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Home Soft Tissue Vascular Anomalies: Vascular Malformations and Infantile Vascular Tumors (Non-CNS)-Child
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hemangioma suspected, neck, initial imaging 3197036
US duplex Doppler carotid artery
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US neck
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT neck with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
US neck with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography neck
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography neck
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV neck with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI neck without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT neck without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Hemangioma suspected, hip, initial imaging 3197043
US duplex Doppler hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US hip with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
Radiography hip
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hemangioma suspected, elbow, initial imaging 3197038
US duplex Doppler elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US elbow with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography elbow
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Hemangioma suspected, lower leg, initial imaging 3197045
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US lower leg with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography tibia and fibula
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hemangioma suspected, foot, initial imaging 3197040
US duplex Doppler foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US foot with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hemangioma suspected, head, initial imaging 3197035
US duplex Doppler transcranial
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US head
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
US transcranial with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography skull
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography cerebral
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV head with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Hemangioma suspected, abdomen, initial imaging 3197033
US abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT abdomen with 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
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography abdomen
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CTA and CTV abdomen with IV contrast

10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
MRI abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Hemangioma suspected, thigh, initial imaging 3197047
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler thigh
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI thigh without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US thigh with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography femur
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
Arteriography thigh
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI thigh without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Hemangioma suspected, hand, initial imaging 3197042
US duplex Doppler hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT hand with IV contrast
<0.1 mSv
☢
May be appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US hand with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography hand
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Hemangioma suspected, pelvis, initial imaging 3197037
US duplex Doppler pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
CTA and CTV pelvis with IV contrast

10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hemangioma suspected, knee, initial imaging 3197044
US duplex Doppler knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US knee with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hemangioma suspected, upper arm, initial imaging 3197048
US duplex Doppler upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper arm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US upper arm with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography humerus
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT upper arm without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper arm without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Hemangioma suspected, face, initial imaging 3197039
US duplex Doppler maxillofacial
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US maxillofacial
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA and MRV neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI maxillofacial without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT maxillofacial with IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography maxillofacial


Usually not appropriate
US maxillofacial with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography cerebral
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Arteriography neck
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV head with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV neck with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI maxillofacial without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT maxillofacial without IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT maxillofacial without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Hemangioma suspected, chest, initial imaging 3197034
US chest
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler chest
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography pulmonary
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV chest with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Hemangioma suspected, shoulder, initial imaging 3197046
US duplex Doppler shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US shoulder with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography shoulder
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Hemangioma suspected, forearm, initial imaging 3197041
US duplex Doppler forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US forearm with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography radius and ulna
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI forearm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT forearm without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Hemangiomas, multiple, cutaneous, hepatic hemangioma screening, initial imaging 3197050
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 abdomen with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography abdomen
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CTA and CTV abdomen with IV contrast

10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
MRA and MRV abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen 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
Vascular malformation suspected, pelvis, hemangioma not suspected, initial imaging 3197056
US duplex Doppler pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
CTA and CTV pelvis with IV contrast

10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular tumor suspected, thigh, hemangioma not suspected, initial imaging 3197082
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler thigh
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thigh without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US thigh with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI thigh without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography femur
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Vascular malformation suspected, hand, hemangioma not suspected, initial imaging 3197061
US duplex Doppler hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hand with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography hand
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation suspected, knee, hemangioma not suspected, initial imaging 3197063
US duplex Doppler knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US knee with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular tumor suspected, foot, hemangioma not suspected, initial imaging 3197075
US duplex Doppler foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US foot with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular tumor suspected, abdomen, hemangioma not suspected, initial imaging 3197068
US abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US abdomen with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography abdomen
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CTA and CTV abdomen with IV contrast

10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT abdomen with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Vascular malformation suspected, head, hemangioma not suspected, initial imaging 3197054
US duplex Doppler transcranial
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US head
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US transcranial with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography skull
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography cerebral
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV head with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular tumor suspected, lower leg, hemangioma not suspected, initial imaging 3197080
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower leg with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography tibia and fibula
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation suspected, chest, hemangioma not suspected, initial imaging 3197053
US chest
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler chest
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US chest 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
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography pulmonary
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV chest with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Vascular tumor suspected, knee, hemangioma not suspected, initial imaging 3197079
US duplex Doppler knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US knee with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation suspected, shoulder, hemangioma not suspected, initial imaging 3197065
US duplex Doppler shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US shoulder with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography shoulder
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation suspected, face, hemangioma not suspected, initial imaging 3197058
US duplex Doppler maxillofacial
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US maxillofacial
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI maxillofacial without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US maxillofacial with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA neck without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI maxillofacial without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography maxillofacial


