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Home Suspected Primary Bone Tumors
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Primary bone tumor suspected, hand, initial imaging 3109058
Radiography hand
<0.1 mSv
☢
Usually appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hand 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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, radius and ulna, initial imaging 3109056
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 whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT radius and ulna
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
Primary bone tumor suspected, lumbosacral spine, initial imaging 3109051
Radiography lumbosacral spine
1-10 mSv
☢☢☢
Usually appropriate
US lumbosacral spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lumbosacral spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lumbosacral spine 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 lumbosacral spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbosacral spine with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT lumbosacral spine without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT lumbosacral spine without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, ribs, initial imaging 3165301
Radiography rib views
1-10 mSv
☢☢☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US chest
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
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT ribs
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, hip, initial imaging 3198798
Radiography hip
1-10 mSv
☢☢☢
Usually appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI hip 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
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/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, thoracic spine, initial imaging 3109053
Radiography thoracic spine
1-10 mSv
☢☢☢
Usually appropriate
US thoracic spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI thoracic spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI thoracic spine 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 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
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
Primary bone tumor suspected, ankle, initial imaging 3109060
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI ankle 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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, cervical spine, initial imaging 3109048
Radiography cervical spine
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
US cervical spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI cervical spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI cervical spine 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 cervical spine
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/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, elbow, initial imaging 3109055
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 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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, humerus, initial imaging 3109050
Radiography humerus
<0.1 mSv
☢
Usually appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper arm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT humerus
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper arm without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper arm without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, shoulder, initial imaging 3198797
Radiography shoulder
<0.1 mSv
☢
Usually appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI shoulder 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
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/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, wrist, initial imaging 3109057
Radiography wrist
<0.1 mSv
☢
Usually appropriate
US wrist
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, pelvis, initial imaging 3109052
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI pelvis 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 pelvis
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
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
Primary bone tumor suspected, foot, initial imaging 3109061
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI foot 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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, knee, initial imaging 3109059
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI knee 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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, skull, initial imaging 3165302
Radiography skull
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
US head
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI head 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 skull
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, tibia and fibula, initial imaging 3109054
Radiography tibia and fibula
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT tibia and fibula
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
Primary bone tumor suspected, femur, initial imaging 3109049
Radiography femur
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI thigh without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI thigh without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT femur
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
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
Primary bone tumor suspected, shoulder, no lesions on radiography, next imaging study 3198799
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, tibia and fibula, no lesions on radiography, next imaging study 3109194
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
May be appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT tibia and fibula
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, pelvis, no lesions on radiography, next imaging study 3109192
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT pelvis
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		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
Primary bone tumor suspected, knee, no lesions on radiography, next imaging study 3109199
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, skull, no lesions on radiography, next imaging study 3165304
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT skull
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
US head
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, femur, no lesions on radiography, next imaging study 3109189
MRI thigh without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thigh without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
May be appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT femur
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, foot, no lesions on radiography, next imaging study 3109201
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, radius and ulna, no lesions on radiography, next imaging study 3109196
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
May be appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT radius and ulna
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT forearm without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, ribs, no lesions on radiography, next imaging study 3165303
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT ribs
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		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
US chest
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, lumbosacral spine, no lesions on radiography, next imaging study 3109191
MRI lumbosacral spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lumbosacral spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT lumbosacral spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT lumbosacral spine with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT lumbosacral spine without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US lumbosacral spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT lumbosacral spine without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, ankle, no lesions on radiography, next imaging study 3109200
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, hand, no lesions on radiography, next imaging study 3109198
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hand with IV contrast
<0.1 mSv
☢
May be appropriate
CT hand without IV contrast
<0.1 mSv
☢
May be appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, elbow, no lesions on radiography, next imaging study 3109193
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
May be appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, wrist, no lesions on radiography, next imaging study 3109197
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT wrist with IV contrast
<0.1 mSv
☢
May be appropriate
CT wrist without IV contrast
<0.1 mSv
☢
May be appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, cervical spine, no lesions on radiography, next imaging study 3109188
MRI cervical 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 		Usually appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT cervical spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT cervical spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT cervical spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US cervical spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT cervical spine without and with IV contrast
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
Primary bone tumor suspected, hip, no lesions on radiography, next imaging study 3198800
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, thoracic spine, no lesions on radiography, next imaging study 3109195
MRI thoracic spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thoracic spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT thoracic spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT thoracic spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT thoracic spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US thoracic spine
0 mSv
O 		0 mSv [ped]
O 		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
Primary bone tumor suspected, humerus, no lesions on radiography, next imaging study 3109190
MRI upper arm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT humerus
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT upper arm without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT upper arm without and with IV contrast
1-10 mSv
☢☢☢
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
Primary bone tumor suspected, radius and ulna, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109098
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI forearm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
May be appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy forearm

