ACR AC Portal

Home Suspected Pulmonary Embolism

Variants

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Pulmonary embolism suspected, low pretest probability, negative D-dimer, initial imaging

3195259

US duplex Doppler lower extremity

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transesophageal

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transthoracic resting

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Arteriography pulmonary with right heart catheterization

10-30 mSv
☢☢☢☢

Usually not appropriate

MRA pulmonary arteries without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA pulmonary arteries 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 chest with IV contrast with CTV lower extremities

1-10 mSv
☢☢☢

Usually not appropriate

CTA pulmonary arteries with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

V/Q scan lung

1-10 mSv
☢☢☢

Usually not appropriate

Pulmonary embolism suspected, intermediate pretest probability, negative D-dimer, initial imaging

3195260

US duplex Doppler lower extremity

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transesophageal

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transthoracic resting

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Arteriography pulmonary with right heart catheterization

10-30 mSv
☢☢☢☢

Usually not appropriate

MRA pulmonary arteries without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA pulmonary arteries 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 chest with IV contrast with CTV lower extremities

1-10 mSv
☢☢☢

Usually not appropriate

CTA pulmonary arteries with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

V/Q scan lung

1-10 mSv
☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Pulmonary embolism suspected, low pretest probability, positive D-dimer, initial imaging

3195262

CTA pulmonary arteries with IV contrast

1-10 mSv
☢☢☢

Usually appropriate

V/Q scan lung

1-10 mSv
☢☢☢

Usually appropriate

MRA pulmonary arteries without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CTA triple rule out

1-10 mSv
☢☢☢

May be appropriate
(Disagreement)

US duplex Doppler lower extremity

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transesophageal

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transthoracic resting

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Arteriography pulmonary with right heart catheterization

10-30 mSv
☢☢☢☢

Usually not appropriate

MRA pulmonary arteries 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 chest with IV contrast with CTV lower extremities

1-10 mSv
☢☢☢

Usually not appropriate

Pulmonary embolism suspected, intermediate pretest probability, positive D-dimer, initial imaging

3195263

CTA pulmonary arteries with IV contrast

1-10 mSv
☢☢☢

Usually appropriate

V/Q scan lung

1-10 mSv
☢☢☢

Usually appropriate

MRA pulmonary arteries without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CTA triple rule out

1-10 mSv
☢☢☢

May be appropriate
(Disagreement)

US duplex Doppler lower extremity

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transesophageal

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transthoracic resting

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Arteriography pulmonary with right heart catheterization

10-30 mSv
☢☢☢☢

Usually not appropriate

MRA pulmonary arteries 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 chest with IV contrast with CTV lower extremities

1-10 mSv
☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Pulmonary embolism suspected, high pretest probability, initial imaging

3195265

CTA pulmonary arteries with IV contrast

1-10 mSv
☢☢☢

Usually appropriate

V/Q scan lung

1-10 mSv
☢☢☢

Usually appropriate

US duplex Doppler lower extremity

0 mSv
O

0 mSv [ped]
O

May be appropriate
(Disagreement)

US echocardiography transthoracic resting

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRA pulmonary arteries without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

US echocardiography transesophageal

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Arteriography pulmonary with right heart catheterization

10-30 mSv
☢☢☢☢

Usually not appropriate

MRA pulmonary arteries 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 chest with IV contrast with CTV lower extremities

1-10 mSv
☢☢☢

Usually not appropriate

CTA triple rule out

1-10 mSv
☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Pulmonary embolism suspected, pregnant, initial imaging

3195266

US duplex Doppler lower extremity

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

CTA pulmonary arteries with IV contrast

1-10 mSv
☢☢☢

Usually appropriate

V/Q scan lung

1-10 mSv
☢☢☢

Usually appropriate

US echocardiography transesophageal

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transthoracic resting

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Arteriography pulmonary with right heart catheterization

10-30 mSv
☢☢☢☢

Usually not appropriate

MRA pulmonary arteries without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA pulmonary arteries 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 chest with IV contrast with CTV lower extremities

1-10 mSv
☢☢☢

Usually not appropriate

CTA triple rule out

1-10 mSv
☢☢☢

Usually not appropriate