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Home Thyroid Disease

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Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Thyroid nodule, palpable, euthyroid

3149293

US thyroid

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT neck with IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

CT neck without IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

MRI neck without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI neck without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT neck without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

I-123 uptake scan neck

1-10 mSv
☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

I-131 uptake scan and Tc-99m pertechnetate scan neck

10-30 mSv
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Goiter suspected

3149294

US thyroid

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT neck without IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

MRI neck without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI neck without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT neck with IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

I-123 uptake scan neck

1-10 mSv
☢☢☢

May be appropriate

I-131 uptake scan and Tc-99m pertechnetate scan neck

10-30 mSv
☢☢☢☢

May be appropriate

CT neck without and with IV contrast

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

Thyrotoxicosis

3149295

US thyroid

0 mSv
O

0 mSv [ped]
O

Usually appropriate

I-123 uptake scan neck

1-10 mSv
☢☢☢

Usually appropriate

I-131 uptake scan and Tc-99m pertechnetate scan neck

10-30 mSv
☢☢☢☢

Usually appropriate

MRI neck without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI neck without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT neck with IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

CT neck without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT neck without IV contrast

1-10 mSv
☢☢☢

0.3-3 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

Hypothyroidism, primary

3149296

US thyroid

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI neck without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI neck without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT neck with IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

CT neck without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT neck without IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

I-123 uptake scan neck

1-10 mSv
☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

I-131 uptake scan and Tc-99m pertechnetate scan neck

10-30 mSv
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Thyroid cancer, differentiated, preop eval

3149297

US thyroid

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT neck with IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

MRI neck without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI neck without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT neck without IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

CT neck without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

I-123 scan whole body

1-10 mSv
☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

I-131 scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

Octreotide scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Thyroid cancer, differentiated, treatment assessment

3149298

US thyroid

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI neck without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT neck with IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate
(Disagreement)

I-123 scan whole body

1-10 mSv
☢☢☢

May be appropriate

I-131 scan whole body

10-30 mSv
☢☢☢☢

May be appropriate
(Disagreement)

MRI neck without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT neck without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT neck without IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Octreotide scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Thyroid cancer, differentiated, recurrence suspected

3149299

US thyroid

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI neck without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT neck with IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

I-123 scan whole body

1-10 mSv
☢☢☢

Usually appropriate

MRI neck 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 IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT neck without IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

I-131 scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

CT chest without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT neck without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Octreotide scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Thyroid cancer, medullary, recurrence suspected

3149300

US thyroid

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI neck without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually appropriate

CT neck with IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

MRI abdomen without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI abdomen without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI neck without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

Bone scan whole body

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT abdomen 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 neck without IV contrast

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

CT abdomen without and with IV contrast

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT abdomen without 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 neck without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

DOTATATE PET/CT skull base to mid-thigh

1-10 mSv
☢☢☢

Usually not appropriate

I-123 scan whole body

1-10 mSv
☢☢☢

Usually not appropriate

I-131 scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

Octreotide scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate