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Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Breast implant evaluation, saline, asymptomatic, initial imaging

3141501

US breast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Digital breast tomosynthesis screening

0.1-1mSv
☢☢

Usually not appropriate

Mammography screening

0.1-1mSv
☢☢

Usually not appropriate

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Breast implant evaluation, saline, clinical exam equivocal for implant rupture, initial imaging

3141502

US breast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

Usually not appropriate

Mammography diagnostic

0.1-1mSv
☢☢

Usually not appropriate

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Breast implant evaluation, saline, clinical exam equivocal for implant rupture, initial imaging

3196608

US breast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

May be appropriate
(Disagreement)

Mammography diagnostic

0.1-1mSv
☢☢

May be appropriate
(Disagreement)

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Breast implant evaluation, saline, clinical exam equivocal for implant rupture, initial imaging

3196609

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

Usually appropriate

Mammography diagnostic

0.1-1mSv
☢☢

Usually appropriate

US breast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Breast implant evaluation, silicone, asymptomatic, <5 yrs after implant placement, initial imaging

3196611

US breast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

Usually not appropriate

Mammography diagnostic

0.1-1mSv
☢☢

Usually not appropriate

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Breast implant evaluation, silicone, asymptomatic, negative imaging 5 to 6 yrs after implant placement, follow-up imaging every 2 to 3 yrs

3196614

US breast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

Usually not appropriate

Mammography diagnostic

0.1-1mSv
☢☢

Usually not appropriate

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Breast implant evaluation, silicone, asymptomatic, 5 to 6 yrs after implant placement, initial imaging

3196613

US breast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

Usually not appropriate

Mammography diagnostic

0.1-1mSv
☢☢

Usually not appropriate

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Breast implant evaluation, silicone, complication suspected, initial imaging

3196615

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

US breast

0 mSv
O

0 mSv [ped]
O

May be appropriate
(Disagreement)

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

Usually not appropriate

Mammography diagnostic

0.1-1mSv
☢☢

Usually not appropriate

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Breast implant evaluation, silicone, complication suspected, initial imaging

3196616

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

US breast

0 mSv
O

0 mSv [ped]
O

May be appropriate

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

May be appropriate
(Disagreement)

Mammography diagnostic

0.1-1mSv
☢☢

May be appropriate
(Disagreement)

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Breast implant evaluation, silicone, complication suspected, initial imaging

3196617

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

US breast

0 mSv
O

0 mSv [ped]
O

May be appropriate
(Disagreement)

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

May be appropriate
(Disagreement)

Mammography diagnostic

0.1-1mSv
☢☢

May be appropriate
(Disagreement)

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Breast implant, silicone, unexplained axillary adenopathy, initial imaging

3196618

US breast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

Usually not appropriate

Mammography diagnostic

0.1-1mSv
☢☢

Usually not appropriate

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Breast implant, silicone, unexplained axillary adenopathy, initial imaging

3196619

US breast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

Usually appropriate

Mammography diagnostic

0.1-1mSv
☢☢

Usually appropriate

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Breast implant, silicone, unexplained axillary adenopathy, initial imaging

3196620

US breast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

Usually appropriate

Mammography diagnostic

0.1-1mSv
☢☢

Usually appropriate

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Breast implant associated anaplastic large cell lymphoma suspected, initial imaging

3196621

US breast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

May be appropriate

Mammography diagnostic

0.1-1mSv
☢☢

May be appropriate
(Disagreement)

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate
(Disagreement)

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate
(Disagreement)