Varies
Varies 		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 whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT radius and ulna
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
Primary bone tumor suspected, ribs, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3165305
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
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US chest
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy chest

Varies
Varies 		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 ribs
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT chest without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, lumbosacral spine, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109093
MRI lumbosacral spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lumbosacral spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT lumbosacral spine without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US lumbosacral spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy lumbosacral spine

Varies
Varies 		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 lumbosacral spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT lumbosacral spine with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT lumbosacral spine without and with IV contrast
10-30 mSv
☢☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, hand, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109100
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
CT hand without IV contrast
<0.1 mSv
☢
May be appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy hand

Varies
Varies 		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
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, cervical spine, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109090
MRI cervical spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI cervical spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT cervical spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US cervical spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy cervical spine

Varies
Varies 		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
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, ankle, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109102
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
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy ankle

Varies
Varies 		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
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, tibia and fibula, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109097
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
May be appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy lower leg

Varies
Varies 		Usually not appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Bone scan whole body with SPECT or SPECT/CT tibia and fibula
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
Primary bone tumor suspected, elbow, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109095
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
CT elbow without IV contrast
0.1-1mSv
☢☢
May be appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy elbow

Varies
Varies 		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 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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, hip, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3198802
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
CT hip without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy hip

Varies
Varies 		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
CT hip with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, shoulder, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3198801
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
CT shoulder without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy shoulder

Varies
Varies 		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
CT shoulder with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, wrist, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109099
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
CT wrist without IV contrast
<0.1 mSv
☢
May be appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy wrist

Varies
Varies 		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
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, pelvis, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109094
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy pelvis

Varies
Varies 		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 pelvis
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 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
Primary bone tumor suspected, humerus, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109092
MRI upper arm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT upper arm without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy upper arm

Varies
Varies 		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 humerus
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT upper arm without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, knee, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109101
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
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy knee

Varies
Varies 		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
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, thoracic spine, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109096
MRI thoracic spine without and with 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
CT thoracic spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US thoracic spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy thoracic spine

Varies
Varies 		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
CT thoracic spine with IV contrast
1-10 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
Primary bone tumor suspected, skull, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3165306
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
US head
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy head

Varies
Varies 		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 skull
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually not appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, femur, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109091
MRI thigh without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
MRI thigh without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
May be appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy thigh

Varies
Varies 		Usually not appropriate
CT thigh with 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 femur
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, foot, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study 3109103
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
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy foot

Varies
Varies 		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
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
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
Primary bone tumor suspected, pelvis, osteoid osteoma suspected on radiography, next imaging study 3109108
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy pelvis

Varies
Varies 		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 pelvis
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
Primary bone tumor suspected, knee, osteoid osteoma suspected on radiography, next imaging study 3109115
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy knee

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, hand, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198808
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT hand with IV contrast
<0.1 mSv
☢
May be appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
May be appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy hand

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, humerus, osteoid osteoma suspected on radiography, next imaging study 3109106
MRI upper arm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT upper arm without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT upper arm without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy upper arm

Varies
Varies 		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 humerus
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
Primary bone tumor suspected, hip, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198822
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy hip

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, skull, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198803
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US head
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy head

Varies
Varies 		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 skull
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
Primary bone tumor suspected, shoulder, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198820
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy shoulder

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, lumbosacral spine, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198815
MRI lumbosacral spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT lumbosacral spine without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
MRI lumbosacral spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT lumbosacral spine with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT lumbosacral spine without and with IV contrast
10-30 mSv
☢☢☢☢
May be appropriate
US lumbosacral spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy lumbosacral spine

Varies
Varies 		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 lumbosacral spine
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
Primary bone tumor suspected, wrist, osteoid osteoma suspected on radiography, next imaging study 3109113
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT wrist with IV contrast
<0.1 mSv
☢
May be appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
May be appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy wrist

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, shoulder, osteoid osteoma suspected on radiography, next imaging study 3198819
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy shoulder

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, foot, osteoid osteoma suspected on radiography, next imaging study 3109117
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy foot

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, radius and ulna, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198810
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
Usually appropriate
MRI forearm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT forearm without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy forearm

Varies
Varies 		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 radius and ulna
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
Primary bone tumor suspected, radius and ulna, osteoid osteoma suspected on radiography, next imaging study 3109112
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
Usually appropriate
MRI forearm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT forearm without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy forearm

Varies
Varies 		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 radius and ulna
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
Primary bone tumor suspected, foot, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198805
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy foot

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, thoracic spine, osteoid osteoma suspected on radiography, next imaging study 3109110
MRI thoracic spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT thoracic spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRI thoracic spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT thoracic spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US thoracic spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy thoracic spine

