Condition
stringclasses 232
values | Variant
stringlengths 14
869
| Procedure
stringclasses 948
values | Appropriateness Category
stringclasses 4
values | SOE
stringclasses 6
values | References
stringlengths 18
2.57k
| Adult RRL (scale)
int64 0
5
| Adult RRL (dosage)
stringclasses 6
values | Peds RRL (scale)
int64 0
5
| Peds RRL (dosage)
stringclasses 6
values | Rating
int64 1
9
| Median
float64 1
9
⌀ | Assessment - 1
int64 0
24
| Assessment - 2
int64 0
14
| Assessment - 3
int64 0
13
| Assessment - 4
int64 0
15
| Assessment - 5
int64 0
19
| Assessment - 6
int64 0
13
| Assessment - 7
int64 0
20
| Assessment - 8
int64 0
13
| Assessment - 9
int64 0
20
| __index_level_0__
int64 1
12.2k
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Movement Disorders and Neurodegenerative Diseases
|
Parkinsonian syndromes. Initial imaging.
|
MRI functional (fMRI) head without IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 11
| 2
| 0
| 0
| 0
| 0
| 1
| 0
| 0
| 9,593
|
Orbital Imaging and Vision Loss-Child
|
Child. Suspected orbital or periorbital infection. Initial imaging.
|
MRA head without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 24288398, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 2
| 2
| 8
| 5
| 1
| 1
| 0
| 0
| 1
| 0
| 0
| 10,978
|
Inflammatory Back Pain: Known or Suspected Axial Spondyloarthropathy
|
Axial spondyloarthritis with spine ankylosis. Suspected fracture. Initial imaging.
|
CT spine area of interest without and with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 16155161, "Study Quality": "3"}, {"PMID": 18791749, "Study Quality": "4"}, {"PMID": 19304705, "Study Quality": "4"}, {"PMID": 20421858, "Study Quality": "4"}, {"PMID": 28816877, "Study Quality": "4"}, {"PMID": 25837448, "Study Quality": "4"}, {"PMID": 18421455, "Study Quality": "4"}, {"PMID": 15191110, "Study Quality": "4"}]}
| 0
| null | 0
| null | 1
| 1
| 12
| 1
| 2
| 0
| 0
| 0
| 0
| 0
| 0
| 7,428
|
Management of Vertebral Compression Fractures
|
Pathological VCF with ongoing or increasing mechanical pain. Initial treatment.
|
Radiation oncology consultation
|
Usually appropriate
|
Strong
|
{"References": [{"PMID": 27479724, "Study Quality": "4"}, {"PMID": 32540335, "Study Quality": "2"}, {"PMID": 31119099, "Study Quality": "4"}, {"PMID": 15450875, "Study Quality": "4"}, {"PMID": 7607970, "Study Quality": "2"}, {"PMID": 6178497, "Study Quality": "1"}, {"PMID": 21277118, "Study Quality": "4"}, {"PMID": 23960179, "Study Quality": "4"}, {"PMID": 27441748, "Study Quality": "4"}, {"PMID": 29048517, "Study Quality": "Good"}]}
| 0
| null | 0
| null | 8
| 8
| 0
| 0
| 0
| 0
| 3
| 0
| 6
| 8
| 3
| 6,632
|
Orbits, Vision, and Visual Loss
|
Visual loss. Intraocular mass,optic nerve, or pre-chiasm symptoms. Initial imaging.
|
MRA head and neck without and with IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 18356442, "Study Quality": "4"}, {"PMID": 18071114, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 4
| 4
| 1
| 1
| 5
| 6
| 1
| 4
| 1
| 0
| 0
| 5,467
|
Fever Without Source or Unknown Origin-Child
|
Infant or child more than 1-month of age with fever of unknown origin (FUO).
|
CT chest without IV contrast
|
May be appropriate
| null |
{"References": []}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 4
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 3,130
|
Occupational Lung Diseases
|
Occupational exposure, suspected interstitial lung disease based on radiography. Next imaging study.
|
CT chest without and with IV contrast
|
Usually not appropriate
|
Strong
|
{"References": [{"PMID": 27031972, "Study Quality": "4"}, {"PMID": 26231253, "Study Quality": "3"}, {"PMID": 25810443, "Study Quality": "2"}, {"PMID": 23293132, "Study Quality": "3"}, {"PMID": 25106847, "Study Quality": "2"}, {"PMID": 24804337, "Study Quality": "4"}, {"PMID": 24480143, "Study Quality": "4"}, {"PMID": 24360514, "Study Quality": "4"}, {"PMID": 24331259, "Study Quality": "2"}, {"PMID": 24038345, "Study Quality": "2"}, {"PMID": 24739899, "Study Quality": "1"}, {"PMID": 25790222, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 2
| 2
| 5
| 3
| 2
| 0
| 0
| 0
| 0
| 0
| 1
| 7,342
|
Cerebrovascular Disease-Child
|
Child. Clinical presentation suggestive of acute stroke, known or suspected cortical vein or dural venous sinus thrombosis. Initial imaging.
|
CTV head with IV contrast
|
Usually appropriate
|
Expert Consensus
|
{"References": [{"PMID": 23212594, "Study Quality": "4"}, {"PMID": 22948810, "Study Quality": "4"}, {"PMID": 25938564, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 8
| 8
| 0
| 1
| 0
| 0
| 1
| 2
| 2
| 5
| 8
| 8,511
|
Dialysis Fistula Malfunction
|
Suspected dysfunction of upper or lower extremity hemodialysis access (ie, arteriovenous fistula or graft) suggested by an abnormal clinical indicator or hemodynamic indicator (ie, reduction in dialysis vascular access blood flow rate or kinetics). Initial imaging to guide interventional radiologic therapy options.
