ACR AC Portal

Home Suspected Spine Infection

Variants

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Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, dialysis, initial imaging

3194548

MRI cervical and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and lumbar spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, HIV, initial imaging

3194539

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT cervical and thoracic spine without IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical, neck or back pain, with or without fever, IV drug use, initial imaging

3194522

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical spine 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

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, abnormal labs, initial imaging

3194553

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT cervical and thoracic spine without IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, HIV, initial imaging

3194541

MRI cervical and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and lumbar spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, IV drug use, initial imaging

3194527

MRI cervical and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and lumbar spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical, neck or back pain, with or without fever, diabetes mellitus, initial imaging

3194515

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical spine 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

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar, neck or back pain, with or without fever, immunocompromised, initial imaging

3194558

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, dialysis, initial imaging

3194546

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT cervical and thoracic spine without IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, immunocompromised, initial imaging

3194560

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT cervical and thoracic spine without IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, diabetes mellitus, initial imaging

3194520

MRI cervical and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and lumbar spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, cancer, initial imaging

3194534

MRI cervical and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and lumbar spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, diabetes mellitus, initial imaging

3194519

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical, neck or back pain, with or without fever, HIV, initial imaging

3194536

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical spine 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

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, immunocompromised, initial imaging

3194562

MRI cervical and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and lumbar spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical, neck or back pain, with or without fever, abnormal labs, initial imaging

3194550

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical spine 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

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar, neck or back pain, with or without fever, IV drug use, initial imaging

3194524

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, abnormal labs, initial imaging

3194555

MRI cervical and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and lumbar spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar, neck or back pain, with or without fever, HIV, initial imaging

3194538

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical, neck or back pain, with or without fever, cancer, initial imaging

3194529

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical spine 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

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical, neck or back pain, with or without fever, dialysis, initial imaging

3194543

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical spine 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

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar, neck or back pain, with or without fever, cancer, initial imaging

3194531

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical, neck or back pain, with or without fever, immunocompromised, initial imaging

3194557

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical spine 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

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar, neck or back pain, with or without fever, diabetes mellitus, initial imaging

3194517

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar, neck or back pain, with or without fever, dialysis, initial imaging

3194545

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, complete spine, neck or back pain, with or without fever, IV drug use, initial imaging

3194528

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography complete spine

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT complete spine with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT complete spine without IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT complete spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic, neck or back pain, with or without fever, diabetes mellitus, initial imaging

3194516

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic, neck or back pain, with or without fever, immunocompromised, initial imaging

3194559

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, cancer, initial imaging

3194533

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, complete spine, neck or back pain, with or without fever, diabetes mellitus, initial imaging

3194521

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography complete spine

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT complete spine with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT complete spine without IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT complete spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, dialysis, initial imaging

3194547

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, complete spine, neck or back pain, with or without fever, cancer, initial imaging

3194535

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography complete spine

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT complete spine with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT complete spine without IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT complete spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, IV drug use, initial imaging

3194526

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic, neck or back pain, with or without fever, abnormal labs, initial imaging

3194552

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, HIV, initial imaging

3194540

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, abnormal labs, initial imaging

3194554

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, IV drug use, initial imaging

3194525

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT cervical and thoracic spine without IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, complete spine, neck or back pain, with or without fever, abnormal labs, initial imaging

3194556

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography complete spine

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT complete spine with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT complete spine without IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT complete spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, complete spine, neck or back pain, with or without fever, HIV, initial imaging

3194542

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography complete spine

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT complete spine with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT complete spine without IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT complete spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic, neck or back pain, with or without fever, cancer, initial imaging

3194530

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, immunocompromised, initial imaging

3194561

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic, neck or back pain, with or without fever, dialysis, initial imaging

3194544

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, diabetes mellitus, initial imaging

3194518

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and lumbar spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT cervical and thoracic spine without IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, cancer, initial imaging

3194532

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT cervical and thoracic spine without IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, complete spine, neck or back pain, with or without fever, dialysis, initial imaging

3194549

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography complete spine

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT complete spine with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT complete spine without IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT complete spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, complete spine, neck or back pain, with or without fever, immunocompromised, initial imaging

3194563

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography complete spine

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT complete spine with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT complete spine without IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT complete spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic, neck or back pain, with or without fever, IV drug use, initial imaging

3194523

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar, neck or back pain, with or without fever, abnormal labs, initial imaging

3194551

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic, neck or back pain, with or without fever, HIV, initial imaging

3194537

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Spine infection suspected, lumbar, recent intervention, initial imaging

3194567

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, recent intervention, initial imaging

3194569

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic, recent intervention, initial imaging

3194566

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, complete spine, recent intervention, initial imaging

3194571

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography complete spine

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT complete spine with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT complete spine without IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT complete spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and thoracic, recent intervention, initial imaging

3194568

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT cervical and thoracic spine without IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and lumbar, recent intervention, initial imaging

3194570

MRI cervical and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and lumbar spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical, recent intervention, initial imaging

3194565

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical spine 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

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Spine infection suspected, cervical and lumbar, new neuro deficit, initial imaging

3194578

MRI cervical and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT cervical and lumbar spine with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Radiography cervical and lumbar spine

