instruction stringlengths 219 1.08k | procedure stringclasses 840
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Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Surveillance of stage IA and IB nonseminoma testicular cancer.
Diagnosed by orchiectomy.
No clinical suspicion of recurren... | Radiography chest | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Breast cancer screening.
Transmasculine (female-to-male) patient with bilateral mastectomies (“top surgery”) at any age an... | Magnetic Resonance Imaging breast without and with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adult or child older than 5 years of age.
Acute trauma to the foot.
Ottawa rules cannot be evaluated due to exclusionary c... | Computed Tomography foot with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adolescent (10 to 17 years of age).
Adolescent idiopathic scoliosis.
Risk factors.
Initial imaging. | Computed Tomography spine area of interest without Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Follow-up of known thoracoabdominal aortic aneurysm or dissection without repair.
Without or with new symptoms. | Computed Tomography chest abdomen pelvis without and with Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Colorectal cancer screening.
Average-risk individual.
Age greater than or equal to 50 years.
Initial screening, then follo... | Fluoroscopy barium enema double-contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **strong
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Chronic shoulder pain.
Radiographs demonstrate calcific tendinopathy or calcific bursitis.
Next imaging study. | Magnetic Resonance Imaging shoulder without and with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Muscle-invasive bladder cancer with or without cystectomy.
Post-treatment surveillance. | Fluoroscopy abdomen loopogram | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adult.
Asymptomatic unilateral hydronephrosis with unknown cause.
Initial imaging. | Magnetic Resonance Imaging abdomen and pelvis without and with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Suspected arrhythmogenic cardiomyopathy (arrhythmia of ventricular origin).
Ischemic cardiomyopathy already excluded.
Init... | Ultrasound echocardiography transesophageal | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Surveillance of asymptomatic patients with treated low- or intermediate-risk endometrial cancer. | Ultrasound pelvis transvaginal | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Female.
Newly diagnosed breast cancer, greater than 2 cm, with clinical node-positive.
Initial imaging of the axilla follo... | Magnetic Resonance Imaging breast without Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **moderate
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Acute COPD exacerbation in immunocompetent patients, uncomplicated (no chest pain, fever, or leukocytosis, no history of c... | Magnetic Resonance Imaging chest without and with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Known arterial occlusion in the mesenteric or renal arterial system or renal infarcts.
Suspected embolic etiology.
Next im... | Magnetic Resonance Imaging heart function and morphology without Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **moderate
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Visual loss.
Etiology identified on ophthalmologic examination or laboratory tests. | Magnetic Resonance Angiography head and neck without Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adult or child 5 years of age or older.
Acute trauma to the ankle.
Radiographs negative for osseous injury and physical ex... | Magnetic Resonance Imaging ankle without Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adult female or male or transfeminine (male-to-female) or transmasculine (female-to-male).
Known axillary lymph node-posit... | Mammography diagnostic | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Epigastric pain with clinical suspicion for gastric cancer.
Initial imaging. | Computed Tomography abdomen without and with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Palpable abdominal mass.
Suspected abdominal wall mass.
Initial imaging. | Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography skull base to mid-thigh | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adult.
Chronic recurrent vertigo.
Associated with other brainstem neurologic deficits.
Initial imaging. | Magnetic Resonance Imaging cervical and thoracic spine without Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Suspected pulmonary embolism.
Low or intermediate pretest probability with a negative D-dimer.
Initial Imaging. | Ultrasound echocardiography transthoracic resting | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Suspected hypertrophic cardiomyopathy.
Ischemic cardiomyopathy already excluded.
Initial imaging. | Magnetic Resonance Imaging heart with function and inotropic stress without and with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Acute nonlocalized abdominal pain.
Not otherwise specified.
Initial imaging. | White Blood Cells scan abdomen and pelvis | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Patient with recent endoscopic retrograde cholangiopancreatography and sphincterotomy now with 3 weeks of worsening right ... | Surgical management | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Suspected or known dissection or connective tissue lower-extremity vascular diseases.
Initial imaging. | Magnetic Resonance Angiography lower extremity without Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Ovarian cancer screening.
Premenopausal.
Average risk. | Magnetic Resonance Imaging pelvis without Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Child.
Younger than 5 years of age.
Concern for osteomyelitis or septic arthritis involving an extremity.
Initial radiogra... | Magnetic Resonance Imaging area of interest without and with Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **strong
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adult.
Known venous sinus thrombosis.
Surveillance imaging. | Computed Tomography head perfusion with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Occupational exposure, suspected airway disease.
Initial imaging. | Computed Tomography chest without and with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **strong
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Possible Alzheimer's disease. | Amyloid Positron Emission Tomography/Computed Tomography head | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **not specified**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Child.
Suspected invasive fungal sinusitis.
Initial imaging. | Computed Tomography Angiography head with Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adult.
Chronic hand or wrist pain.
Radiographs normal or show nonspecific arthritis.
Suspect tendon injury, tenosynovitis,... | Magnetic Resonance Imaging area of interest without Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Brachial plexopathy, acute or chronic, nontraumatic.
No known malignancy.
