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Home Thoracic Aortic Aneurysm or Dissection-Treatment Planning and Follow-Up
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Thoracic aortic dissection, without repair, with or without symptoms, follow-up imaging 3198769
MRA chest abdomen pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA chest abdomen pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA chest abdomen pelvis with IV contrast
30-100 mSv
☢☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Aortography chest abdomen pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest abdomen pelvis without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Thoracic aortic aneurysm, without repair, with or without symptoms, follow-up imaging 3106345
MRA chest abdomen pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA chest abdomen pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA chest abdomen pelvis with IV contrast
30-100 mSv
☢☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Aortography chest abdomen pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest abdomen pelvis without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Thoracic aortic dissection, preprocedure planning, open repair 3198773
MRA chest abdomen pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest abdomen pelvis with IV contrast
30-100 mSv
☢☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
MRA chest abdomen pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
US duplex Doppler aorta abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US duplex Doppler iliofemoral arteries
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Aortography chest abdomen pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest abdomen pelvis without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Thoracic aortic dissection, preprocedure planning, TEVAR 3198772
MRA chest abdomen pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest abdomen pelvis with IV contrast
30-100 mSv
☢☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
MRA chest abdomen pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
US duplex Doppler aorta abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US duplex Doppler iliofemoral arteries
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Aortography chest abdomen pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest abdomen pelvis without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Thoracic aortic aneurysm, preprocedure planning, TEVAR 3106346
MRA chest abdomen pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest abdomen pelvis with IV contrast
30-100 mSv
☢☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
MRA chest abdomen pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
US duplex Doppler aorta abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US duplex Doppler iliofemoral arteries
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Aortography chest abdomen pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest abdomen pelvis without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Thoracic aortic aneurysm, preprocedure planning, open repair 3198771
MRA chest abdomen pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest abdomen pelvis with IV contrast
30-100 mSv
☢☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
MRA chest abdomen pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
US duplex Doppler aorta abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US duplex Doppler iliofemoral arteries
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Aortography chest abdomen pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest abdomen pelvis without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Thoracic aortic aneurysm, TEVAR, surveillance 3198775
MRA chest abdomen pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA chest abdomen pelvis with IV contrast
30-100 mSv
☢☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
MRA chest abdomen pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US duplex Doppler aorta abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Aortography chest abdomen pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
Thoracic aortic dissection, TEVAR, surveillance 3198776
MRA chest abdomen pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA chest abdomen pelvis with IV contrast
30-100 mSv
☢☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
MRA chest abdomen pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US duplex Doppler aorta abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Aortography chest abdomen pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Thoracic aortic dissection, open repair, surveillance 3198779
MRA chest abdomen pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA chest abdomen pelvis with IV contrast
30-100 mSv
☢☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
MRA chest abdomen pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US duplex Doppler aorta abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Aortography chest abdomen pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Thoracic aortic aneurysm, open repair, surveillance 3198778
MRA chest abdomen pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA chest abdomen pelvis with IV contrast
30-100 mSv
☢☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
MRA chest abdomen pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
CT chest abdomen pelvis without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US duplex Doppler aorta abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Aortography chest abdomen pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
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