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Home Chronic Extremity Joint Pain-Suspected Inflammatory Arthritis, Crystalline Arthritis, or Erosive Osteoarthritis
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hand pain, chronic, seropositive inflammatory arthritis suspected, initial imaging 3196106
Radiography hand
<0.1 mSv
☢
Usually appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging 3196118
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, erosive osteoarthritis suspected, initial imaging 3196132
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, seronegative inflammatory arthritis suspected, initial imaging 3196120
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, chronic, erosive osteoarthritis suspected, initial imaging 3196137
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 whole body
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, chronic, crystalline arthritis suspected, gout, initial imaging 3196139
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 whole body
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, seronegative inflammatory arthritis suspected, initial imaging 3196125
Radiography wrist
<0.1 mSv
☢
Usually appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging 3196113
Radiography elbow
<0.1 mSv
☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, crystalline arthritis suspected, gout, initial imaging 3196129
Radiography shoulder
<0.1 mSv
☢
Usually appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, seronegative inflammatory arthritis suspected, initial imaging 3196115
Radiography elbow
<0.1 mSv
☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, crystalline arthritis suspected, gout, initial imaging 3196134
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging 3196103
Radiography hand
<0.1 mSv
☢
Usually appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, erosive osteoarthritis suspected, initial imaging 3196117
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, seropositive inflammatory arthritis suspected, initial imaging 3196136
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging 3196108
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, erosive osteoarthritis suspected, initial imaging 3196122
Radiography wrist
<0.1 mSv
☢
Usually appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip chronic, seropositive inflammatory arthritis suspected, initial imaging 3196141
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 whole body
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, seronegative inflammatory arthritis suspected, initial imaging 3196110
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, erosive osteoarthritis suspected, initial imaging 3196127
Radiography shoulder
<0.1 mSv
☢
Usually appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, seropositive inflammatory arthritis suspected, initial imaging 3196126
Radiography wrist
<0.1 mSv
☢
Usually appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging 3196138
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 whole body
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, erosive osteoarthritis suspected, initial imaging 3196112
Radiography elbow
<0.1 mSv
☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, crystalline arthritis suspected, gout, initial imaging 3196114
Radiography elbow
<0.1 mSv
☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, seropositive inflammatory arthritis suspected, initial imaging 3196131
Radiography shoulder
<0.1 mSv
☢
Usually appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, crystalline arthritis suspected, gout, initial imaging 3196119
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, chronic, seronegative inflammatory arthritis suspected, initial imaging 3196105
Radiography hand
<0.1 mSv
☢
Usually appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, crystalline arthritis suspected, gout, initial imaging 3196124
Radiography wrist
<0.1 mSv
☢
Usually appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging 3196133
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, erosive osteoarthritis suspected, initial imaging 3196107
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, crystalline arthritis suspected, gout, initial imaging 3196109
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, seronegative inflammatory arthritis suspected, initial imaging 3196135
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, seropositive inflammatory arthritis suspected, initial imaging 3196111
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging 3196123
Radiography wrist
<0.1 mSv
☢
Usually appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip chronic, seronegative inflammatory arthritis suspected, initial imaging 3196140
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 whole body
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, seropositive inflammatory arthritis suspected, initial imaging 3196116
Radiography elbow
<0.1 mSv
☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging 3196128
Radiography shoulder
<0.1 mSv
☢
Usually appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, chronic, erosive osteoarthritis suspected, initial imaging 3196102
Radiography hand
<0.1 mSv
☢
Usually appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, chronic, crystalline arthritis suspected, gout, initial imaging 3196104
Radiography hand
<0.1 mSv
☢
Usually appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, seropositive inflammatory arthritis suspected, initial imaging 3196121
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, seronegative inflammatory arthritis suspected, initial imaging 3196130
Radiography shoulder
<0.1 mSv
☢
Usually appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Wrist pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study 3196146
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration wrist

Varies
Varies 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196160
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration ankle

Varies
Varies 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study 3196148
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration shoulder

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196174
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration wrist

Varies
Varies 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196165
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration hand

Varies
Varies 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study 3196153
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration hand

Varies
Varies 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196167
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without and with IV contrast
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 aspiration hip

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body 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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196172
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration shoulder

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study 3196155
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration foot

Varies
Varies 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study 3196143
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration ankle

Varies
Varies 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196169
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration knee

Varies
Varies 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study 3196157
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration elbow

Varies
Varies 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196171
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration shoulder

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196162
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration elbow

Varies
Varies 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study 3196145
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration wrist

Varies
Varies 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study 3196150
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration knee

Varies
Varies 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196164
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration foot

Varies
Varies 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study 3196152
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without and with IV contrast
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 aspiration hip

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body 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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196166
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration hand

Varies
Varies 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study 3196154
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration hand

Varies
Varies 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196173
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration wrist

Varies
Varies 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196159
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration ankle

Varies
Varies 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study 3196147
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration shoulder

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196161
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration elbow

Varies
Varies 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196163
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration foot

Varies
Varies 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study 3196149
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration knee

Varies
Varies 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196168
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without and with IV contrast
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 aspiration hip

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body 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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study 3196151
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without and with IV contrast
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 aspiration hip

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body 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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study 3196156
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration foot

Varies
Varies 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study 3196170
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration knee

Varies
Varies 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study 3196158
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration elbow