Initial imaging. | Magnetic Resonance Imaging cervical spine without Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Acute respiratory illness in immunocompromised patients.
Normal, equivocal, or nonspecific chest radiograph.
Next imaging ... | Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography skull base to mid-thigh | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Rectal cancer.
Locoregional staging.
Initial imaging. | Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography skull base to mid-thigh | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Sudden onset of cold, painful leg.
Suspected vascular compromise.
Initial imaging. | Ultrasound intravascular aorta and iliofemoral system | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Chronic hip pain.
Initial Imaging. | Radiography hip | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Suspected new-onset nonacute heart failure, not previously diagnosed.
Initial imaging. | Rb-82 Positron Emission Tomography/Computed Tomography heart | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adult female.
Breast cancer screening.
High risk. | Magnetic Resonance Imaging breast without and with Intravenous contrast abbreviated | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Ophthalmoplegia or diplopia.
Initial imaging. | Computed Tomography orbits without Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Suspected hypertrophic cardiomyopathy.
Ischemic cardiomyopathy already excluded.
Initial imaging. | Magnetic Resonance Imaging heart function and morphology without Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **strong
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Suspect primary bone tumor.
Initial imaging. | Computed Tomography area of interest without Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Suspected osteomyelitis or soft tissue infection with implanted extra-articular surgical hardware.
Initial radiographs nor... | Magnetic Resonance Imaging area of interest without Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Staging and risk assessment: suspected or established diagnosis of gestational trophoblastic neoplasia (GTN). | Computed Tomography head without and with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Follow-up for clinically localized renal cell carcinoma; post ablation. | Magnetic Resonance Imaging abdomen without Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **strong
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Pretreatment evaluation of endometrial cancer; assessment of lymph node and distant metastasis for low-grade tumor (Type I... | Magnetic Resonance Imaging pelvis without Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **strong
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Children 1 month to 17 years of age.
Generalized seizure (neurologically abnormal).
Initial imaging. | Computed Tomography head without and with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Tenderness to palpation or contusion or edema over frontal bone.
Suspect frontal bone injury.
Initial imaging following pr... | Magnetic Resonance Imaging cervical spine without Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Infant with nonbilious vomiting, and otherwise healthy (suspected uncomplicated esophageal reflux).
Initial imaging. | Nuclear medicine gastroesophageal reflux scan | The proposed procedure is **may be appropriate (disagreement)**.
The strength of the evidence for this recommendation is **expert opinion
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Suspected or diagnosed cancer of the paranasal sinuses or nasal cavity.
Initial staging. | Computed Tomography neck with Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Epigastric pain with clinical suspicion for acid reflux or esophagitis or gastritis or peptic ulcer or duodenal ulcer.
Ini... | Computed Tomography abdomen with Intravenous contrast multiphase | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Episodic vertigo with or without associated hearing loss or aural fullness (peripheral vertigo).
Initial imaging. | Magnetic Resonance Imaging head and internal auditory canal without and with Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **strong
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adult female or male or transfeminine (male-to-female) or transmasculine (female-to-male).
Known breast cancer, clinically... | Magnetic Resonance Imaging breast without Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Intensive care unit patient with clinically worsening condition.
Initial imaging. | Ultrasound chest | The proposed procedure is **may be appropriate (disagreement)**.
The strength of the evidence for this recommendation is **expert opinion
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Preintervention planning for transcatheter aortic valve replacement: assessment of supravalvular aorta and vascular access... | Computed Tomography abdomen and pelvis without Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Follow-up of known thoracoabdominal aortic aneurysm or dissection without repair.
Without or with new symptoms. | Computed Tomography chest and abdomen without and with Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial staging of pretreatment vulvar cancer: Primary tumor is less than or equal to 4 cm with greater than 1 mm stromal ... | US-guided fine needle aspiration biopsy groin | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Palpable abdominal mass.
Suspected intra-abdominal neoplasm.
Initial imaging. | Magnetic Resonance Imaging abdomen without Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Acute chest pain; suspected acute aortic syndrome. | Computed Tomography Angiography chest with Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **strong
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Supplemental breast cancer screening.
Average-risk females with nondense breasts. | Sestamibi MBI | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Pulsatile tinnitus, unilateral or bilateral; suspected retrotympanic lesion on otoscopy.
Initial imaging. | Ultrasound head | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with shortness of breath presenting with bilateral hilar adenopathy measuring up to ... | Bronchoscopic biopsy (repeat biopsy) | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **not specified**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Epigastric pain with clinical suspicion for acid reflux or esophagitis or gastritis or peptic ulcer or duodenal ulcer.
Ini... | Fluoroscopy upper Gastrointestinal series | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Multiple different lower cranial nerve palsies or combined lower cranial nerve syndromes (CN IX-XII).
Initial imaging. | Magnetic Resonance Imaging orbits face neck without and with Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **strong
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adult or child.
Primary hyperparathyroidism.
Initial imaging. | Magnetic Resonance Imaging neck without and with Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **strong
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Newly diagnosed.
Stage I breast cancer.
Asymptomatic.
Rule out thoracic metastases.
Initial imaging. | Computed Tomography chest without Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Acute nonlocalized abdominal pain and fever.
