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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: Child.
Known or suspected cervicocranial arterial dissection based on clinical or imaging findings.
Next imaging study. | Arteriography cervicocerebral | 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: Chronic elbow pain.
Initial imaging. | Computed Tomography arthrography elbow | 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: New focal neurologic defect, fixed or worsening.
Less than 6 hours.
Suspected stroke. | Magnetic Resonance Angiography head and neck without and with 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: Traumatic shoulder pain.
Radiographs already performed.
Physical examination consistent with vascular compromise.
Next ima... | Computed Tomography Angiography shoulder 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: Mixed conductive and sensorineural hearing loss.
Initial imaging. | Computed Tomography 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: Chronic shoulder pain.
History of prior rotator cuff repair.
Suspect rotator cuff disorders or subacromial subdeltoid burs... | 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: Suspected abdominal wall hernia such as umbilical, ventral, incisional, lumbar, or spigelian.
Initial imaging. | Ultrasound abdomen | 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: Clinical suspicion of central venous stenosis or occlusion suggested by swelling (ie, soft tissue edema) of the extremity ... | Magnetic Resonance Angiography extremity area of interest 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: Pulsatile abdominal mass, suspected abdominal aortic aneurysm.
Initial imaging. | Magnetic Resonance Imaging abdomen and pelvis with 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: Newly diagnosed.
Stage I breast cancer.
Asymptomatic.
Rule out thoracic metastases.
Initial imaging. | Radiography chest | 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: Noninvasive initial clinical staging of small-cell lung carcinoma. | Computed Tomography head without and with 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: Palpable abdominal mass.
Suspected intra-abdominal neoplasm.
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 **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: Cirrhotic patient bleeding from esophageal varices and gastric varices not amenable to endoscopic management with a MELD s... | Surgical management | 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: Unilateral isolated weakness or paralysis of the sternocleidomastoid and trapezius muscles (accessory nerve, CN XI).
Initi... | 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: Asymptomatic patient.
Intermediate risk for coronary artery disease.
Initial imaging. | Computed Tomography coronary calcium | 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: Degenerative or atherosclerotic aortic disease.
Initial imaging. | Computed Tomography chest and abdomen 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: Assessment of complications: GTD and GTN. | Computed Tomography abdomen and pelvis without and with Intravenous contrast | 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: New focal neurologic defect, fixed or worsening.
Longer than 6 hours.
Suspected stroke. | Magnetic Resonance Angiography head and neck 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: Chronic ankle pain.
Ankle radiographs normal or nonspecific, suspected ankle impingement syndrome.
Next study. | Computed Tomography ankle 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 or child older than 5 years of age.
Acute trauma to the foot.
Ottawa rules can be evaluated without exclusionary cri... | Magnetic Resonance Imaging foot 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: Acute pelvic pain in the reproductive age group.
Gynecological etiology suspected, ß-hCG negative (either serum or urine).... | Computed Tomography 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: Indeterminate, greater than 1 cm liver lesion on initial imaging with Ultrasound Known history of an extrahepatic malignan... | Liver spleen scan | 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: Headache with features of intracranial hypertension (eg, papilledema, pulsatile tinnitus, visual symptoms worse on Valsalv... | Magnetic Resonance Imaging head 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: Suspected osteomyelitis or soft tissue infection with implanted extra-articular surgical hardware.
Initial radiographs nor... | Image-guided aspiration area of interest | 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: Indeterminate renal mass.
Contraindication to both iodinated Computed Tomography and gadolinium-based Magnetic Resonance i... | Radiography intravenous urography | 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: Second and third trimester vaginal bleeding.
Painless bleeding.
Initial imaging. | Ultrasound duplex Doppler pelvis | 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: Low back pain with or without radiculopathy.
One or more of the following: low-velocity trauma, osteoporosis, elderly indi... | Radiography lumbar spine | 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: Confirmed new-onset heart failure with reduced ejection fraction of uncertain etiology: ischemic versus nonischemic. | Rb-82 Positron Emission Tomography/Computed Tomography heart | 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 or diagnosed cancer of a major salivary gland (parotid, submandibular, and sublingual glands).
Initial staging. | Computed Tomography maxillofacial 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: Chronic chest pain; high probability of coronary artery disease.
Known ischemic heart disease with no prior definitive tre... | Magnetic Resonance Imaging heart function and morphology 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: Child.
Headache attributed to infection.
Initial imaging. | Radiography skull | 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 abdominal wall hernia such as umbilical, ventral, incisional, lumbar, or spigelian.
Initial imaging. | 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: Age greater than or equal to 16 years and less than 65 years.
Suspected acute blunt cervical spine trauma; imaging not ind... | Magnetic Resonance Angiography 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 older than 5 years of age.
Acute trauma to the foot.
Suspect Lisfranc injury, tendon injury, or occult frac... | Ultrasound foot | 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: Epigastric pain with clinical suspicion for hiatal hernia.
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: Acute pelvic pain in the reproductive age group.
Nongynecological etiology suspected, ß-hCG negative (either urine or seru... | Computed Tomography 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: Traumatic shoulder pain.
Any etiology.
Initial imaging. | Magnetic Resonance Imaging shoulder without 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: Acute hand fracture on radiographs.
Suspect hand tendon or ligament trauma.
Next imaging study. | Computed Tomography hand 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: Multiple gestations.
Dichorionic twins or multichorionic higher order multiples.
Second trimester anatomy examination.
Fol... | Magnetic Resonance Imaging fetal 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: Known multiorgan system arterial occlusions.
Suspected embolic etiology.
Next imaging study to determine source. | Ultrasound echocardiography transesophageal | 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: Traumatic shoulder pain.
Radiographs show Bankart or Hill-Sachs lesion.
Next imaging study. | Magnetic Resonance arthrography shoulder | 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: Prolonged history of right flank pain, fever, and leukocytosis.
Urinalysis positive for blood and infection.
Patient appea... | Retrograde ureteral stenting | 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: Muscle-invasive bladder cancer with or without cystectomy.
Post-treatment surveillance. | Radiography intravenous urography | 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 perianal disease.
Abscess or fistula.
Initial imaging. | Fluoroscopy contrast enema | 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: New symptomatic VCF.
History of prior vertebroplasty or surgery.
Initial treatment. | Percutaneous vertebral augmentation | 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.
Initial de... | Magnetic Resonance Imaging breast 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: Oropharyngeal neurogenic dysphagia or oropharyngeal pain (glossopharyngeal nerve, CN IX).
Initial imaging. | Computed Tomography maxillofacial 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.
Chronic wrist pain.
Radiographs show old scaphoid fracture.
Evaluate for nonunion, malunion, osteonecrosis, or post... | Magnetic Resonance arthrography wrist | 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: Vomiting within the first 2 days after birth.
Radiographs show a distal bowel obstruction.
Next imaging study. | Nuclear medicine gastroesophageal reflux scan | 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.
Clinical presentation suggestive of acute stroke, not a candidate for emergent intervention.
Initial imaging. | Computed Tomography head 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: Acute recurrent sinusitis or chronic rhinosinusitis or noninvasive fungal sinusitis or sinonasal polyposis.
Possible surgi... | Computed Tomography cone beam paranasal sinuses 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: Hepatocellular cancer: Solitary tumor less than 3 cm, cirrhotic. | Combination locoregional therapy | 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: Suspected large-vessel vasculitis (LVV).
Initial imaging. | Magnetic Resonance Angiography chest abdomen 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: 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 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: Patient with a 3 week history of pneumonia, fever, dyspnea.
Worsening condition despite a full course of broad-spectrum an... | Open decortication | 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: Initial radiographs showing distal radioulnar joint or carpal malalignment in the absence of fracture.
Next imaging study. | Magnetic Resonance Imaging wrist 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.
Clinical presentation suggestive of acute stroke, not a candidate for emergent intervention.
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 **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 iliofemoral DVT with moderate to severe symptoms present for less than 14 days, otherwise healthy. | Anticoagulation alone | 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: Nonmuscle invasive bladder cancer no symptoms or risk factors.
Post-treatment surveillance. | Magnetic Resonance Imaging abdomen and pelvis without 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: Suspicion for infection with new or increasing nontraumatic cervical or neck pain or radiculopathy.
Initial imaging. | Facet injection/medial branch block cervical spine | 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 female.
Postsurgical excision for breast cancer.
Positive margins.
Asymptomatic.
Initial imaging. | Mammography diagnostic | 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: Man <40 years of age, transient or episodic hematospermia, and no other symptoms or signs of disease. | Transrectal Ultrasound prostate | 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: Pleural effusion incidentally detected on incomplete thoracic imaging study.
Next imaging study. | Radiography chest | The proposed procedure is **may be appropriate (disagreement)**.
The strength of the evidence for this recommendation is **expert opinion**. |
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.
Breast cancer, greater than 2 cm in size, clinical node-positive.
Imaging of the axilla after completion of neoadj... | Magnetic Resonance Imaging breast without 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: Low back pain with or without radiculopathy.
One or more of the following: low-velocity trauma, osteoporosis, elderly indi... | Discography and post-discography Computed Tomography lumbar spine | 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 prostate cancer treated by systemic therapy (androgen deprivation therapy [ADT], chemotherapy, immunotherapy).
... | Fluciclovine Positron Emission Tomography/Magnetic Resonance Imaging skull base to mid-thigh | 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: Chronic ankle pain.
Multiple sites of degenerative joint disease in the hindfoot detected by ankle radiographs.
Next study... | Ultrasound ankle and hindfoot | 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 dementia with Lewy bodies.
Initial imaging. | Ioflupane Single Photon Emission Computed Tomography or Single-photon Emission Computed Tomography / Computed Tomography brain | 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: Nontraumatic chest wall pain.
Known or suspected malignancy.
Secondary evaluation after normal chest radiograph.
Next imag... | Magnetic Resonance Imaging chest without and with 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: Infant with nonbilious vomiting, and otherwise healthy (suspected uncomplicated esophageal reflux).
Initial imaging. | Ultrasound abdomen Upper Gastrointestinal tract) | 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: Malignant or aggressive primary bone tumor.
Surveillance for local recurrence. | Magnetic Resonance Imaging area of interest without Intravenous contrast | 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: Surveillance of GTN, including refractory, relapsed, or quiescent GTN. | Computed Tomography head with 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: Child.
Clinical presentation suggestive of acute stroke, not a candidate for emergent intervention.
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 **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. | Magnetic Resonance Urography 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: Child.
Traumatic hematuria (microscopic).
Initial imaging. | Voiding urosonography | 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: Anosmia or other abnormalities of the sense of smell (olfactory nerve, CN I).
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: Multiple different lower cranial nerve palsies or combined lower cranial nerve syndromes (CN IX-XII).
Initial imaging. | Ultrasound neck | 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 stage IA and IB pure seminoma testicular cancer.
Diagnosed by orchiectomy.
No clinical suspicion of recurr... | Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography whole body | 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: Acute sinusitis with rapid progression or suspected invasive fungal sinusitis.
Initial Imaging. | Magnetic Resonance Imaging orbits face neck 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: Acute nonlocalized abdominal pain and fever.
No recent surgery.
Initial imaging. | Nuclear medicine scan gallbladder | 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: Abnormal uterine bleeding.
Follow-up imaging when surveillance is appropriate given findings from the initial ultrasound. | Ultrasound pelvis 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: Traumatic shoulder pain.
Radiographs normal.
Physical examination findings consistent with rotator cuff tear.
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: Adult.
Prior ischemic infarct.
Surveillance imaging. | Magnetic Resonance Angiography neck without and with Intravenous contrast | 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: Surveillance of asymptomatic patients with treated high-risk endometrial cancer. | Magnetic Resonance Imaging 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: Nonischemic visual loss.
Chiasm or post-chiasm symptoms.
Initial imaging. | Computed Tomography head 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: Occupational exposure, screening, and surveillance of lung 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: Adult.
Asymptomatic cervical bruit.
Initial imaging. | Magnetic Resonance Venography 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: Suspected pulmonary embolism.
Low or intermediate pretest probability with a negative D-dimer.
Initial Imaging. | Ventilation/Perfusion scan lung | 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: Lung cancer screening.
Patient 50 to 80 years of age and 20 or more packs per year smoking history and currently smoke or ... | Radiography chest | 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 or child older than 5 years of age.
Acute trauma to the foot.
Suspect Lisfranc injury, tendon injury, or occult frac... | Computed Tomography foot 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: Suspected chronic mesenteric ischemia.
Initial imaging. | Magnetic Resonance Angiography 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: Multiple gestations.
Dichorionic twins or multichorionic higher order multiples.
Growth and antepartum surveillance. | Ultrasound echocardiography fetal | 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: Follow-up after open repair of thoracoabdominal aortic aneurysm or dissection. | Radiography chest | 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.
Suspect stress fracture, excluding vertebrae.
Initial imaging. | Magnetic Resonance Imaging area of interest 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 female or male or transfeminine (male-to-female) or transmasculine (female-to-male).
Known axillary lymph node-posit... | Digital breast tomosynthesis diagnostic | 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.
Leukocoria or suspected intraocular mass.
Initial imaging. | Magnetic Resonance Imaging 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: Clinically suspected prostate cancer.
Negative TRUS-guided biopsy.
Initial diagnosis.
Next imaging study. | Computed Tomography chest abdomen 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: Initial staging of pretreatment ovarian cancer. | Magnetic Resonance Imaging abdomen and pelvis 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: Chronic elbow pain with mechanical symptoms such as locking, clicking, or limited range of motion.
Suspect intra-articular... | 3-phase bone scan elbow | 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 or adult.
Known or suspected anomalous pulmonary venous return with inadequate evaluation after transthoracic echoca... | Ultrasound echocardiography transesophageal | The proposed procedure is **usually not appropriate**.
The strength of the evidence for this recommendation is **limited
references**. |
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