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Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Foot pain, chronic, etiology unknown, initial imaging

3084044

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 foot

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Foot pain, chronic, posttraumatic, negative or equivocal radiography, complex regional pain syndrome type 1 suspected, next imaging study

3073938

MRI foot without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

3-phase bone scan foot

1-10 mSv
☢☢☢

Usually appropriate

MRI foot without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

US foot

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

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Metatarsalgia, chronic, negative or equivocal radiography, chronic plantar plate injury suspected, next imaging study

3191952

MRI foot without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

US foot

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI foot without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT foot without IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

Bone scan foot

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be 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

Metatarsalgia, chronic, negative or equivocal radiography, sesamoiditis suspected, next imaging study

3191949

MRI foot without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

US foot

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI foot without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT foot without IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

Bone scan foot

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be 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

Metatarsalgia, chronic, negative or equivocal radiography, intermetatarsal bursitis suspected, next imaging study

3191951

MRI foot without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

US foot

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI foot without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT foot without IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

Bone scan foot

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be 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

Metatarsalgia, chronic, negative or equivocal radiography, freiberg’s infraction suspected, next imaging study

3191953

MRI foot without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

US foot

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI foot without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT foot without IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

Bone scan foot

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be 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

Metatarsalgia, chronic, negative or equivocal radiography, mortons neuroma suspected, next imaging study

3191950

MRI foot without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

US foot

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI foot without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT foot without IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

May be appropriate

Bone scan foot

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be 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

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Heel pain, chronic, negative or equivocal radiography, plantar fascia tear suspected, next imaging study

3191955

US foot

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI foot without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI foot without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually 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 with SPECT or SPECT/CT foot

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Heel pain, chronic, negative or equivocal radiography, plantar fasciitis suspected, next imaging study

3191954

US foot

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI foot without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI foot without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually 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 with SPECT or SPECT/CT foot

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Midfoot pain, chronic, negative or equivocal radiography, occult fracture suspected, next imaging study

3191956

MRI foot without 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

Bone scan foot

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be 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

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

Midfoot pain, chronic, negative or equivocal radiography, accessory ossicles suspected, next imaging study

3191957

MRI foot without 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

Bone scan foot

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be 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

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

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Foot pain, chronic, entrapment syndrome, negative or equivocal radiography, baxters neuropathy suspected, next imaging study

3185445

US foot

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI foot without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI foot without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually 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 with SPECT or SPECT/CT foot

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate