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Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Seizure, neonate, initial imaging

3074057

MRI head without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

US head

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI head without and with 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

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 brain

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

SPECT or SPECT/CT brain perfusion

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Seizure, simple, febrile, initial imaging

3082087

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

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 brain

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

SPECT or SPECT/CT brain perfusion

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Seizure, complex, febrile, initial imaging

3082508

MRI head without IV contrast

0 mSv
O

0 mSv [ped]
O

May be 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

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 brain

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

SPECT or SPECT/CT brain perfusion

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Seizure, post head trauma, not abuse, initial imaging

3074059

MRI head without 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

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

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 brain

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

SPECT or SPECT/CT brain perfusion

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Seizure, focal, not abuse, initial imaging

3074060

MRI head without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI head without and with 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

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 brain

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

SPECT or SPECT/CT brain perfusion

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Seizure, primary, generalized, no neuro deficit, initial imaging

3074061

MRI head without IV contrast

0 mSv
O

0 mSv [ped]
O

May be 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

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 brain

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

SPECT or SPECT/CT brain perfusion

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Seizure, generalized, neuro deficit, initial imaging

3074062

MRI head without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI head without and with 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

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 brain

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

SPECT or SPECT/CT brain perfusion

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Seizure, refractory

3074063

MRI head without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI head without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate
(Disagreement)

FDG-PET/CT brain

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

SPECT or SPECT/CT brain perfusion

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

US head

0 mSv
O

0 mSv [ped]
O

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