ACR logo

ACR AC Portal

Home Malignant or Aggressive Primary Musculoskeletal Tumor-Staging And Surveillance
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Primary musculoskeletal tumor, malignant, pulmonary metastasis evaluation, initial staging 3195756
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary musculoskeletal tumor, aggressive, pulmonary metastasis evaluation, initial staging 3195755
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Primary musculoskeletal tumor, aggressive, extrapulmonary metastasis evaluation, initial staging 3195758
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
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
Bone scan whole body with SPECT or SPECT/CT elbow
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
Bone scan whole body with SPECT or SPECT/CT foot
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
Bone scan whole body with SPECT or SPECT/CT humerus
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
Bone scan whole body with SPECT or SPECT/CT pelvis
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
Bone scan whole body with SPECT or SPECT/CT ribs
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
Bone scan whole body with SPECT or SPECT/CT tibia and fibula
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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
(Disagreement)
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US chest
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Radiography elbow
<0.1 mSv
☢
Usually not appropriate
Radiography femur
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Radiography hand
<0.1 mSv
☢
Usually not appropriate
Radiography humerus
<0.1 mSv
☢
Usually not appropriate
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Radiography radius and ulna
<0.1 mSv
☢
Usually not appropriate
Radiography shoulder
<0.1 mSv
☢
Usually not appropriate
Radiography tibia and fibula
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Radiography wrist
<0.1 mSv
☢
Usually not appropriate
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI whole body without and with 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
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
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
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
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
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
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
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
CT thigh with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
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
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 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
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
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
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary musculoskeletal tumor, malignant, extrapulmonary metastasis evaluation, initial staging 3195759
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
MRI whole body without IV contrast
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
(Disagreement)
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
Bone scan whole body with SPECT or SPECT/CT elbow
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
Bone scan whole body with SPECT or SPECT/CT foot
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
Bone scan whole body with SPECT or SPECT/CT humerus
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
Bone scan whole body with SPECT or SPECT/CT pelvis
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
Bone scan whole body with SPECT or SPECT/CT ribs
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
Bone scan whole body with SPECT or SPECT/CT tibia and fibula
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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
(Disagreement)
US ankle
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US chest
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US foot
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US forearm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US hand
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US knee
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US lower leg
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US pelvis
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US shoulder
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US upper arm
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
US wrist
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Radiography elbow
<0.1 mSv
☢
Usually not appropriate
Radiography femur
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Radiography hand
<0.1 mSv
☢
Usually not appropriate
Radiography humerus
<0.1 mSv
☢
Usually not appropriate
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Radiography radius and ulna
<0.1 mSv
☢
Usually not appropriate
Radiography shoulder
<0.1 mSv
☢
Usually not appropriate
Radiography tibia and fibula
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually not appropriate
Radiography wrist
<0.1 mSv
☢
Usually not appropriate
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
MRI whole body without and with 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
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
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
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
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
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
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
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
CT thigh with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
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
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 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
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
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
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Primary musculoskeletal tumor, aggressive, no recurrence, pulmonary metastasis surveillance 3195762
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary musculoskeletal tumor, malignant, no recurrence, pulmonary metastasis surveillance 3195764
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary musculoskeletal tumor, malignant, no recurrence suspected, pulmonary metastasis surveillance 3195763
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary musculoskeletal tumor, aggressive, no recurrence suspected, pulmonary metastasis surveillance 3195761
CT chest without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Primary bone tumor, aggressive, elbow, local recurrence surveillance 3195771
Radiography elbow
<0.1 mSv
☢
Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, malignant, forearm, local recurrence surveillance 3195785
Radiography radius and ulna
<0.1 mSv
☢
Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, aggressive, humerus, local recurrence surveillance 3195776
Radiography humerus
<0.1 mSv
☢
Usually appropriate
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
CT upper arm with IV contrast
1-10 mSv
☢☢☢
May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US upper arm
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 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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, aggressive, shoulder, local recurrence surveillance 3195790
Radiography shoulder
<0.1 mSv
☢
Usually appropriate
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
CT shoulder with IV contrast
1-10 mSv
☢☢☢
May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US shoulder
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 without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, aggressive, tibia/fibula, local recurrence surveillance 3195778
Radiography tibia and fibula
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, aggressive, wrist, local recurrence surveillance 3195766
Radiography wrist
<0.1 mSv
☢
Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, malignant, femur, local recurrence surveillance 3195783
Radiography femur
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, aggressive, chest, local recurrence surveillance 3195768
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
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
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US chest
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 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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, aggressive, foot, local recurrence surveillance 3195773
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, malignant, humerus, local recurrence surveillance 3195787
Radiography humerus
<0.1 mSv
☢
Usually appropriate
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
CT upper arm with IV contrast
1-10 mSv
☢☢☢
May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US upper arm
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 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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, aggressive, hand, local recurrence surveillance 3195775
Radiography hand
<0.1 mSv
☢
Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, malignant, pelvis, local recurrence surveillance 3195780
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
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
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US pelvis
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 without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, aggressive, knee, local recurrence surveillance 3195777
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, malignant, shoulder, local recurrence surveillance 3195791
Radiography shoulder
<0.1 mSv
☢
Usually appropriate
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
CT shoulder with IV contrast
1-10 mSv
☢☢☢
May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US shoulder
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 without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
CT shoulder without IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, malignant, elbow, local recurrence surveillance 3195782
Radiography elbow
<0.1 mSv
☢
Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, aggressive, ankle, local recurrence surveillance 3195770
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, malignant, foot, local recurrence surveillance 3195784
Radiography foot
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, aggressive, femur, local recurrence surveillance 3195772
Radiography femur
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
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
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US thigh
0 mSv
O 		0 mSv [ped]
O 		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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, malignant, tibia/fibula, local recurrence surveillance 3195789
Radiography tibia and fibula
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, aggressive, forearm, local recurrence surveillance 3195774
Radiography radius and ulna
<0.1 mSv
☢
Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, malignant, knee, local recurrence surveillance 3195788
Radiography knee
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, malignant, chest, local recurrence surveillance 3195779
Radiography chest
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
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
CT chest with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US chest
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 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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, malignant, wrist, local recurrence surveillance 3195767
Radiography wrist
<0.1 mSv
☢
Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, malignant, ankle, local recurrence surveillance 3195781
Radiography ankle
<0.1 mSv
☢ 		<0.03 mSv [ped]
☢ 		Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, aggressive, pelvis, local recurrence surveillance 3195769
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually appropriate
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
CT pelvis with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
US pelvis
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 without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT pelvis without and with IV contrast
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Primary bone tumor, malignant, hand, local recurrence surveillance 3195786
Radiography hand
<0.1 mSv
☢
Usually appropriate
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
FDG-PET/CT whole body
10-30 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
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/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
Fluoride 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 soft tissue tumor, malignant, elbow, local recurrence surveillance 3195811
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
US elbow
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography elbow
<0.1 mSv
☢
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
Primary soft tissue tumor, aggressive, abdomen, local recurrence surveillance 3195794
MRI abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US abdomen
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT abdomen with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT abdomen without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Primary soft tissue tumor, aggressive, leg, local recurrence surveillance 3195806
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
US lower leg
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography leg
<0.1 mSv
☢
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
Primary soft tissue tumor, aggressive, wrist, local recurrence surveillance 3195818
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
US wrist
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT wrist with IV contrast
<0.1 mSv
☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography wrist
<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
Primary soft tissue tumor, aggressive, knee, local recurrence surveillance 3195804
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
US knee
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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography knee
<0.1 mSv
☢ 		<0.03 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
Primary soft tissue tumor, malignant, forearm, local recurrence surveillance 3195813
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
US forearm
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography radius and ulna
<0.1 mSv
☢
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
Primary soft tissue tumor, aggressive, thigh, local recurrence surveillance 3195799
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
US thigh
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography femur
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Primary soft tissue tumor, malignant, shoulder, local recurrence surveillance 3195820
