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Home Preprocedural Chest or Cardiac Imaging for Cardiothoracic Surgery
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Coronary cardiac surgery, no hx of cardiothoracic surgery, preprocedural chest or cardiac imaging 3199709
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
Arteriography coronary
1-10 mSv
☢☢☢
Usually appropriate
MRA coronary arteries without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA coronary arteries without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without 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
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTA chest without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		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 heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Coronary cardiac surgery, hx of cardiothoracic surgery, preprocedural chest or cardiac imaging 3199711
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
Arteriography coronary
1-10 mSv
☢☢☢
Usually appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CTA chest without and with IV contrast
1-10 mSv
☢☢☢
Usually appropriate
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA coronary arteries without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA coronary arteries without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI chest 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
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Noncoronary cardiac surgery, no hx of cardiothoracic surgery, preprocedural chest or cardiac imaging 3199713
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
Arteriography coronary
1-10 mSv
☢☢☢
Usually appropriate
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA coronary arteries without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA coronary arteries without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without 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
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTA chest without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
MRI chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		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 heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Noncoronary cardiac surgery, hx of cardiothoracic surgery, preprocedural chest or cardiac imaging 3199715
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Arteriography coronary
1-10 mSv
☢☢☢
May be appropriate
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI chest 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
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTA chest without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
(Disagreement)
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
MRA coronary arteries without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA coronary arteries 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
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Thoracic surgery, no hx of cardiothoracic surgery, preprocedural chest or cardiac imaging 3199717
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI chest 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
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTA chest without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
Arteriography coronary
1-10 mSv
☢☢☢
Usually not appropriate
MRA coronary arteries without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA coronary arteries 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
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Thoracic surgery, hx of cardiothoracic surgery, preprocedural chest or cardiac imaging 3199719
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
US chest
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US echocardiography transesophageal
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US echocardiography transthoracic resting
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRA chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI chest 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
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI heart function and morphology without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CTA chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CTA chest without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT heart function and morphology with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Arteriography coronary
1-10 mSv
☢☢☢
Usually not appropriate
MRA coronary arteries without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRA coronary arteries 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
CTA coronary arteries with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
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