Postoperative patient.
Initial imaging. | Magnetic Resonance Imaging abdomen and pelvis without Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adult female, 40 years of age or older.
Palpable breast mass.
Initial imaging. | Image-guided fine needle aspiration breast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Metastatic liver disease: Multifocal metastatic neuroendocrine tumor (includes carcinoid tumors as well as islet cell tumo... | Long-acting somatostatin analogs | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **strong
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Clinically suspicious nipple discharge during pregnancy.
Initial imaging. | Ultrasound breast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Child.
Traumatic hematuria (microscopic).
Initial imaging. | Computed Tomography abdomen and pelvis with Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Suspected arrhythmogenic cardiomyopathy (arrhythmia of ventricular origin).
Ischemic cardiomyopathy already excluded.
Init... | Magnetic Resonance Imaging chest without and with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Child.
Suspected Crohn disease, no prior Crohn diagnosis.
Initial imaging. | Computed Tomography abdomen and pelvis without Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Suspect primary bone tumor.
Benign radiographic features.
Not osteoid osteoma.
Next imaging study. | Computed Tomography area of interest without Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adult.
Presenting to establish care with a past history of a treated PAVM.
Follow-up (surveillance) imaging following embo... | Magnetic Resonance Angiography pulmonary arteries without Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Staging and risk assessment: suspected or established diagnosis of gestational trophoblastic neoplasia (GTN). | Computed Tomography head without Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: High risk for placenta accreta spectrum disorder.
Initial Imaging. | Ultrasound pregnant uterus transvaginal | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Suspected CSF leak.
Initial Imaging. | Magnetic Resonance Angiography head with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Child.
Chronic back pain associated with overuse.
Mechanical back pain. | Computed Tomography spine area of interest with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **not specified**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Known axial spondyloarthritis.
Follow-up for treatment response or disease progression. | Ultrasound sacroiliac joints and spine area of interest | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Second and third trimester screening for abnormal finding on ultrasound: major anomalies.
Next imaging study. | Ultrasound pregnant uterus transabdominal detailed scan | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Staging and risk assessment: suspected or established diagnosis of gestational trophoblastic neoplasia (GTN). | Radiography chest | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Proven parenchymal hemorrhage (hematoma). | Computed Tomography head without Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **not specified**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Neurogenic thoracic outlet syndrome.
Initial imaging and follow-up imaging after surgery or intervention. | Magnetic Resonance Imaging chest without and with Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Cirrhotic patient with bleeding from large high flow gastric varices with a MELD score of 20.
Computed Tomography demonstr... | BRTO | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Clinically suspected prostate cancer.
No prior biopsy (biopsy naïve).
Initial diagnosis.
Initial imaging. | Fluciclovine Positron Emission Tomography/Computed Tomography skull base to mid-thigh | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Unilateral isolated palatal or vocal cord paralysis or both (vagal nerve, CN X).
Initial imaging. | Magnetic Resonance Angiography head and neck with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Right lower quadrant pain.
Initial imaging. | Computed Tomography abdomen and pelvis without Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **strong
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Newly diagnosed palpable scrotal abnormality.
History of trauma or infection.
Initial imaging. | Nuclear medicine scan scrotum | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Chest pain, high probability for acute coronary syndrome.
Initial imaging. | Computed Tomography chest without and with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Adult.
Upper urinary tract urothelial cancer.
Pretreatment staging. | Radiography chest | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Chronic elbow pain with mechanical symptoms such as locking, clicking, or limited range of motion.
Suspect intra-articular... | Magnetic Resonance Imaging elbow without Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial therapeutic procedure for a patient with malignant common bile duct obstruction (eg, pancreatic carcinoma). | Endoscopic US-guided biliary drainage (EUS-BD) | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **strong
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Middle-aged patient (35–60 years old) with an incidental 1.5-cm lung nodule.
The lesion was smooth.
No associated adenopat... | Percutaneous lung biopsy | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **not specified**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Initial systemic staging of pretreatment cervical cancer; assessment of lymph node and distant metastases (N/M staging). | Computed Tomography chest without Intravenous contrast | The proposed procedure is **may be appropriate**.
The strength of the evidence for this recommendation is **moderate
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Lumbosacral plexopathy, known malignancy or post-treatment syndrome.
Initial imaging. | Computed Tomography abdomen and pelvis without and with Intravenous contrast | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Axial spondyloarthritis with spine ankylosis.
Suspected fracture.
Initial imaging. | Computed Tomography spine area of interest without Intravenous contrast | The proposed procedure is **usually appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: New-onset seizure.
History of trauma.
Initial imaging. | Single Photon Emission Computed Tomography or Single-photon Emission Computed Tomography / Computed Tomography brain perfusion ictal and interictal | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Female with clinically insignificant breast pain (nonfocal [greater than one quadrant], diffuse, or cyclical) without othe... | Mammography diagnostic | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
Act like a medical doctor with a 30 years experience in Radiology and Medical Imaging. Assess the appropriateness of carrying out the proposed procedure on a patient with the following information: Child.
Headache attributed to remote trauma.
Initial imaging. | Radiography skull | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **expert consensus**. |
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