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Home Abnormal Liver Function Tests
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Abnormal liver function tests, hepatocellular predominance, mild aminotransferase increase , initial imaging 3196526
US abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US shear wave elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MR elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI abdomen without and with IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI abdomen without IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US abdomen with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Abnormal liver function tests, hepatocellular predominance, severe aminotransferase increase, initial imaging 3196529
US abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRI abdomen without and with IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI abdomen without IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US abdomen with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US shear wave elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MR elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Abnormal liver function tests, hepatocellular predominance, moderate aminotransferase increase, initial imaging 3196528
US abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRI abdomen without and with IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI abdomen without IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US abdomen with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US shear wave elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MR elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Abnormal liver function tests, cholestatic predominance, elevated alkaline phosphatase with or without elevated gamma-glutamyl transpeptidase, initial imaging 3196531
US abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without and with IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI abdomen without IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US abdomen with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US shear wave elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MR elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Abnormal liver function tests, hyperbilirubinemia, subacute cholestasis, conjugated, initial imaging 3196535
US abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without and with IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US abdomen with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US shear wave elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MR elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Abnormal liver function tests, hyperbilirubinemia, acute cholestasis, unconjugated, initial imaging 3196534
US abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without and with IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US abdomen with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US shear wave elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MR elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Abnormal liver function tests, hyperbilirubinemia, subacute cholestasis, unconjugated, initial imaging 3196536
US abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without and with IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US abdomen with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US shear wave elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MR elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Abnormal liver function tests, hyperbilirubinemia, acute cholestasis, conjugated, initial imaging 3196533
US abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without and with IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without IV contrast with MRCP
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT abdomen and pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT abdomen and pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US abdomen with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US shear wave elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MR elastography abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen and pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
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