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Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Ped, scoliosis, congenital, lumbar spine 3148744
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped, scoliosis, congenital, thoracic and lumbar spine 3148746
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT thoracic and lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thoracic and lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped, scoliosis, congenital, thoracic spine 3148743
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT thoracic spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thoracic spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped, scoliosis, congenital, cervical and thoracic spine 3148745
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT cervical and thoracic spine without IV contrast
10-30 mSv
☢☢☢☢
May be appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT cervical and thoracic spine with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
CT cervical and thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Ped, scoliosis, congenital, cervical spine 3148742
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT cervical spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT cervical spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped, scoliosis, congenital, complete spine 3148747
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Ped 0-9y, scoliosis, idiopathic, thoracic and lumbar spine 3148752
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thoracic and lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped 0-9y, scoliosis, idiopathic, thoracic spine 3148749
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thoracic spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped 0-9y, scoliosis, idiopathic, cervical and thoracic spine 3148751
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT cervical and thoracic spine with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
CT cervical and thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
CT cervical and thoracic spine without IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Ped 0-9y, scoliosis, idiopathic, complete spine 3148753
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped 0-9y, scoliosis, idiopathic, cervical spine 3148748
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT cervical spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped 0-9y, scoliosis, idiopathic, lumbar spine 3148750
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Ped 10-18y, scoliosis, idiopathic, thoracic spine, no risk factors 3148755
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thoracic spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped 10-18y, scoliosis, idiopathic, cervical and thoracic spine, no risk factors 3148757
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT cervical and thoracic spine with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
CT cervical and thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
CT cervical and thoracic spine without IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Ped 10-18y, scoliosis, idiopathic, complete spine, no risk factors 3148759
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped 10-18y, scoliosis, idiopathic, cervical spine, no risk factors 3148754
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT cervical spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped 10-18y, scoliosis, idiopathic, lumbar spine, no risk factors 3148756
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped 10-18y, scoliosis, idiopathic, thoracic and lumbar spine, no risk factors 3148758
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thoracic and lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Ped 10-18y, scoliosis, idiopathic, thoracic and lumbar spine, risk factors 3148768
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thoracic and lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped 10-18y, scoliosis, idiopathic, cervical spine, risk factors 3148760
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT cervical spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped 10-18y, scoliosis, idiopathic, cervical and thoracic spine, risk factors 3148767
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT cervical and thoracic spine with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
CT cervical and thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
CT cervical and thoracic spine without IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Ped 10-18y, scoliosis, idiopathic, thoracic spine, risk factors 3148765
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thoracic spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped 10-18y, scoliosis, idiopathic, complete spine, risk factors 3148769
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ped 10-18y, scoliosis, idiopathic, lumbar spine, risk factors 3148766
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan complete spine

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
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