|
MRA extremity area of interest without IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 19304717, "Study Quality": "2"}, {"PMID": 20829241, "Study Quality": "3"}, {"PMID": 24194928, "Study Quality": "Good"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 3
| 3
| 3
| 5
| 2
| 2
| 2
| 1
| 0
| 1
| 0
| 10,612
|
Osteoporosis and Bone Mineral Density
|
Follow-up imaging. Patients with T-scores less than −1.0 (by DXA) and one or more of the following
|
SXA distal forearm
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 28988401, "Study Quality": "4"}]}
| 1
|
1 mSv
| 0
| null | 1
| 1
| 11
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 1
| 467
|
Cranial Neuropathy
|
Multiple different middle cranial nerve palsies (CN V-VII). Initial imaging.
|
MRA head without IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 31283463, "Study Quality": "4"}, {"PMID": 16286545, "Study Quality": "4"}, {"PMID": 20483390, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 11
| 3
| 1
| 2
| 2
| 0
| 1
| 0
| 0
| 6,403
|
Occupational Lung Diseases
|
Occupational exposure, suspected interstitial lung disease. Initial imaging.
|
MRI chest without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 28370144, "Study Quality": "2"}, {"PMID": 28614400, "Study Quality": "2"}, {"PMID": 27680410, "Study Quality": "3"}, {"PMID": 27031972, "Study Quality": "4"}, {"PMID": 26901505, "Study Quality": "3"}, {"PMID": 26334510, "Study Quality": "2"}, {"PMID": 26231253, "Study Quality": "3"}, {"PMID": 25810443, "Study Quality": "2"}, {"PMID": 25537566, "Study Quality": "3"}, {"PMID": 23293132, "Study Quality": "3"}, {"PMID": 25286915, "Study Quality": "1"}, {"PMID": 25106847, "Study Quality": "2"}, {"PMID": 24953093, "Study Quality": "2"}, {"PMID": 24811526, "Study Quality": "2"}, {"PMID": 24804337, "Study Quality": "4"}, {"PMID": 24480143, "Study Quality": "4"}, {"PMID": 24360514, "Study Quality": "4"}, {"PMID": 24331259, "Study Quality": "2"}, {"PMID": 24038345, "Study Quality": "2"}, {"PMID": 19997848, "Study Quality": "2"}, {"PMID": 24739899, "Study Quality": "1"}, {"PMID": 12818850, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 2
| 2
| 4
| 3
| 2
| 1
| 0
| 0
| 1
| 0
| 0
| 7,332
|
Chronic Shoulder Pain
|
Chronic shoulder pain. Suspect adhesive capsulitis. Initial radiographs normal or inconclusive. Next imaging study.
|
Bone scan shoulder
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 28168397, "Study Quality": "3"}, {"PMID": 28161721, "Study Quality": "2"}, {"PMID": 32170356, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 0
| null | 1
| 1
| 16
| 0
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 8,303
|
Seizures and Epilepsy
|
Known seizure disorder. Surgical candidate or surgical planning.
|
MRI head without IV contrast
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 23719051, "Study Quality": "4"}, {"PMID": 27430454, "Study Quality": "4"}, {"PMID": 25341150, "Study Quality": "4"}, {"PMID": 21145290, "Study Quality": "4"}, {"PMID": 23676306, "Study Quality": "4"}, {"PMID": 26550535, "Study Quality": "4"}, {"PMID": 20227852, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 8
| 8
| 0
| 0
| 1
| 0
| 0
| 1
| 3
| 6
| 6
| 4,894
|
Radiologic Management of Iliac Artery Occlusive Disease
|
Long history of mild claudication. Acute-onset left lower-extremity pain. Absent left femoral pulse on palpation, faint dorsalis pedis and posterior tibial pulses by Doppler. Next steps.
|
US duplex Doppler lower extremity
|
Usually appropriate
| null |
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 8
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 106
|
Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae
|
Adult. Suspect pelvis or hip or sacrum stress fracture. Pregnant patient. Radiographs negative or indeterminate. Next imaging study.
|
Radiography area of interest repeat in 10-14 days
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 12143987, "Study Quality": "4"}]}
| 0
| null | 0
| null | 3
| 3
| 6
| 0
| 6
| 2
| 1
| 0
| 0
| 0
| 0
| 3,014
|
Ataxia-Child
|
Child. Acute ataxia, history of recent trauma. Initial imaging.
|
MRI complete spine without IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 22595899, "Study Quality": "4"}, {"PMID": 25535060, "Study Quality": "2"}, {"PMID": 21292802, "Study Quality": "4"}, {"PMID": 19863638, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 2
| 2
| 7
| 4
| 8
| 0
| 0
| 0
| 0
| 0
| 0
| 10,781
|
Cerebrovascular Diseases-Stroke and Stroke-Related Conditions
|
Adult. Focal neurologic deficit. Clinically suspected acute ischemic stroke. Initial imaging.
|
US duplex Doppler carotid artery
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 34024117, "Study Quality": "4"}, {"PMID": 10471419, "Study Quality": "4"}, {"PMID": 29307510, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 4
| 4
| 3
| 3
| 4
| 3
| 6
| 1
| 0
| 0
| 1
| 9,800
|
Chronic Extremity Joint Pain-Suspected Inflammatory Arthritis, Crystalline Arthritis, or Erosive Osteoarthritis
|
Chronic extremity joint pain. Suspect inflammatory arthritis (seropositive or seronegative arthritis). Radiographs normal or inconclusive. Next imaging study.
|
Bone scan whole body with SPECT or SPECT/CT area of interest
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 24315051, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 1
| 1
| 10
| 0
| 5
| 0
| 1
| 0
| 0
| 0
| 0
| 7,855
|
Left Lower Quadrant Pain
|
Left lower quadrant pain. Suspected complication(s) of diverticulitis. Initial imaging.
|
CT pelvis with bladder contrast (CT cystography)
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 26211219, "Study Quality": "4"}, {"PMID": 15546583, "Study Quality": "4"}]}
| 4
|
10-30 mSv
| 4
|
3-10 mSv
| 5
| 5
| 0
| 2
| 3
| 1
| 9
| 2
| 0
| 0
| 0
| 411
|
Cerebrovascular Diseases-Aneurysm, Vascular Malformation, and Subarachnoid Hemorrhage
|
High-risk cerebral aneurysm screening.
