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Home Workup of Noncerebral Systemic Arterial Embolic Source
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Arterial occlusion, upper extremity, embolic etiology suspected, next imaging study, determine source 3195885
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Aortography chest
1-10 mSv
☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Arterial occlusion, mesenteric arterial system, embolic etiology suspected, next imaging study, determine source 3195887
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA chest and abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA chest and abdomen with IV contrast
10-30 mSv
☢☢☢☢
Usually appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest and abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Aortography chest and abdomen
10-30 mSv
☢☢☢☢
Usually not appropriate
Arterial occlusion, renal infarcts, embolic etiology suspected, next imaging study, determine source 3195889
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA chest and abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA chest and abdomen with IV contrast
10-30 mSv
☢☢☢☢
Usually appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest and abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Aortography chest and abdomen
10-30 mSv
☢☢☢☢
Usually not appropriate
Arterial occlusion, renal arterial system, embolic etiology suspected, next imaging study, determine source 3195888
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA chest and abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA chest and abdomen with IV contrast
10-30 mSv
☢☢☢☢
Usually appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest and abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Aortography chest and abdomen
10-30 mSv
☢☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Arterial occlusion, lower extremity, embolic etiology suspected, next imaging study, determine source 3195891
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA chest abdomen pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA chest abdomen pelvis with IV contrast
30-100 mSv
☢☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
MRA chest abdomen pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Aortography chest abdomen pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Arterial occlusions, multi organ system, embolic etiology suspected, next imaging study, determine source 3195893
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA chest abdomen pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA chest abdomen pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA chest abdomen pelvis with IV contrast
30-100 mSv
☢☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
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