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Home Joint Pain: Idiopathic Arthritis-Child
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Ankle swelling, idiopathic arthritis suspected, initial imaging 3199564
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US ankle with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow swelling, idiopathic arthritis suspected, initial imaging 3199565
Radiography elbow
<0.1 mSv
☢
Usually appropriate
US elbow
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 elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US elbow with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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 whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot swelling, idiopathic arthritis suspected, initial imaging 3199566
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US foot
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 foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US foot with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand swelling, idiopathic arthritis suspected, initial imaging 3199567
Radiography hand
<0.1 mSv
☢
Usually appropriate
US hand
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 hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US hand with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip swelling, idiopathic arthritis suspected, initial imaging 3199568
Radiography hip
1-10 mSv
☢☢☢
Usually appropriate
US hip
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 hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US hip with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee swelling, idiopathic arthritis suspected, initial imaging 3199569
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US knee
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 knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US knee with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder swelling, idiopathic arthritis suspected, initial imaging 3199570
Radiography shoulder
<0.1 mSv
☢
Usually appropriate
US shoulder
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 shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US shoulder with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist swelling, idiopathic arthritis suspected, initial imaging 3199571
Radiography wrist
<0.1 mSv
☢
Usually appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US wrist with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, idiopathic arthritis suspected, initial imaging 3199572
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US ankle with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, idiopathic arthritis suspected, initial imaging 3199573
Radiography elbow
<0.1 mSv
☢
Usually appropriate
US elbow
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 elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US elbow with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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 whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, idiopathic arthritis suspected, initial imaging 3199574
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US foot
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 foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US foot with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, idiopathic arthritis suspected, initial imaging 3199575
Radiography hand
<0.1 mSv
☢
Usually appropriate
US hand
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 hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US hand with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, idiopathic arthritis suspected, initial imaging 3199576
Radiography hip
1-10 mSv
☢☢☢
Usually appropriate
US hip
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 hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US hip with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, idiopathic arthritis suspected, initial imaging 3199577
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US knee
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 knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US knee with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, idiopathic arthritis suspected, initial imaging 3199578
Radiography shoulder
<0.1 mSv
☢
Usually appropriate
US shoulder
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 shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US shoulder with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, idiopathic arthritis suspected, initial imaging 3199579
Radiography wrist
<0.1 mSv
☢
Usually appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US wrist with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Cervical spine pain, idiopathic arthritis suspected, initial imaging 3199581
MRI cervical spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography cervical spine
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
MRI cervical spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US cervical spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT cervical spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT neck
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Cervical and thoracic spine pain, idiopathic arthritis suspected, initial imaging 3199582
MRI cervical and lumbar spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography cervical and thoracic spine
1-10 mSv
☢☢☢
May be appropriate
MRI cervical and lumbar spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US cervical and thoracic spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT cervical and thoracic spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT cervical and thoracic spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical and lumbar spine with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT cervical and lumbar spine without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical and lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Lumbar spine pain, idiopathic arthritis suspected, initial imaging 3199583
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lumbar spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography lumbar spine
1-10 mSv
☢☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lumbar spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US lumbar spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT lumbar spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT lumbar spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Thoracic spine pain, idiopathic arthritis suspected, initial imaging 3199584
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thoracic spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography thoracic spine
1-10 mSv
☢☢☢
May be appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI thoracic spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US thoracic spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT thoracic spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT thoracic spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Thoracic and lumbar spine pain, idiopathic arthritis suspected, initial imaging 3199585
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thoracic and lumbar spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography thoracic and lumbar spine
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI thoracic and lumbar spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US thoracic and lumbar spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT thoracic and lumbar spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT thoracic and lumbar spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Sacroiliac joint pain, idiopathic arthritis suspected, initial imaging 3199587
MRI sacroiliac joints without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
(Disagreement)
Radiography sacroiliac joints
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
MRI sacroiliac joints and lumbar spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI sacroiliac joints and lumbar spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US sacroiliac joints
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI sacroiliac joints without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT sacroiliac joints
1-10 mSv
☢☢☢ 		3-10 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
FDG-PET/MRI whole body
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
TMJ pain, idiopathic arthritis suspected, initial imaging 3199589
MRI temporomandibular joint without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography temporomandibular joint