|
MRA head with IV contrast
|
Usually not appropriate
|
Strong
|
{"References": [{"PMID": 24326447, "Study Quality": "Good"}, {"PMID": 24495263, "Study Quality": "2"}, {"PMID": 21529794, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 15
| 4
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 10,102
|
Chronic Liver Disease
|
Chronic liver disease. Previous diagnosis of HCC. Post-treatment monitoring for HCC.
|
US abdomen
|
May be appropriate
|
Expert Consensus
|
{"References": [{"PMID": 23558071, "Study Quality": "4"}, {"PMID": 23345944, "Study Quality": "4"}, {"PMID": 21330078, "Study Quality": "3"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 4
| 4
| 0
| 0
| 8
| 6
| 0
| 2
| 0
| 0
| 0
| 7,915
|
Imaging of Mediastinal Masses
|
Indeterminate mediastinal mass on MRI. Next imaging study or surveillance.
|
CT chest without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 2
| 2
| 6
| 5
| 0
| 0
| 1
| 0
| 1
| 0
| 0
| 10,322
|
Suspected Osteomyelitis, Septic Arthritis, or Soft Tissue Infection (Excluding Spine and Diabetic Foot)
|
Suspected septic arthritis or soft tissue infection. Initial radiographs normal or with findings suggestive of joint effusion or soft tissue swelling. Next imaging study.
|
MRI area of interest without IV contrast
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 28366223, "Study Quality": "4"}, {"PMID": 27726741, "Study Quality": "4"}, {"PMID": 22884398, "Study Quality": "4"}, {"PMID": 34145466, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 7
| 7
| 0
| 0
| 0
| 1
| 1
| 3
| 6
| 2
| 1
| 7,682
|
Dizziness and Ataxia
|
Adult. Brief episodic vertigo. Triggered by specific head movements (eg, Dix-Hallpike maneuver). Initial imaging.
|
CT head with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 32462345, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 3
|
3-3 mSv
| 1
| 1
| 17
| 0
| 2
| 1
| 0
| 0
| 0
| 0
| 0
| 4,619
|
Myelopathy
|
Acute onset myelopathy. Initial imaging.
|
CT spine area of interest without IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 19525791, "Study Quality": "3"}, {"PMID": 3257332, "Study Quality": "4"}, {"PMID": 26708079, "Study Quality": "4"}, {"PMID": 16523124, "Study Quality": "4"}, {"PMID": 19967536, "Study Quality": "2"}]}
| 0
| null | 0
| null | 5
| 5
| 1
| 0
| 1
| 0
| 7
| 7
| 0
| 0
| 0
| 5,292
|
Pneumonia in the Immunocompetent Child
|
Child. Immunocompetent. Pneumonia complicated by suspected moderate or large parapneumonic effusion by chest radiograph. Next imaging study.
|
CT chest without and with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 23164006, "Study Quality": "4"}, {"PMID": 19198826, "Study Quality": "4"}, {"PMID": 16906429, "Study Quality": "2"}, {"PMID": 9609186, "Study Quality": "4"}, {"PMID": 9207521, "Study Quality": "3"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 1
| 1
| 9
| 4
| 1
| 1
| 0
| 1
| 0
| 0
| 0
| 8,774
|
Low Back Pain
|
Subacute or chronic low back pain with or without radiculopathy. No red flags. No prior management. Initial imaging.
|
CT lumbar spine without IV contrast
|
Usually not appropriate
|
Strong
|
{"References": [{"PMID": 21282698, "Study Quality": "4"}, {"PMID": 12783911, "Study Quality": "1"}, {"PMID": 16244269, "Study Quality": "1"}, {"PMID": 25781443, "Study Quality": "3"}, {"PMID": 23910019, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 1
| 1
| 11
| 3
| 2
| 0
| 2
| 2
| 0
| 0
| 0
| 5,228
|
Acute Respiratory Illness in Immunocompetent Patients
|
Acute respiratory illnesses in immunocompetent patients with pneumonia complicated by suspected parapneumonic effusion or abscess on initial chest radiograph. Next Imaging study.
|
CT chest without IV contrast
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 7384467, "Study Quality": "4"}, {"PMID": 26935360, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 7
| 7
| 0
| 0
| 0
| 0
| 1
| 3
| 3
| 2
| 2
| 3,544
|
Imaging After Shoulder Arthroplasty
|
Symptomatic patient with a primary shoulder arthroplasty, infection excluded. Suspected rotator cuff tear or other soft tissue abnormality. Additional imaging following radiographs.
|
MRI shoulder without and with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 21862766, "Study Quality": "3"}, {"PMID": 24618199, "Study Quality": "4"}, {"PMID": 12195247, "Study Quality": "3"}, {"PMID": 16829248, "Study Quality": "4"}, {"PMID": 16979047, "Study Quality": "3"}, {"PMID": 25264437, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 11
| 0
| 1
| 0
| 0
| 1
| 0
| 1
| 0
| 7,834
|
Dizziness and Ataxia
|
Adult. Chronic recurrent vertigo. Associated with unilateral hearing loss or tinnitus. Initial imaging.
|
CT head without IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 3
|
1-10 mSv
| 3
|
3-3 mSv
| 1
| 1
| 17
| 2
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 4,679
|
Management of Vertebral Compression Fractures
|
New back pain. Previously treated VCF or multiple VCFs. Initial Imaging.
|
MRI spine area of interest with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 17361377, "Study Quality": "2"}, {"PMID": 24792612, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 3
| 3
| 7
| 1
| 6
| 0
| 7
| 0
| 0
| 0
| 0
| 6,597
|
Parathyroid Adenoma
|
Adult or child. Primary hyperparathyroidism. Initial imaging.