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
US shoulder
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography shoulder
<0.1 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
Primary soft tissue tumor, aggressive, arm, local recurrence surveillance 3195803
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
US upper arm
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography radius and ulna
<0.1 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
Primary soft tissue tumor, malignant, knee, local recurrence surveillance 3195815
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
US knee
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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography knee
<0.1 mSv
☢ 		<0.03 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
Primary soft tissue tumor, aggressive, forearm, local recurrence surveillance 3195801
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
US forearm
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT forearm with IV contrast
0.1-1mSv
☢☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography radius and ulna
<0.1 mSv
☢
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
Primary soft tissue tumor, malignant, arm, local recurrence surveillance 3195810
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
US upper arm
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT upper arm with IV contrast
1-10 mSv
☢☢☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography humerus
<0.1 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
Primary soft tissue tumor, aggressive, ankle, local recurrence surveillance 3195796
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
US ankle
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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography ankle
<0.1 mSv
☢ 		<0.03 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
Primary soft tissue tumor, malignant, pelvis, local recurrence surveillance 3195808
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
US pelvis
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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 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
Primary soft tissue tumor, malignant, thigh, local recurrence surveillance 3195817
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
US thigh
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT thigh with IV contrast
0.1-1mSv
☢☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography femur
<0.1 mSv
☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT thigh without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT thigh without and with IV contrast
1-10 mSv
☢☢☢
Usually not appropriate
Primary soft tissue tumor, aggressive, foot, local recurrence surveillance 3195800
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
US foot
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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography foot
<0.1 mSv
☢ 		<0.03 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
Primary soft tissue tumor, malignant, foot, local recurrence surveillance 3195812
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
US foot
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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography foot
<0.1 mSv
☢ 		<0.03 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
Primary soft tissue tumor, aggressive, elbow, local recurrence surveillance 3195798
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
US elbow
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography elbow
<0.1 mSv
☢
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
Primary soft tissue tumor, malignant, wrist, local recurrence surveillance 3195793
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
US wrist
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT wrist with IV contrast
<0.1 mSv
☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography wrist
<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
Primary soft tissue tumor, aggressive, shoulder, local recurrence surveillance 3195819
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
US shoulder
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT shoulder with IV contrast
1-10 mSv
☢☢☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography shoulder
<0.1 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
Primary soft tissue tumor, aggressive, pelvis, local recurrence surveillance 3195805
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
US pelvis
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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography pelvis
0.1-1mSv
☢☢ 		0.03-0.3 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
Primary soft tissue tumor, malignant, hand, local recurrence surveillance 3195814
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
US hand
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT hand with IV contrast
<0.1 mSv
☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography hand
<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
Primary soft tissue tumor, aggressive, chest, local recurrence surveillance 3195797
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
US chest
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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 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
Primary soft tissue tumor, malignant, ankle, local recurrence surveillance 3195809
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
US ankle
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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography ankle
<0.1 mSv
☢ 		<0.03 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
Primary soft tissue tumor, malignant, abdomen, local recurrence surveillance 3195795
MRI abdomen without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI abdomen without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
US abdomen
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT abdomen with IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography abdomen
0.1-1mSv
☢☢ 		0.03-0.3 mSv [ped]
☢☢ 		Usually not appropriate
CT abdomen without IV contrast
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		Usually not appropriate
CT abdomen without and with IV contrast
10-30 mSv
☢☢☢☢ 		10-30 mSv [ped]
☢☢☢☢☢ 		Usually not appropriate
Primary soft tissue tumor, malignant, chest, local recurrence surveillance 3195807
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
US chest
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
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography chest
<0.1 mSv
☢ 		<0.03 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
Primary soft tissue tumor, malignant, leg, local recurrence surveillance 3195816
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
US lower leg
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT lower leg with IV contrast
0.1-1mSv
☢☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography leg
<0.1 mSv
☢
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
Primary soft tissue tumor, aggressive, hand, local recurrence surveillance 3195802
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
US hand
0 mSv
O 		0 mSv [ped]
O 		May be appropriate
CT hand with IV contrast
<0.1 mSv
☢
May be appropriate
FDG-PET/MRI whole body
1-10 mSv
☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
FDG-PET/CT whole body
10-30 mSv
☢☢☢☢ 		3-10 mSv [ped]
☢☢☢☢ 		May be appropriate
Radiography hand
<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
© 2025