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, femur, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198817
MRI thigh without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
Usually appropriate
MRI thigh without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy thigh

Varies
Varies 		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 femur
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
Primary bone tumor suspected, femur, osteoid osteoma suspected on radiography, next imaging study 3109105
MRI thigh without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
Usually appropriate
MRI thigh without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy thigh

Varies
Varies 		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 femur
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
Primary bone tumor suspected, skull, osteoid osteoma suspected on radiography, next imaging study 3165308
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		Usually appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US head
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy head

Varies
Varies 		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 skull
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
Primary bone tumor suspected, thoracic spine, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198812
MRI thoracic spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT thoracic spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRI thoracic spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT thoracic spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US thoracic spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy thoracic spine

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, humerus, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198816
MRI upper arm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT upper arm without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT upper arm without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy upper arm

Varies
Varies 		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 humerus
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
Primary bone tumor suspected, hand, osteoid osteoma suspected on radiography, next imaging study 3109114
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hand without IV contrast
<0.1 mSv
☢
Usually appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT hand with IV contrast
<0.1 mSv
☢
May be appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
May be appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy hand

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, knee, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198807
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy knee

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, pelvis, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198814
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy pelvis

Varies
Varies 		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 pelvis
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
Primary bone tumor suspected, elbow, osteoid osteoma suspected on radiography, next imaging study 3109109
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy elbow

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, wrist, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198809
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT wrist without IV contrast
<0.1 mSv
☢
Usually appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT wrist with IV contrast
<0.1 mSv
☢
May be appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
May be appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy wrist

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, lumbosacral spine, osteoid osteoma suspected on radiography, next imaging study 3109107
MRI lumbosacral spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT lumbosacral spine without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
MRI lumbosacral spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT lumbosacral spine with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT lumbosacral spine without and with IV contrast
10-30 mSv
☢☢☢☢
May be appropriate
US lumbosacral spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy lumbosacral spine

Varies
Varies 		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 lumbosacral spine
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
Primary bone tumor suspected, ribs, osteoid osteoma suspected on radiography, next imaging study 3165307
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRI chest 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 and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US chest
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy chest

Varies
Varies 		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 ribs
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
Primary bone tumor suspected, hip, osteoid osteoma suspected on radiography, next imaging study 3198821
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
Usually appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy hip

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, elbow, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198813
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy elbow

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, tibia and fibula, osteoid osteoma suspected on radiography, next imaging study 3109111
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
Usually appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy lower leg

Varies
Varies 		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 tibia and fibula
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
Primary bone tumor suspected, tibia and fibula, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198811
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
Usually appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy lower leg

Varies
Varies 		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 tibia and fibula
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
Primary bone tumor suspected, ankle, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198806
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy ankle

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, cervical spine, osteoid osteoma suspected on radiography, next imaging study 3109104
MRI cervical spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT cervical spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRI cervical spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT cervical spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT cervical spine without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US cervical spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy cervical spine

Varies
Varies 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, ribs, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198804
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRI chest 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 and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US chest
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy chest

Varies
Varies 		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 ribs
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
Primary bone tumor suspected, cervical spine, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study 3198818
MRI cervical spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT cervical spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRI cervical spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT cervical spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT cervical spine without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, ankle, osteoid osteoma suspected on radiography, next imaging study 3109116
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy ankle

Varies
Varies 		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
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
Primary bone tumor suspected, radius and ulna, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198831
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT forearm without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT radius and ulna
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy forearm

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, foot, lesion on radiography, indeterminate, next imaging study 3165324
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy foot

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, thoracic spine, lesion on radiography, indeterminate, next imaging study 3165310
MRI thoracic spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thoracic spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT thoracic spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT thoracic spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT thoracic spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US thoracic spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy thoracic spine

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, foot, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198833
MRI foot without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI foot without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT foot with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT foot without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT foot without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT foot
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy foot

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, humerus, lesion on radiography, indeterminate, next imaging study 3165315
MRI upper arm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT humerus
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT upper arm without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT upper arm without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy upper arm

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, hand, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198838
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT hand with IV contrast
<0.1 mSv
☢
May be appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
May be appropriate
CT hand without IV contrast
<0.1 mSv
☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy hand

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, ribs, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198824
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT ribs
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and 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
US chest
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy chest

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, elbow, lesion on radiography, indeterminate, next imaging study 3165317
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy elbow

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, lumbosacral spine, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198826
MRI lumbosacral spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lumbosacral spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT lumbosacral spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT lumbosacral spine with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT lumbosacral spine without IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT lumbosacral spine without and with IV contrast
10-30 mSv
☢☢☢☢
May be appropriate
US lumbosacral spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy lumbosacral spine

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, tibia and fibula, lesion on radiography, indeterminate, next imaging study 3165322
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT tibia and fibula
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy lower leg