|
CT neck without IV contrast
|
Usually not appropriate
|
Strong
|
{"References": [{"PMID": 26359149, "Study Quality": "1"}, {"PMID": 30475247, "Study Quality": "2"}, {"PMID": 26024308, "Study Quality": "2"}, {"PMID": 24674300, "Study Quality": "2"}, {"PMID": 22135127, "Study Quality": "2"}, {"PMID": 21367374, "Study Quality": "2"}, {"PMID": 27329424, "Study Quality": "2"}, {"PMID": 23868155, "Study Quality": "2"}, {"PMID": 26447369, "Study Quality": "2"}, {"PMID": 27590748, "Study Quality": "2"}, {"PMID": 21955750, "Study Quality": "1"}, {"PMID": 28705526, "Study Quality": "3"}, {"PMID": 21184187, "Study Quality": "2"}, {"PMID": 25518904, "Study Quality": "2"}, {"PMID": 29063298, "Study Quality": "2"}, {"PMID": 30835187, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 3
|
3-3 mSv
| 2
| 2
| 7
| 5
| 4
| 2
| 3
| 0
| 0
| 0
| 0
| 10,698
|
Abnormal Liver Function Tests
|
Abnormal liver function tests. Hepatocellular predominance with mild aminotransferase increase. Initial imaging.
|
CT abdomen and pelvis with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 30190781, "Study Quality": "4"}, {"PMID": 9663278, "Study Quality": "3"}, {"PMID": 16484355, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 3
| 3
| 1
| 4
| 9
| 1
| 0
| 0
| 0
| 0
| 0
| 10,489
|
Incidentally Detected Indeterminate Pulmonary Nodule
|
Adult greater than or equal to 35 years of age. Incidentally detected indeterminate pulmonary nodule less than 6 mm on chest CT. Next imaging study.
|
CT chest with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 27639313, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 2
| 2
| 5
| 5
| 2
| 3
| 3
| 0
| 0
| 0
| 0
| 3,752
|
Infective Endocarditis
|
Suspected infective endocarditis. Initial imaging.
|
FDG-PET/CT heart
|
Usually not appropriate
|
Strong
|
{"References": [{"PMID": 23471580, "Study Quality": "2"}, {"PMID": 23583251, "Study Quality": "2"}, {"PMID": 25093540, "Study Quality": "3"}, {"PMID": 24802193, "Study Quality": "2"}, {"PMID": 28807509, "Study Quality": "3"}, {"PMID": 30018167, "Study Quality": "2"}]}
| 4
|
10-30 mSv
| 4
|
3-10 mSv
| 3
| 3
| 3
| 2
| 8
| 1
| 2
| 0
| 0
| 0
| 0
| 1,862
|
Palpable Breast Masses
|
Adult female, younger than 30 years of age. Palpable breast mass. US findings benign (BI-RADS 2). Next imaging study.
|
Mammography screening
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 26274736, "Study Quality": "3"}]}
| 2
|
1-1mSv
| 0
| null | 1
| 1
| 16
| 0
| 0
| 0
| 1
| 0
| 0
| 0
| 0
| 5,948
|
Second and Third Trimester Screening for Fetal Anomaly
|
Second and third trimester screening for fetal anomaly. High-risk pregnancy. Initial imaging.
|
US pregnant uterus transabdominal detailed scan
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 24449720, "Study Quality": "4"}, {"PMID": 31736130, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 9
| 9
| 0
| 0
| 0
| 0
| 0
| 1
| 2
| 1
| 9
| 9,210
|
Clinically Suspected Vascular Malformation of the Extremities
|
Upper or lower extremity. Suspected vascular malformation presenting with pain or findings of physical deformity including soft-tissue mass, diffuse or focal enlargement, discoloration, or ulceration. Initial imaging.
|
Arteriography extremity area of interest
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 25525685, "Study Quality": "4"}, {"PMID": 22890795, "Study Quality": "4"}, {"PMID": 22674646, "Study Quality": "3"}, {"PMID": 20888510, "Study Quality": "4"}, {"PMID": 19020874, "Study Quality": "4"}]}
| 0
| null | 0
| null | 2
| 2
| 4
| 4
| 1
| 0
| 2
| 0
| 1
| 0
| 0
| 9,035
|
Chronic Foot Pain
|
Persistent posttraumatic foot pain. Radiographs negative or equivocal. Clinical concern includes complex regional pain syndrome type I. Next imaging study.
|
3-phase bone scan foot
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 1620860, "Study Quality": "3"}, {"PMID": 22177715, "Study Quality": "Inadequate"}]}
| 3
|
1-10 mSv
| 0
| null | 7
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 2,360
|
Suspected Osteomyelitis, Septic Arthritis, or Soft Tissue Infection (Excluding Spine and Diabetic Foot)
|
Suspected septic arthritis with arthroplasty or other implanted intra-articular surgical hardware. Initial radiographs normal or with findings suggestive of septic arthritis with arthroplasty or other implanted intra-articular surgical hardware. Next imaging study.
|
3-phase bone scan area of interest
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 26706230, "Study Quality": "3"}, {"PMID": 27707850, "Study Quality": "Inadequate"}, {"PMID": 28969761, "Study Quality": "4"}, {"PMID": 30888518, "Study Quality": "3"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 1
| 1
| 8
| 0
| 4
| 2
| 0
| 0
| 0
| 0
| 0
| 7,722
|
Cranial Neuropathy
|
Unilateral isolated weakness or paralysis of the sternocleidomastoid and trapezius muscles (accessory nerve, CN XI). Initial imaging.
|
CT head with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 24210311, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 3
|
3-3 mSv
| 1
| 1
| 15
| 1
| 3
| 0
| 0
| 2
| 0
| 0
| 0
| 6,486
|
Pretreatment Evaluation and Follow-Up of Endometrial Cancer
|
Initial staging of pretreatment endometrial cancer; assessment of lymph node and distant metastasis for high-grade tumor (Type I, grade 3 and Type II).