Usually not appropriate
Arteriography cerebral
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Arteriography neck
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV head with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV neck with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT maxillofacial with IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT maxillofacial without IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT maxillofacial without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular tumor suspected, head, hemangioma not suspected, initial imaging 3197070
US duplex Doppler transcranial
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US head
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US transcranial with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography skull
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography cerebral
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV head with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular tumor suspected, pelvis, hemangioma not suspected, initial imaging 3197072
US duplex Doppler pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
CTA and CTV pelvis with IV contrast

10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular tumor suspected, hand, hemangioma not suspected, initial imaging 3197077
US duplex Doppler hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hand with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography hand
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation suspected, forearm, hemangioma not suspected, initial imaging 3197060
US duplex Doppler forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US forearm with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI forearm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography radius and ulna
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT forearm without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular tumor suspected, forearm, hemangioma not suspected, initial imaging 3197076
US duplex Doppler forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US forearm with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI forearm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography radius and ulna
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT forearm without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation suspected, hip, hemangioma not suspected, initial imaging 3197062
US duplex Doppler hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hip with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
Radiography hip
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular tumor suspected, shoulder, hemangioma not suspected, initial imaging 3197081
US duplex Doppler shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US shoulder with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography shoulder
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation suspected, upper arm, hemangioma not suspected, initial imaging 3197067
US duplex Doppler upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper arm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper arm with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography humerus
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper arm without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper arm without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular tumor suspected, chest, hemangioma not suspected, initial imaging 3197069
US chest
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler chest
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US chest 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
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography pulmonary
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV chest with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Vascular malformation suspected, neck, hemangioma not suspected, initial imaging 3197055
US duplex Doppler carotid artery
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US neck
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US neck with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA neck without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI neck without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography neck
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography neck
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV neck with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT neck without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular tumor suspected, face, hemangioma not suspected, initial imaging 3197074
US duplex Doppler maxillofacial
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US maxillofacial
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI maxillofacial without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US maxillofacial with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA neck without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI maxillofacial without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography maxillofacial


Usually not appropriate
Arteriography cerebral
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Arteriography neck
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV head with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV neck with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT maxillofacial with IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT maxillofacial without IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT maxillofacial without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular malformation suspected, elbow, hemangioma not suspected, initial imaging 3197057
US duplex Doppler elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US elbow with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography elbow
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular tumor suspected, elbow, hemangioma not suspected, initial imaging 3197073
US duplex Doppler elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US elbow with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography elbow
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation suspected, foot, hemangioma not suspected, initial imaging 3197059
US duplex Doppler foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US foot with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular tumor suspected, hip, hemangioma not suspected, initial imaging 3197078
US duplex Doppler hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hip with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
Radiography hip
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation suspected, lower leg, hemangioma not suspected, initial imaging 3197064
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower leg with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography tibia and fibula
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular tumor suspected, upper arm, hemangioma not suspected, initial imaging 3197083
US duplex Doppler upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper arm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper arm with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography humerus
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper arm without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper arm without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation suspected, thigh, hemangioma not suspected, initial imaging 3197066
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler thigh
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thigh without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US thigh with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI thigh without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography femur
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Vascular malformation suspected, abdomen, hemangioma not suspected, initial imaging 3197052
US abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US abdomen with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography abdomen
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CTA and CTV abdomen with IV contrast

10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT abdomen with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Vascular tumor suspected, neck, hemangioma not suspected, initial imaging 3197071
US duplex Doppler carotid artery
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US neck
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US neck with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA neck without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI neck without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography neck
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography neck
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV neck with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT neck without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Vascular malformation suspected on US, knee, next imaging study 3197096
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US knee with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation suspected on US, pelvis, next imaging study 3197089
MRA and MRV pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV pelvis with IV contrast