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, knee, lesion on radiography, indeterminate, next imaging study 3165321
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy knee

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, cervical spine, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198828
MRI cervical 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 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT cervical spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT cervical spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT cervical spine without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT cervical spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US cervical spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy cervical spine

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, elbow, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198830
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT elbow
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy elbow

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, hip, lesion on radiography, indeterminate, next imaging study 3198842
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy hip

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, skull, lesion on radiography, indeterminate, next imaging study 3165312
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT skull
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
US head
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy head

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, tibia and fibula, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198835
MRI lower leg without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lower leg without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT lower leg without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT lower leg without IV contrast
0.1-1mSv
☢☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT tibia and fibula
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy lower leg

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, pelvis, lesion on radiography, indeterminate, next imaging study 3165314
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT pelvis
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy pelvis

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, hip, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198840
MRI hip without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hip without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT hip
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT hip with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT hip without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT hip without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US hip
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy hip

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, pelvis, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198823
MRI pelvis without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI pelvis without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT pelvis
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT pelvis without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy pelvis

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, hand, lesion on radiography, indeterminate, next imaging study 3165319
MRI hand without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI hand without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT hand with IV contrast
<0.1 mSv
☢
May be appropriate
CT hand without and with IV contrast
<0.1 mSv
☢
May be appropriate
CT hand without IV contrast
<0.1 mSv
☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT hand
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy hand

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, wrist, lesion on radiography, indeterminate, next imaging study 3165318
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT wrist with IV contrast
<0.1 mSv
☢
May be appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
May be appropriate
CT wrist without IV contrast
<0.1 mSv
☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy wrist

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, skull, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198825
MRI head without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI head without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT skull
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT head with IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
CT head without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT head without IV contrast
1-10 mSv
☢☢☢ 		0.3-3 mSv [ped]
☢☢☢ 		May be appropriate
US head
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy head

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, femur, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198837
MRI thigh without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thigh without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT femur
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy thigh

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, ankle, lesion on radiography, indeterminate, next imaging study 3165323
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy ankle

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, shoulder, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198839
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy shoulder

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, cervical spine, lesion on radiography, indeterminate, next imaging study 3165309
MRI cervical 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 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT cervical spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT cervical spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT cervical spine without and with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT cervical spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US cervical spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy cervical spine

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, lumbosacral spine, lesion on radiography, indeterminate, next imaging study 3165311
MRI lumbosacral spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI lumbosacral spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT lumbosacral spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT lumbosacral spine with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT lumbosacral spine without IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT lumbosacral spine without and with IV contrast
10-30 mSv
☢☢☢☢
May be appropriate
US lumbosacral spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy lumbosacral spine

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, thoracic spine, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198827
MRI thoracic spine without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thoracic spine without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT thoracic spine
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT thoracic spine with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT thoracic spine without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT thoracic spine without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US thoracic spine
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy thoracic spine

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, radius and ulna, lesion on radiography, indeterminate, next imaging study 3165316
MRI forearm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI forearm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT forearm without and with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT forearm without IV contrast
0.1-1mSv
☢☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT radius and ulna
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy forearm

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, humerus, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198832
MRI upper arm without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI upper arm without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT humerus
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT upper arm without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT upper arm without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy upper arm

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, ankle, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198834
MRI ankle without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI ankle without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT ankle with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT ankle without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT ankle without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT ankle
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy ankle

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, femur, lesion on radiography, indeterminate, next imaging study 3165320
MRI thigh without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI thigh without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
May be appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT femur
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy thigh

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, knee, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198836
MRI knee without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI knee without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT knee with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT knee without and with IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
CT knee without IV contrast
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		May be appropriate
Bone scan whole body with SPECT or SPECT/CT knee
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy knee

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, shoulder, lesion on radiography, indeterminate, next imaging study 3198841
MRI shoulder without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI shoulder without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT shoulder
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT shoulder without and with IV contrast
1-10 mSv
☢☢☢
May be appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
May be appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy shoulder

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, ribs, lesion on radiography, indeterminate, next imaging study 3165313
MRI chest without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI chest without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
Bone scan whole body with SPECT or SPECT/CT ribs
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
CT chest without and 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
US chest
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy chest

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor suspected, wrist, lesion on radiography, aggressive appearance for malignancy, next imaging study 3198829
MRI wrist without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI wrist without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
CT wrist with IV contrast
<0.1 mSv
☢
May be appropriate
CT wrist without and with IV contrast
<0.1 mSv
☢
May be appropriate
CT wrist without IV contrast
<0.1 mSv
☢
May be appropriate
Bone scan whole body with SPECT or SPECT/CT wrist
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Image-guided biopsy wrist

Varies
Varies 		Usually not appropriate
Bone scan whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
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