|
MRI pelvis without and with IV contrast
|
Usually appropriate
|
Strong
|
{"References": [{"PMID": 17291252, "Study Quality": "3"}, {"PMID": 18581404, "Study Quality": "2"}, {"PMID": 26546334, "Study Quality": "3"}, {"PMID": 22821394, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 7
| 7
| 0
| 0
| 0
| 0
| 1
| 2
| 7
| 4
| 1
| 3,886
|
Chronic Hip Pain
|
Chronic hip pain. Initial Imaging.
|
Fluoride PET/CT skull base to mid-thigh
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 4
|
10-30 mSv
| 0
| null | 1
| 1
| 15
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 2,406
|
Staging of Colorectal Cancer
|
Rectal cancer. Locoregional staging. Initial imaging.
|
US pelvis transrectal
|
Usually appropriate
|
Strong
|
{"References": [{"PMID": 23280021, "Study Quality": "3"}, {"PMID": 20103950, "Study Quality": "3"}, {"PMID": 21176897, "Study Quality": "3"}, {"PMID": 17294198, "Study Quality": "3"}, {"PMID": 21802588, "Study Quality": "1"}, {"PMID": 21920011, "Study Quality": "3"}, {"PMID": 21795480, "Study Quality": "3"}, {"PMID": 21550864, "Study Quality": "3"}, {"PMID": 18697365, "Study Quality": "4"}, {"PMID": 17674104, "Study Quality": "3"}, {"PMID": 9276704, "Study Quality": "4"}, {"PMID": 30736712, "Study Quality": "3"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 8
| 8
| 0
| 0
| 0
| 0
| 0
| 1
| 6
| 10
| 1
| 29
|
Staging of Pancreatic Ductal Adenocarcinoma
|
Pancreatic ductal adenocarcinoma. Follow-up post-neoadjuvant therapy. Evaluate resectability for borderline resectable tumor.
|
MRI abdomen without IV contrast
|
May be appropriate
|
Expert Consensus
|
{"References": [{"PMID": 25599322, "Study Quality": "2"}, {"PMID": 21768431, "Study Quality": "3"}, {"PMID": 23287712, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 6
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 8,131
|
Thoracoabdominal Aneurysm or Dissection: Treatment Planning and Follow-Up
|
Planning for endovascular or open repair of thoracoabdominal aorta aneurysm or dissection.
|
Radiography chest
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 25623219, "Study Quality": "4"}]}
| 1
|
1 mSv
| 1
|
03 mSv
| 2
| 2
| 11
| 6
| 3
| 0
| 1
| 0
| 1
| 0
| 0
| 11,572
|
Plexopathy
|
Brachial plexopathy, acute or chronic, nontraumatic. No known malignancy. Initial imaging.
|
CT neck with IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 28096728, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 3
|
3-3 mSv
| 5
| 5
| 0
| 0
| 0
| 2
| 14
| 5
| 0
| 0
| 0
| 5,516
|
Suspected Spine Trauma
|
Age greater than or equal to 16 years. Acute thoracic or lumbar spine injury detected on radiographs or noncontrast CT. Neurologic abnormalities. Next imaging study.
|
CT thoracic and lumbar spine with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 24033302, "Study Quality": "3"}, {"PMID": 20336892, "Study Quality": "4"}, {"PMID": 15734929, "Study Quality": "4"}, {"PMID": 16374279, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 1
| 1
| 15
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 568
|
Neuroendocrine Imaging
|
Adult. Pituitary apoplexy. Initial imaging.
|
Radiography sella
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 15927868, "Study Quality": "4"}]}
| 1
|
1 mSv
| 0
| null | 1
| 1
| 15
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 5,358
|
Sinonasal Disease
|
Acute recurrent sinusitis or chronic rhinosinusitis or noninvasive fungal sinusitis or sinonasal polyposis. Possible surgical candidate for these indications or other non-neoplastic indications, including suspected silent sinus syndrome or suspected mucocele, or deviated nasal septum. Initial Imaging.
|
Arteriography craniofacial
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 19379610, "Study Quality": "2"}, {"PMID": 2294574, "Study Quality": "4"}, {"PMID": 29685531, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 0
| null | 1
| 1
| 17
| 0
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 6,098
|
Pretreatment Detection, Surveillance, and Staging of Prostate Cancer
|
Clinically established low-risk prostate cancer. Active surveillance.
|
Bone scan whole body
|
Usually not appropriate
|
Strong
|
{"References": [{"PMID": 28958581, "Study Quality": "Good"}, {"PMID": 29043431, "Study Quality": "2"}, {"PMID": 28317247, "Study Quality": "3"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 2
| 2
| 7
| 3
| 3
| 0
| 0
| 0
| 0
| 0
| 1
| 1,245
|
Cranial Neuropathy
|
Unilateral isolated palatal or vocal cord paralysis or both (vagal nerve, CN X). Initial imaging.
|
MRI head without and with IV contrast
|
Usually appropriate
|
Strong
|
{"References": [{"PMID": 18832666, "Study Quality": "3"}, {"PMID": 21567138, "Study Quality": "3"}, {"PMID": 19199448, "Study Quality": "3"}, {"PMID": 30102011, "Study Quality": "4"}, {"PMID": 28263933, "Study Quality": "2"}, {"PMID": 24210310, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 7
| 7
| 0
| 1
| 1
| 0
| 2
| 5
| 3
| 3
| 6
| 6,443
|
Acute Pyelonephritis
|
Suspected acute pyelonephritis. Complicated patient (eg, recurrent pyelonephritis, diabetes, immune compromise, advanced age, vesicoureteral reflux, or lack of response to initial therapy). Initial imaging.
|
CT abdomen without IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 18203942, "Study Quality": "4"}, {"PMID": 2655002, "Study Quality": "4"}, {"PMID": 7789019, "Study Quality": "4"}, {"PMID": 3883000, "Study Quality": "4"}, {"PMID": 30392592, "Study Quality": "4"}, {"PMID": 28525662, "Study Quality": "4"}, {"PMID": 30708379, "Study Quality": "3"}, {"PMID": 30224907, "Study Quality": "3"}, {"PMID": 29298155, "Study Quality": "4"}, {"PMID": 22859793, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 2
| 2
| 7
| 3
| 6
| 1
| 0
| 0
| 0
| 0
| 0
| 5,735
|
Staging and Surveillance of Testicular Cancer
|
Surveillance of stage IA and IB nonseminoma testicular cancer. Diagnosed by orchiectomy. No clinical suspicion of recurrence.