10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation suspected on US, shoulder, next imaging study 3197098
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US shoulder with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography shoulder
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation suspected on US, face, next imaging study 3197091
MRA and MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI maxillofacial without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV head with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTA and CTV neck with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT maxillofacial with IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
US maxillofacial with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography neck
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography cerebral
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Arteriography neck
1-10 mSv
☢☢☢
Usually not appropriate
MRI maxillofacial without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT maxillofacial without IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT maxillofacial without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular malformation suspected on US, forearm, next imaging study 3197093
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US forearm with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography radius and ulna
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
MRI forearm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT forearm without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation suspected on US, upper arm, next imaging study 3197100
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper arm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US upper arm with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography humerus
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT upper arm without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper arm without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation suspected on US, chest, next imaging study 3197086
MRA and MRV chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTA and CTV chest with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
US chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography pulmonary
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation suspected on US, neck, next imaging study 3197088
MRA and MRV neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV neck with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT neck with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
US neck with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography neck
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography neck
1-10 mSv
☢☢☢
Usually not appropriate
MRI neck without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT neck without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular malformation suspected on US, elbow, next imaging study 3197090
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US elbow with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography elbow
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation suspected on US, hip, next imaging study 3197095
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US hip with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
Radiography hip
1-10 mSv
☢☢☢
Usually not appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation suspected on US, lower leg, next imaging study 3197097
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US lower leg with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography tibia and fibula
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation suspected on US, abdomen, next imaging study 3197085
MRA and MRV abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV abdomen with IV contrast

10-30 mSv [ped]
☢☢☢☢☢ 		May be appropriate
CT abdomen with 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
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography abdomen
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
MRI abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Vascular malformation suspected on US, head, next imaging study 3197087
MRA and MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV head with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
US transcranial with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography skull
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography cerebral
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular malformation suspected on US, foot, next imaging study 3197092
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US foot with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation suspected on US, hand, next imaging study 3197094
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT hand with IV contrast
<0.1 mSv
☢
May be appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US hand with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography hand
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation suspected on US, thigh, next imaging study 3197099
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thigh without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US thigh with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography femur
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI thigh without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Vascular malformation, face, persistent signs or symptoms, initial imaging 3197124
US duplex Doppler maxillofacial
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI maxillofacial without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US maxillofacial
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US maxillofacial with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography maxillofacial


Usually not appropriate
Arteriography cerebral
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Arteriography neck
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV head with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV neck with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI maxillofacial without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT maxillofacial with IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT maxillofacial without IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT maxillofacial without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular malformation, elbow, new signs or symptoms, initial imaging 3197107
US duplex Doppler elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US elbow with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography elbow
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation, forearm, persistent signs or symptoms, initial imaging 3197126
US duplex Doppler forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US forearm with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography radius and ulna
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI forearm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT forearm without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation, hip, new signs or symptoms, initial imaging 3197112
US duplex Doppler hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US hip with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
Radiography hip
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation, neck, new signs or symptoms, initial imaging 3197105
US duplex Doppler carotid artery
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US neck
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US neck with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography neck
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography neck
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV neck with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI neck without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT neck with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT neck without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular malformation, shoulder, persistent signs or symptoms, initial imaging 3197131
US duplex Doppler shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US shoulder with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography shoulder
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation, upper arm, new signs or symptoms, initial imaging 3197117
US duplex Doppler upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper arm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper arm with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography humerus
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper arm without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper arm without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation, chest, persistent signs or symptoms, initial imaging 3197119
US duplex Doppler chest
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US chest
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography pulmonary
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV chest with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Vascular malformation, neck, persistent signs or symptoms, initial imaging 3197121
US duplex Doppler carotid artery
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US neck
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US neck with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography neck
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography neck
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV neck with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI neck without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT neck with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT neck without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT neck without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular malformation, head, new signs or symptoms, initial imaging 3197104
US duplex Doppler transcranial
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US head
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US transcranial with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography skull
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography cerebral
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV head with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular malformation, elbow, persistent signs or symptoms, initial imaging 3197123
US duplex Doppler elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US elbow with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography elbow
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation, foot, new signs or symptoms, initial imaging 3197109
US duplex Doppler foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US foot with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation, hip, persistent signs or symptoms, initial imaging 3197128
US duplex Doppler hip
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US hip with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
Radiography hip
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation, lower leg, new signs or symptoms, initial imaging 3197114
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower leg with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography tibia and fibula
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation, thigh, new signs or symptoms, initial imaging 3197116
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler thigh
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thigh without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US thigh with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography femur
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI thigh without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Vascular malformation, upper arm, persistent signs or symptoms, initial imaging 3197133
US duplex Doppler upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper arm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper arm with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography radius and ulna
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper arm without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper arm without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation, abdomen, new signs or symptoms, initial imaging 3197102
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US abdomen
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US abdomen with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography abdomen
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CTA and CTV abdomen with IV contrast