1-10 mSv
☢☢☢

Usually not appropriate

MRI cervical and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

Usually not appropriate

CT cervical and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar, new neuro deficit, initial imaging

3194575

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, cauda equina syndrome, initial imaging

3194580

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical, new neuro deficit, initial imaging

3194573

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

Usually not appropriate

CT cervical spine 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

Gallium scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, new neuro deficit, initial imaging

3194577

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, complete spine, new neuro deficit, initial imaging

3194579

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT complete spine with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT complete spine without IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Radiography complete spine

0.3-3 mSv [ped]
☢☢☢

Usually not appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

Usually not appropriate

CT complete spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar, cauda equina syndrome, initial imaging

3194581

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic, new neuro deficit, initial imaging

3194574

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT thoracic spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Radiography thoracic spine

1-10 mSv
☢☢☢

Usually not appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

Usually not appropriate

CT thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and thoracic, new neuro deficit, initial imaging

3194576

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT cervical and thoracic spine without IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

Radiography cervical and thoracic spine

1-10 mSv
☢☢☢

Usually not appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

Usually not appropriate

CT cervical and thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Spine infection suspected, cervical, wound overlying spine, initial imaging

3194592

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical spine 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

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar, wound overlying spine, initial imaging

3194594

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and lumbar, wound overlying spine, initial imaging

3194599

MRI cervical and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and lumbar spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and thoracic, decubitus ulcer, initial imaging

3194587

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT cervical and thoracic spine without IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar and sacrum, decubitus ulcer, initial imaging

3194589

MRI lumbosacral spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbosacral spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography lumbosacral spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT lumbosacral spine with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT lumbosacral spine without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbosacral spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbosacral spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, complete spine, decubitus ulcer, initial imaging

3194591

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography complete spine

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT complete spine with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT complete spine without IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT complete spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and thoracic, wound overlying spine, initial imaging

3194596

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and thoracic spine with IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

CT cervical and thoracic spine without IV contrast

10-30 mSv
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic, decubitus ulcer, initial imaging

3194584

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar and sacrum, wound overlying spine, initial imaging

3194598

MRI lumbosacral spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbosacral spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography lumbosacral spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT lumbosacral spine with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT lumbosacral spine without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbosacral spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbosacral spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, sacrum, decubitus ulcer, initial imaging

3194586

MRI sacrum without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI sacrum without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography sacrum

0.1-1mSv
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT sacrum with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT sacrum without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI sacrum with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT sacrum without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, complete spine, wound overlying spine, initial imaging

3194600

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography complete spine

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT complete spine with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT complete spine without IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT complete spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, decubitus ulcer, initial imaging

3194588

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic, wound overlying spine, initial imaging

3194593

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, sacrum, wound overlying spine, initial imaging

3194595

MRI sacrum without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI sacrum without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography sacrum

0.1-1mSv
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT sacrum with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT sacrum without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI sacrum with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT sacrum without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical, decubitus ulcer, initial imaging

3194583

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical spine

0.1-1mSv
☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT cervical spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical spine 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

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, wound overlying spine, initial imaging

3194597

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography thoracic and lumbar spine

1-10 mSv
☢☢☢

0.3-3 mSv [ped]
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT thoracic and lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT thoracic and lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT thoracic and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar, decubitus ulcer, initial imaging

3194585

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography lumbar spine

1-10 mSv
☢☢☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT lumbar spine with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

CT lumbar spine without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and lumbar, decubitus ulcer, initial imaging

3194590

MRI cervical and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography cervical and lumbar spine

1-10 mSv
☢☢☢

May be appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine with IV contrast

1-10 mSv
☢☢☢

May be appropriate

CT cervical and lumbar spine without IV contrast

1-10 mSv
☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT cervical and lumbar spine without and with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Spine infection suspected, thoracic, radiography abnormal, next imaging study

3194603

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, complete spine, radiography abnormal, next imaging study

3194608

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic, CT abnormal, next imaging study

3194610

MRI thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, complete spine, CT abnormal, next imaging study

3194615

MRI complete spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI complete spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI complete spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and thoracic, CT abnormal, next imaging study

3194612

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and thoracic, radiography abnormal, next imaging study

3194605

MRI cervical and thoracic spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and thoracic spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and thoracic spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and lumbar, radiography abnormal, next imaging study

3194607

MRI cervical and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical, CT abnormal, next imaging study

3194609

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical and lumbar, CT abnormal, next imaging study

3194614

MRI cervical and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, cervical, radiography abnormal, next imaging study

3194602

MRI cervical spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI cervical spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI cervical spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar, radiography abnormal, next imaging study

3194604

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, radiography abnormal, next imaging study

3194606

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, lumbar, CT abnormal, next imaging study

3194611

MRI lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate

Spine infection suspected, thoracic and lumbar, CT abnormal, next imaging study

3194613

MRI thoracic and lumbar spine without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI thoracic and lumbar spine without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan complete spine

1-10 mSv
☢☢☢

May be appropriate

FDG-PET/CT whole body

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

Gallium scan whole body

10-30 mSv
☢☢☢☢

May be appropriate

MRI thoracic and lumbar spine with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

WBC scan and sulfur colloid scan complete spine

10-30 mSv
☢☢☢☢

Usually not appropriate