|
CT chest without IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 11886000, "Study Quality": "4"}, {"PMID": 12471874, "Study Quality": "4"}, {"PMID": -3186719, "Study Quality": "4"}, {"PMID": 17375035, "Study Quality": "3"}, {"PMID": 9530036, "Study Quality": "3"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 5
| 5
| 0
| 0
| 0
| 1
| 7
| 4
| 1
| 0
| 0
| 1,458
|
Imaging after Total Hip Arthroplasty
|
Symptomatic hip arthroplasty patient, history of acute injury. Additional imaging following radiographs.
|
CT hip without and with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 22786996, "Study Quality": "4"}, {"PMID": 25744811, "Study Quality": "4"}, {"PMID": 25603973, "Study Quality": "3"}, {"PMID": 28622117, "Study Quality": "4"}, {"PMID": 31138187, "Study Quality": "3"}]}
| 3
|
1-10 mSv
| 0
| null | 1
| 1
| 14
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 7,625
|
Dyspnea-Suspected Cardiac Origin (Ischemia Already Excluded)
|
Dyspnea due to suspected pericardial disease. Ischemia excluded. Initial imaging.
|
MRI heart function and morphology without IV contrast
|
May be appropriate
|
Strong
|
{"References": [{"PMID": 25547939, "Study Quality": "2"}, {"PMID": 27884251, "Study Quality": "4"}, {"PMID": 28330665, "Study Quality": "3"}, {"PMID": 29025549, "Study Quality": "4"}, {"PMID": 29025541, "Study Quality": "4"}, {"PMID": 28315124, "Study Quality": "4"}, {"PMID": 25672267, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 6
| 6
| 0
| 0
| 0
| 0
| 8
| 10
| 3
| 1
| 0
| 1,835
|
Radiologic Management of Infected Fluid Collections
|
Patient with a 2 week history of cough, fever, and foul-smelling sputum. Worsening condition despite a full course of broad-spectrum antibiotics. Sputum cultures negative. CT scan shows a right lower lobe abscess. Treatment includes antibiotics.
|
Percutaneous catheter drainage only
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 1987590, "Study Quality": "4"}, {"PMID": 3977469, "Study Quality": "4"}, {"PMID": 21980735, "Study Quality": "3"}, {"PMID": 21439848, "Study Quality": "3"}, {"PMID": 26366400, "Study Quality": "4"}, {"PMID": 22347342, "Study Quality": "4"}]}
| 0
| null | 0
| null | 6
| 6
| 0
| 1
| 0
| 0
| 1
| 5
| 2
| 3
| 1
| 316
|
Radiologic Management of Iliac Artery Occlusive Disease
|
Long history of mild claudication. Acute-onset left lower-extremity pain. Absent left femoral pulse on palpation, faint dorsalis pedis and posterior tibial pulses by Doppler. Next steps.
|
Plethysmography and pulse volume recording
|
May be appropriate
| null |
{"References": []}
| 0
| null | 0
| null | 5
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 108
|
Pulmonary Arteriovenous Malformation (PAVM)
|
Adult. Presenting with shortness of breath, or hemothorax, or hemoptysis. Patient has history of epistaxis and family history of hereditary hemorrhagic telangiectasia (HHT). Suspected PAVM. Initial imaging.
|
US echocardiography transesophageal with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 8181373, "Study Quality": "4"}, {"PMID": 12848887, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 3
| 3
| 2
| 5
| 3
| 3
| 3
| 1
| 0
| 0
| 0
| 7,457
|
Chronic Cough
|
Chronic cough lasting more than 8 weeks. Persistent symptoms despite initial clinical evaluation and empiric treatment. Initial imaging.
|
Radiography chest
|
Usually appropriate
|
Expert Consensus
|
{"References": [{"PMID": 19926869, "Study Quality": "3"}, {"PMID": 25968285, "Study Quality": "4"}, {"PMID": 20694945, "Study Quality": "4"}, {"PMID": 29960277, "Study Quality": "2"}, {"PMID": 26937758, "Study Quality": "4"}, {"PMID": 22795504, "Study Quality": "4"}, {"PMID": 21127394, "Study Quality": "2"}, {"PMID": 26184784, "Study Quality": "4"}, {"PMID": 26154442, "Study Quality": "2"}, {"PMID": 25316135, "Study Quality": "2"}, {"PMID": 23122673, "Study Quality": "2"}, {"PMID": 17285786, "Study Quality": "2"}, {"PMID": 12461244, "Study Quality": "2"}, {"PMID": 29080708, "Study Quality": "4"}, {"PMID": 15684286, "Study Quality": "2"}, {"PMID": 23347748, "Study Quality": "2"}, {"PMID": -3191717, "Study Quality": "4"}]}
| 1
|
1 mSv
| 1
|
03 mSv
| 7
| 7
| 0
| 0
| 1
| 0
| 2
| 2
| 3
| 2
| 3
| 11,182
|
Staging and Post-Therapy Assessment of Head and Neck Cancer
|
Suspected or diagnosed cancer of the paranasal sinuses or nasal cavity. Initial staging.
|
CT head without IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 32113152, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 3
|
3-3 mSv
| 1
| 1
| 16
| 1
| 1
| 0
| 0
| 1
| 0
| 0
| 0
| 11,946
|
Soft Tissue Vascular Anomalies: Vascular Malformations and Infantile Vascular Tumors (Non-CNS)-Child
|
Infant. Multiple cutaneous infantile hemangiomas, screening for infantile hepatic hemangiomas. Initial imaging.
|
US duplex Doppler abdomen
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 29957348, "Study Quality": "2"}, {"PMID": 30244993, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 9
| 9
| 0
| 1
| 0
| 0
| 1
| 0
| 2
| 4
| 10
| 11,623
|
Abnormal Uterine Bleeding
|
Abnormal uterine bleeding. Initial imaging.
|
MRI pelvis without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 3
| 3
| 3
| 2
| 7
| 1
| 0
| 1
| 0
| 0
| 0
| 3,846
|
Nuchal Translucency Evaluation at 11 to 14 Weeks Gestational Age
|
Increased nuchal translucency in monochorionic twins at 11 to 14 weeks of gestation.
|
US echocardiography fetal
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 18377515, "Study Quality": "4"}, {"PMID": 23716531, "Study Quality": "4"}, {"PMID": 24176159, "Study Quality": "4"}, {"PMID": 23200164, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 9
| 9
| 0
| 0
| 0
| 0
| 0
| 1
| 1
| 3
| 6
| 9,170
|
Monitoring Response to Neoadjuvant Systemic Therapy for Breast Cancer
|
Adult female or male or transfeminine (male-to-female) or transmasculine (female-to-male). Known breast cancer. Axillary imaging suspicious for metastatic disease on mammography, US, or MRI during initial evaluation. Next imaging study.
|
US-guided core biopsy axillary node
|
Usually appropriate
|
Strong
|
{"References": [{"PMID": 16079956, "Study Quality": "3"}, {"PMID": 18474876, "Study Quality": "4"}, {"PMID": 29972239, "Study Quality": "Good"}, {"PMID": 26727919, "Study Quality": "4"}, {"PMID": 28766234, "Study Quality": "3"}, {"PMID": 26811528, "Study Quality": "2"}, {"PMID": 31500785, "Study Quality": "3"}, {"PMID": 25797740, "Study Quality": "2"}, {"PMID": 35550807, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 9
| 9
| 0
| 0
| 0
| 0
| 0
| 1
| 2
| 4
| 8
| 8,079
|
Imaging of Mesenteric Ischemia
|
Suspected chronic mesenteric ischemia. Initial imaging.
|
CT abdomen and pelvis with IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 25814198, "Study Quality": "4"}, {"PMID": 17242256, "Study Quality": "4"}, {"PMID": 17502217, "Study Quality": "4"}, {"PMID": 26553268, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 5
| 5
| 0
| 0
| 0
| 2
| 8
| 3
| 1
| 0
| 0
| 6,729
|
Staging and Post-Therapy Assessment of Head and Neck Cancer
|
Suspected or diagnosed cancer of the paranasal sinuses or nasal cavity. Initial staging.
|
MRA neck without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 32113152, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 16
| 2
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 11,937
|
Inflammatory Back Pain: Known or Suspected Axial Spondyloarthropathy
|
Inflammatory back pain. Suspected axial spondyloarthritis. Additional imaging following radiographs. Next imaging study.
|
CT sacroiliac joints and spine area of interest without IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 22736088, "Study Quality": "4"}, {"PMID": 18006539, "Study Quality": "3"}, {"PMID": 23842966, "Study Quality": "4"}, {"PMID": 19297344, "Study Quality": "3"}, {"PMID": 29538011, "Study Quality": "4"}, {"PMID": 29127092, "Study Quality": "3"}, {"PMID": 28663306, "Study Quality": "4"}, {"PMID": 27889235, "Study Quality": "4"}, {"PMID": 27608795, "Study Quality": "4"}, {"PMID": 25837448, "Study Quality": "4"}]}
| 0
| null | 0
| null | 5
| 5
| 0
| 0
| 0
| 1
| 12
| 1
| 2
| 0
| 0
| 7,381
|
Central Venous Access Device and Site Selection
|
Device selection
|
Chest port
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
| null | 0
| null | 1
| 1
| 14
| 1
| 0
| 0
| 0
| 0
| 1
| 0
| 0
| 7,746
|
Tinnitus
|
Nonpulsatile tinnitus, unilateral; no hearing loss, and no neurologic deficit, and no trauma. Initial imaging.
|
MRV head without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 29283099, "Study Quality": "2"}, {"PMID": 1562895, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 15
| 1
| 0
| 0
| 2
| 0
| 0
| 0
| 0
| 7,563
|
Suspected Small-Bowel Obstruction
|
Suspected small-bowel obstruction. Acute presentation. Initial imaging.
|
MRI abdomen and pelvis without and with IV contrast
|
May be appropriate
|
Expert Consensus
|
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 5
| 5
| 0
| 0
| 1
| 7
| 7
| 2
| 0
| 0
| 0
| 4,584
|
Chronic Liver Disease
|
Chronic liver disease. Previous diagnosis of HCC. Post-treatment monitoring for HCC.
|
MR elastography abdomen
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 24636468, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 3
| 3
| 4
| 2
| 9
| 1
| 0
| 0
| 0
| 0
| 0
| 7,920
|
Pretreatment Evaluation and Follow-up of Invasive Cancer of the Cervix
|
Initial treatment response assessment of cervical cancer after chemoradiation.
|
Radiography chest
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": -3195133, "Study Quality": "4"}]}
| 1
|
1 mSv
| 1
|
03 mSv
| 2
| 2
| 6
| 3
| 3
| 0
| 0
| 0
| 0
| 0
| 0
| 3,975
|
Management of Vertebral Compression Fractures
|
New symptomatic VCF. History of prior vertebroplasty or surgery. Initial treatment.
|
Radiation oncology consultation
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
| null | 0
| null | 1
| 1
| 12
| 3
| 2
| 2
| 1
| 0
| 0
| 0
| 0
| 6,624
|
Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae
|
Adult. Suspect subchondral stress fracture at an extremity joint. Radiographs negative or indeterminate. Next imaging study.
|
CT area of interest without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
| null | 0
| null | 1
| 1
| 13
| 0
| 0
| 1
| 1
| 0
| 0
| 0
| 0
| 3,035
|
Seizures and Epilepsy
|
New-onset seizure. Unrelated to trauma. Initial imaging.