Varies
Varies 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study 3196144
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Image-guided aspiration ankle

Varies
Varies 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hip pain, chronic, gout suspected, radiography normal, next imaging study 3196188
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
Image-guided aspiration hip

Varies
Varies 		May be 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 whole body
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, gout suspected, radiography inconclusive, next imaging study 3196176
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
Image-guided aspiration ankle

Varies
Varies 		May be appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, gout suspected, radiography inconclusive, next imaging study 3196181
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
Image-guided aspiration knee

Varies
Varies 		May be appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, gout suspected, radiography inconclusive, next imaging study 3196183
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually appropriate
Image-guided aspiration wrist

Varies
Varies 		May be appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, chronic, gout suspected, radiography inconclusive, next imaging study 3196180
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
Image-guided aspiration hip

Varies
Varies 		May be 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 whole body
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, gout suspected, radiography normal, next imaging study 3196185
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
Image-guided aspiration elbow

Varies
Varies 		May be appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, gout suspected, radiography normal, next imaging study 3196190
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
Image-guided aspiration shoulder

Varies
Varies 		May be appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, gout suspected, radiography inconclusive, next imaging study 3196178
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
Image-guided biopsy foot

Varies
Varies 		May be appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, gout suspected, radiography inconclusive, next imaging study 3196177
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
Image-guided aspiration elbow

Varies
Varies 		May be appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, gout suspected, radiography inconclusive, next imaging study 3196182
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
Image-guided aspiration shoulder

Varies
Varies 		May be appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, chronic, gout suspected, radiography normal, next imaging study 3196187
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually appropriate
Image-guided aspiration hand

Varies
Varies 		May be appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, gout suspected, radiography normal, next imaging study 3196189
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
Image-guided aspiration knee

Varies
Varies 		May be appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, gout suspected, radiography normal, next imaging study 3196191
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually appropriate
Image-guided aspiration wrist

Varies
Varies 		May be appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, chronic, gout suspected, radiography inconclusive, next imaging study 3196179
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually appropriate
Image-guided aspiration hand

Varies
Varies 		May be appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, gout suspected, radiography normal, next imaging study 3196184
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
Image-guided aspiration ankle

Varies
Varies 		May be appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, gout suspected, radiography normal, next imaging study 3196186
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
Image-guided aspiration foot

Varies
Varies 		May be appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Shoulder pain, chronic, pseudogout suspected, radiography normal, next imaging study 3196199
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
Image-guided aspiration shoulder

Varies
Varies 		May be appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study 3196204
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually appropriate
Image-guided aspiration hand

Varies
Varies 		May be appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, chronic, pseudogout suspected, radiography normal, next imaging study 3196197
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
Image-guided aspiration hip

Varies
Varies 		May be 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 whole body
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study 3196208
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually appropriate
Image-guided aspiration wrist

Varies
Varies 		May be appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study 3196201
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
Image-guided aspiration ankle

Varies
Varies 		May be appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study 3196206
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
Image-guided aspiration knee

Varies
Varies 		May be appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, pseudogout suspected, radiography normal, next imaging study 3196194
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
Image-guided aspiration elbow

Varies
Varies 		May be appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study 3196205
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
Image-guided aspiration hip

Varies
Varies 		May be 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 whole body
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, chronic, pseudogout suspected, radiography normal, next imaging study 3196196
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually appropriate
Image-guided aspiration hand

Varies
Varies 		May be appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, pseudogout suspected, radiography normal, next imaging study 3196198
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
Image-guided aspiration knee

Varies
Varies 		May be appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study 3196203
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
Image-guided aspiration foot

Varies
Varies 		May be appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study 3196202
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
Image-guided aspiration elbow

Varies
Varies 		May be appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, pseudogout suspected, radiography normal, next imaging study 3196193
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
Image-guided aspiration ankle

Varies
Varies 		May be appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study 3196207
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
Image-guided aspiration shoulder

Varies
Varies 		May be appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, pseudogout suspected, radiography normal, next imaging study 3196195
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
Image-guided aspiration foot

Varies
Varies 		May be appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, pseudogout suspected, radiography normal, next imaging study 3196200
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually appropriate
Image-guided aspiration wrist

Varies
Varies 		May be appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hand pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study 3196213
US hand
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration hand

Varies
Varies 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study 3108754
US ankle
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration ankle

Varies
Varies 		Usually not appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study 3108756
US foot
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration foot

Varies
Varies 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study 3108761
US wrist
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration wrist

Varies
Varies 		Usually not appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study 3196210
US ankle
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration ankle

Varies
Varies 		Usually not appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study 3196215
US knee
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration knee

Varies
Varies 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study 3196217
US wrist
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration wrist

Varies
Varies 		Usually not appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study 3108758
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
Image-guided aspiration hip

Varies
Varies 		Usually not appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study 3108755
US elbow
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration elbow

Varies
Varies 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study 3108760
US shoulder
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration shoulder

Varies
Varies 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study 3196212
US foot
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration foot

Varies
Varies 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study 3196214
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
Image-guided aspiration hip

Varies
Varies 		Usually not appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study 3196216
US shoulder
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration shoulder

Varies
Varies 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study 3108757
US hand
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration hand

Varies
Varies 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study 3108759
US knee
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration knee

Varies
Varies 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study 3196211
US elbow
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Image-guided aspiration elbow

Varies
Varies 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
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