0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
US head and neck
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI temporomandibular joint 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT maxillofacial
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT maxillofacial without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Ankle swelling, idiopathic arthritis, follow-up imaging 3199591
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		May be appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US ankle with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow swelling, idiopathic arthritis, follow-up imaging 3199592
US elbow
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
Radiography elbow
<0.1 mSv
☢
May be appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US elbow with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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 whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot swelling, idiopathic arthritis, follow-up imaging 3199593
US foot 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
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		May be appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand swelling, idiopathic arthritis, follow-up imaging 3199594
US hand
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
Radiography hand
<0.1 mSv
☢
May be appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US hand with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip swelling, idiopathic arthritis, follow-up imaging 3199595
US hip
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
Radiography hip
1-10 mSv
☢☢☢
May be appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US hip with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee swelling, idiopathic arthritis, follow-up imaging 3199596
US knee
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
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		May be appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US knee with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder swelling, idiopathic arthritis, follow-up imaging 3199597
US shoulder
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
Radiography shoulder
<0.1 mSv
☢
May be appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US shoulder with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist swelling, idiopathic arthritis, follow-up imaging 3199598
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography wrist
<0.1 mSv
☢
May be appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US wrist with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Ankle pain, idiopathic arthritis, follow-up imaging 3199599
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		May be appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US ankle with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Elbow pain, idiopathic arthritis, follow-up imaging 3199600
US elbow
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
Radiography elbow
<0.1 mSv
☢
May be appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US elbow with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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 whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Foot pain, idiopathic arthritis, follow-up imaging 3199601
US foot
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
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		May be appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US foot with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hand pain, idiopathic arthritis, follow-up imaging 3199602
US hand
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
Radiography hand
<0.1 mSv
☢
May be appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US hand with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Hip pain, idiopathic arthritis, follow-up imaging 3199603
US hip
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
Radiography hip
1-10 mSv
☢☢☢
May be appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US hip with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Knee pain, idiopathic arthritis, follow-up imaging 3199604
US knee
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
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		May be appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US knee with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Shoulder pain, idiopathic arthritis, follow-up imaging 3199605
US shoulder
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
Radiography shoulder
<0.1 mSv
☢
May be appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US shoulder with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Wrist pain, idiopathic arthritis, follow-up imaging 3199606
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI whole body without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Radiography wrist
<0.1 mSv
☢
May be appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US wrist with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Cervical spine pain, idiopathic arthritis, follow-up imaging 3199608
MRI cervical spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI cervical spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
US cervical spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography cervical spine
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT cervical spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT neck
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Cervical and thoracic spine pain, idiopathic arthritis, follow-up imaging 3199609
MRI cervical and thoracic spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI cervical and thoracic spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
US cervical and thoracic spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography cervical and thoracic spine
1-10 mSv
☢☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT cervical and thoracic spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT cervical and thoracic spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT cervical and thoracic spine with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
CT cervical and thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
CT cervical and thoracic spine without IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Lumbar spine pain, idiopathic arthritis, follow-up imaging 3199610
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lumbar spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lumbar spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
US lumbar spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography lumbar spine
1-10 mSv
☢☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT lumbar spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT lumbar spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Thoracic spine pain, idiopathic arthritis, follow-up imaging 3199611
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thoracic spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI thoracic spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
US thoracic spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography thoracic spine
1-10 mSv
☢☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT thoracic spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT thoracic spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Thoracic and lumbar spine pain, idiopathic arthritis, follow-up imaging 3199612
MRI complete spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thoracic and lumbar spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI complete spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI thoracic and lumbar spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
Radiography complete spine

0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
US thoracic and lumbar spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography thoracic and lumbar spine
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT thoracic and lumbar spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT thoracic and lumbar spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT complete spine without IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thoracic and lumbar spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Sacroiliac joint pain, idiopathic arthritis, follow-up imaging 3199614
MRI sacroiliac joints without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI sacroiliac joints and lumbar spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI sacroiliac joints and lumbar spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
US sacroiliac joints
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Radiography sacroiliac joints
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI sacroiliac joints without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT sacroiliac joints
1-10 mSv
☢☢☢ 		3-10 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
FDG-PET/MRI whole body
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
TMJ pain, idiopathic arthritis, follow-up imaging 3199616
MRI temporomandibular joint without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT maxillofacial without IV contrast
0.1-1mSv
☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
Radiography temporomandibular joint

0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
US head and neck
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI temporomandibular joint 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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan with SPECT or SPECT/CT maxillofacial
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT maxillofacial without and with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
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