10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
MRI abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Vascular malformation, abdomen, persistent signs or symptoms, initial imaging 3197118
US duplex Doppler abdomen
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US abdomen
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US abdomen with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography abdomen
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CTA and CTV abdomen with IV contrast

10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
MRI abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT abdomen with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Vascular malformation, head, persistent signs or symptoms, initial imaging 3197120
US duplex Doppler transcranial
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US head
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US transcranial with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography skull
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography cerebral
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV head with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular malformation, pelvis, new signs or symptoms, initial imaging 3197106
US duplex Doppler pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
CTA and CTV pelvis with IV contrast

10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation, thigh, persistent signs or symptoms, initial imaging 3197132
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler thigh
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thigh without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US thigh with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography femur
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI thigh without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Vascular malformation, foot, persistent signs or symptoms, initial imaging 3197125
US duplex Doppler foot
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US foot with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography foot
<0.1 mSv
☢
Usually not appropriate
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation, hand, new signs or symptoms, initial imaging 3197111
US duplex Doppler hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US hand with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography hand
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation, lower leg, persistent signs or symptoms, initial imaging 3197130
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower leg with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography tibia and fibula
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation, knee, new signs or symptoms, initial imaging 3197113
US duplex Doppler knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US knee with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation, shoulder, new signs or symptoms, initial imaging 3197115
US duplex Doppler shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US shoulder with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography shoulder
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation, hand, persistent signs or symptoms, initial imaging 3197127
US duplex Doppler hand
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US hand with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography hand
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation, chest, new signs or symptoms, initial imaging 3197103
US duplex Doppler chest
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US chest
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography pulmonary
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV chest with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Vascular malformation, knee, persistent signs or symptoms, initial imaging 3197129
US duplex Doppler knee
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler lower extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US knee with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lower extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Arteriography lower extremity
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Radiography lower extremity
0.1-1mSv
☢☢
Usually not appropriate
CTA and CTV lower extremity with IV contrast

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT lower extremity with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lower extremity without and with IV contrast
1-10 mSv
☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
CT lower extremity without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Vascular malformation, face, new signs or symptoms, initial imaging 3197108
US duplex Doppler maxillofacial
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV neck without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI maxillofacial without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US maxillofacial
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US maxillofacial with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography maxillofacial


Usually not appropriate
Arteriography cerebral
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Arteriography neck
1-10 mSv
☢☢☢
Usually not appropriate
CTA and CTV head with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CTA and CTV neck with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI maxillofacial without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT maxillofacial with IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT maxillofacial without IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT maxillofacial without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Vascular malformation, forearm, new signs or symptoms, initial imaging 3197110
US duplex Doppler forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US duplex Doppler upper extremity
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper extremity without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US forearm with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US upper extremity with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Arteriography upper extremity
<0.1 mSv
☢
Usually not appropriate
Radiography radius and ulna
<0.1 mSv
☢
Usually not appropriate
Radiography upper extremity
<0.1 mSv
☢
Usually not appropriate
CTA and CTV upper extremity with IV contrast

3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
MRI forearm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper extremity without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT forearm without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT upper extremity with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper extremity without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
Vascular malformation, pelvis, persistent signs or symptoms, initial imaging 3197122
US duplex Doppler pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRA and MRV pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US pelvis with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Arteriography pelvis
10-30 mSv
☢☢☢☢
Usually not appropriate
CTA and CTV pelvis with IV contrast

10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
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