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Home Suspected and Known Heart Failure
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Heart failure suspected, no hx of heart failure, initial imaging 3148153
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US echocardiography transthoracic stress
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Nuclear medicine ventriculography
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography coronary
1-10 mSv
☢☢☢
Usually not appropriate
MRA coronary arteries without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI heart function with stress without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT coronary calcium
1-10 mSv
☢☢☢
Usually not appropriate
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT heart
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Rb-82 PET/CT MPI rest and stress
10-30 mSv
☢☢☢☢
Usually not appropriate
SPECT or SPECT/CT MPI rest and stress
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Heart failure, etiology unknown, initial imaging 3198622
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US echocardiography transthoracic stress
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function with stress without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
SPECT or SPECT/CT MPI rest and stress
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography coronary
1-10 mSv
☢☢☢
May be appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT heart
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Rb-82 PET/CT MPI rest and stress
10-30 mSv
☢☢☢☢
May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
MRA coronary arteries without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT coronary calcium
1-10 mSv
☢☢☢
Usually not appropriate
Nuclear medicine ventriculography
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Heart failure, follow-up imaging 3198624
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US echocardiography transthoracic stress
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function with stress without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		May be appropriate
Nuclear medicine ventriculography
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT heart
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Rb-82 PET/CT MPI rest and stress
10-30 mSv
☢☢☢☢
May be appropriate
SPECT or SPECT/CT MPI rest and stress
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography coronary
1-10 mSv
☢☢☢
Usually not appropriate
MRA coronary arteries without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT coronary calcium
1-10 mSv
☢☢☢
Usually not appropriate
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
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