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Home Acute Elbow and Forearm Pain
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Elbow pain, acute, initial imaging 3197539
Radiography elbow
<0.1 mSv
☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow 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
Bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Forearm pain, acute, initial imaging 3197538
Radiography radius and ulna
<0.1 mSv
☢
Usually appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI forearm 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
Bone scan forearm
1-10 mSv
☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Elbow pain, acute, fracture suspected, radiography indeterminate, next imaging study 3197541
Radiography elbow repeat in 10-14 days
<0.1 mSv
☢
Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow 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
Bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Forearm pain, acute, fracture suspected, radiography indeterminate, next imaging study 3197543
Radiography radius and ulna repeat in 10-14 days
<0.1 mSv
☢
Usually appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
Usually appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI forearm 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
Bone scan forearm
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, acute, fracture suspected, radiography normal, next imaging study 3197542
Radiography elbow repeat in 10-14 days
<0.1 mSv
☢
Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow 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
Bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Forearm pain, acute, fracture suspected, radiography normal, next imaging study 3197544
Radiography radius and ulna repeat in 10-14 days
<0.1 mSv
☢
Usually appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
Usually appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI forearm 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
Bone scan forearm
1-10 mSv
☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Forearm pain, acute, ligament injury suspected, radiography normal, next imaging study 3197550
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without 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 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
Bone scan forearm
1-10 mSv
☢☢☢
Usually not appropriate
Forearm pain, acute, tendon injury suspected, radiography indeterminate, next imaging study 3197548
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without 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 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
Bone scan forearm
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, acute, muscle injury suspected, radiography normal, next imaging study 3197555
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without 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 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
Bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, acute, tendon injury suspected, radiography normal, next imaging study 3197557
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without 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 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
Bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, acute, muscle injury suspected, radiography indeterminate, next imaging study 3197552
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without 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 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
Bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Forearm pain, acute, ligament injury suspected, radiography indeterminate, next imaging study 3197547
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without 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 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
Bone scan forearm
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, acute, ligament injury suspected, radiography normal, next imaging study 3197556
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without 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 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
Bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, acute, tendon injury suspected, radiography indeterminate, next imaging study 3197554
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without 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 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
Bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Forearm pain, acute, muscle injury suspected, radiography normal, next imaging study 3197549
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without 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 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
Bone scan forearm
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, acute, ligament injury suspected, radiography indeterminate, next imaging study 3197553
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without 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 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
Bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Forearm pain, acute, tendon injury suspected, radiography normal, next imaging study 3197551
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without 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 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
Bone scan forearm
1-10 mSv
☢☢☢
Usually not appropriate
Forearm pain, acute, muscle injury suspected, radiography indeterminate, next imaging study 3197546
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without 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 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
Bone scan forearm
1-10 mSv
☢☢☢
Usually not appropriate
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