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Home Antenatal Hydronephrosis-Infant

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Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Hydronephrosis, antenatal, initial neonatal imaging

3185401

US kidneys and bladder

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Voiding urosonography

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Fluoroscopy voiding cystourethrography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

MRI abdomen and pelvis with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Nuclear medicine cystography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

DTPA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

MAG3 renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Hydronephrosis, antenatal, normal neonatal US

3185402

US kidneys and bladder follow-up in 1-6 months

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Voiding urosonography

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Fluoroscopy voiding cystourethrography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

MRI abdomen and pelvis with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Nuclear medicine cystography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

DTPA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

MAG3 renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Hydronephrosis, antenatal, isolated mild hydronephrosis on initial neonatal US

3185403

US kidneys and bladder follow-up in 1-6 months

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Voiding urosonography

0 mSv
O

0 mSv [ped]
O

May be appropriate

Fluoroscopy voiding cystourethrography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

MRI abdomen and pelvis with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Nuclear medicine cystography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

DTPA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

MAG3 renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Hydronephrosis, antenatal, hydronephrosis and posterior urethral dilation on initial neonatal US, next imaging study, male

3191916

US kidneys and bladder follow-up in 1-6 months

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Fluoroscopy voiding cystourethrography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually appropriate

MAG3 renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

Voiding urosonography

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Nuclear medicine cystography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

DTPA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Hydronephrosis, antenatal, hydronephrosis and bladder wall thickening on initial neonatal US, next imaging study, male

3191915

US kidneys and bladder follow-up in 1-6 months

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Fluoroscopy voiding cystourethrography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually appropriate

MAG3 renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

Voiding urosonography

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Nuclear medicine cystography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

DTPA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Hydronephrosis, antenatal, hydronephrosis and parenchymal abnormalities on initial neonatal US, next imaging study, male

3191913

US kidneys and bladder follow-up in 1-6 months

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Fluoroscopy voiding cystourethrography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually appropriate

MAG3 renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

Voiding urosonography

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Nuclear medicine cystography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

DTPA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Hydronephrosis, antenatal, moderate to severe hydronephrosis on initial neonatal US, next imaging study, male

3191912

US kidneys and bladder follow-up in 1-6 months

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Fluoroscopy voiding cystourethrography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually appropriate

MAG3 renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

Voiding urosonography

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Nuclear medicine cystography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

DTPA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Hydronephrosis, antenatal, hydronephrosis and hydroureter on initial neonatal US, next imaging study, male

3191914

US kidneys and bladder follow-up in 1-6 months

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Fluoroscopy voiding cystourethrography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually appropriate

MAG3 renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

Voiding urosonography

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Nuclear medicine cystography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

DTPA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Hydronephrosis, antenatal, hydronephrosis and hydroureter on initial neonatal US, next imaging study, female

3191919

US kidneys and bladder follow-up in 1-6 months

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Voiding urosonography

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Fluoroscopy voiding cystourethrography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually appropriate

MAG3 renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

Nuclear medicine cystography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate
(Disagreement)

MRI abdomen and pelvis with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

DTPA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Hydronephrosis, antenatal, hydronephrosis and bladder wall thickening on initial neonatal US, next imaging study, female

3191920

US kidneys and bladder follow-up in 1-6 months

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Voiding urosonography

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Fluoroscopy voiding cystourethrography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually appropriate

MAG3 renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

Nuclear medicine cystography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate
(Disagreement)

MRI abdomen and pelvis with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

DTPA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Hydronephrosis, antenatal, hydronephrosis and parenchymal abnormalities on initial neonatal US, next imaging study, female

3191918

US kidneys and bladder follow-up in 1-6 months

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Voiding urosonography

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Fluoroscopy voiding cystourethrography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually appropriate

MAG3 renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

Nuclear medicine cystography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate
(Disagreement)

MRI abdomen and pelvis with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

DTPA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Hydronephrosis, antenatal, moderate to severe hydronephrosis on initial neonatal US, next imaging study, female

3191917

US kidneys and bladder follow-up in 1-6 months

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Voiding urosonography

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Fluoroscopy voiding cystourethrography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually appropriate

MAG3 renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

Nuclear medicine cystography

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate
(Disagreement)

MRI abdomen and pelvis with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

DTPA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Hydronephrosis, antenatal, moderate to severe hydronephrosis on initial neonatal US, no reflux on VCUG

3185406

US kidneys and bladder follow-up in 1-6 months

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MAG3 renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually appropriate

MRI abdomen and pelvis with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate
(Disagreement)

MRI abdomen and pelvis without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

DTPA renal scan

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

MRI abdomen and pelvis without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate