomatic, metal-on-metal prosthesis, adverse reaction to metal debris suspected, radiography performed, next imaging study 3196555
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
May be appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hip replaced, trochanteric pain, abductor injury suspected, radiography performed, next imaging study 3196560
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided anesthetic +/- corticosteroid injection hip joint or surrounding structures

Varies
Varies 		May be appropriate
Radiographic arthrography hip
<0.1 mSv
☢
Usually not appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Hip replaced, trochanteric pain, soft tissue abnormality suspected, radiography performed, next imaging study 3196558
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided anesthetic +/- corticosteroid injection hip joint or surrounding structures

Varies
Varies 		May be appropriate
Radiographic arthrography hip
<0.1 mSv
☢
Usually not appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Hip replaced, trochanteric pain, trochanteric bursitis suspected, radiography performed, next imaging study 3196559
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided anesthetic +/- corticosteroid injection hip joint or surrounding structures

Varies
Varies 		May be appropriate
Radiographic arthrography hip
<0.1 mSv
☢
Usually not appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
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