|
MEG
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 27430454, "Study Quality": "4"}, {"PMID": 23676306, "Study Quality": "4"}, {"PMID": 15897958, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
| null | 1
| 1
| 13
| 1
| 1
| 1
| 1
| 0
| 0
| 0
| 0
| 4,842
|
Acute Respiratory Illness in Immunocompetent Patients
|
Acute asthma exacerbation in immunocompetent patients, complicated (suspected pneumonia or pneumothorax). Initial imaging.
|
CT chest without IV contrast
|
May be appropriate
|
Expert Consensus
|
{"References": []}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 5
| 5
| 0
| 0
| 0
| 0
| 7
| 3
| 1
| 0
| 1
| 3,559
|
Lower Extremity Chronic Venous Disease
|
Suspected pelvic-origin lower extremity varicose veins in females. Initial diagnosis.
|
US duplex Doppler lower extremity
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 23019985, "Study Quality": "4"}, {"PMID": 28063094, "Study Quality": "4"}, {"PMID": 26556703, "Study Quality": "4"}, {"PMID": 23482555, "Study Quality": "4"}, {"PMID": 28447881, "Study Quality": "4"}, {"PMID": 30857986, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 8
| 8
| 0
| 0
| 0
| 0
| 0
| 1
| 2
| 8
| 5
| 6,255
|
Breast Pain
|
Female with clinically significant breast pain (focal and noncyclical). Age less than 30. Initial imaging.
|
Mammography diagnostic
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 7268931, "Study Quality": "3"}]}
| 2
|
1-1mSv
| 0
| null | 1
| 1
| 10
| 2
| 2
| 0
| 0
| 0
| 2
| 0
| 0
| 7,284
|
Cranial Neuropathy
|
Multiple different middle cranial nerve palsies (CN V-VII). Initial imaging.
|
MRI orbits face neck without IV contrast
|
May be appropriate
|
Strong
|
{"References": [{"PMID": 24210311, "Study Quality": "4"}, {"PMID": 24210310, "Study Quality": "4"}, {"PMID": 20383633, "Study Quality": "4"}, {"PMID": 31283463, "Study Quality": "4"}, {"PMID": 24216451, "Study Quality": "4"}, {"PMID": 21376629, "Study Quality": "2"}, {"PMID": 28413710, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 5
| 5
| 2
| 0
| 0
| 1
| 9
| 7
| 1
| 0
| 0
| 6,398
|
Adrenal Mass Evaluation
|
Adrenal mass, less than 4 cm on initial imaging. No diagnostic benign imaging features. History of malignancy. Adrenal specific imaging.
|
CT abdomen with IV contrast
|
Usually not appropriate
|
Strong
|
{"References": [{"PMID": 24647823, "Study Quality": "2"}, {"PMID": 9648789, "Study Quality": "4"}, {"PMID": 14975968, "Study Quality": "4"}, {"PMID": 2014283, "Study Quality": "2"}, {"PMID": 9490968, "Study Quality": "3"}, {"PMID": 9275981, "Study Quality": "4"}, {"PMID": 11044054, "Study Quality": "4"}, {"PMID": 14628882, "Study Quality": "3"}, {"PMID": 9577483, "Study Quality": "2"}, {"PMID": 17517932, "Study Quality": "2"}, {"PMID": 23151828, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 3
| 3
| 4
| 3
| 6
| 1
| 1
| 1
| 1
| 0
| 0
| 973
|
Thoracic Aorta Interventional Planning and Follow-up
|
Planning for pre–thoracic endovascular repair (TEVAR) of thoracic aorta disease.
|
CT chest abdomen pelvis with IV contrast
|
Usually not appropriate
| null |
{"References": []}
| 4
|
10-30 mSv
| 0
| null | 3
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 8,098
|
Thoracoabdominal Aneurysm or Dissection: Treatment Planning and Follow-Up
|
Planning for endovascular or open repair of thoracoabdominal aorta aneurysm or dissection.
|
CTA chest and abdomen with IV contrast
|
May be appropriate (Disagreement)
|
Expert Opinion
|
{"References": [{"PMID": 29613964, "Study Quality": "4"}, {"PMID": 19251176, "Study Quality": "4"}]}
| 4
|
10-30 mSv
| 0
| null | 5
| 5
| 2
| 4
| 6
| 2
| 3
| 3
| 2
| 0
| 0
| 11,564
|
Transgender Breast Cancer Screening
|
Breast cancer screening. Transmasculine (female-to-male) patient with reduction mammoplasty or no chest surgery, 30 years of age or older. Intermediate risk (patient with personal history of breast cancer, lobular neoplasia, atypical ductal hyperplasia, or 15% to 20% lifetime risk of breast cancer).
|
MRI breast without and with IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 20651211, "Study Quality": "3"}, {"PMID": 21900617, "Study Quality": "4"}, {"PMID": 21900618, "Study Quality": "3"}, {"PMID": 26744477, "Study Quality": "3"}, {"PMID": 29101979, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 5
| 5
| 0
| 1
| 0
| 1
| 12
| 3
| 1
| 1
| 0
| 10,255
|
Hearing Loss and/or Vertigo
|
Persistent vertigo with or without neurological symptoms (central vertigo). Initial imaging.
|
CTA head and neck with IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 28328808, "Study Quality": "3"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 6
| 6
| 0
| 0
| 1
| 0
| 1
| 8
| 5
| 0
| 0
| 5,692
|
Management of Uterine Fibroids
|
Reproductive age patient with uterine fibroids, symptomatic with heavy uterine bleeding or bulk symptoms (eg, pressure, pain, fullness, bowel, or bladder symptoms), and no desire for future fertility. Initial therapy.
|
MR-guided high-frequency focused ultrasound ablation
|
Usually appropriate
|
Strong
|
{"References": [{"PMID": 30217580, "Study Quality": "2"}, {"PMID": 24075785, "Study Quality": "2"}, {"PMID": 24998103, "Study Quality": "2"}, {"PMID": 28421665, "Study Quality": "1"}, {"PMID": 28063909, "Study Quality": "1"}, {"PMID": 30696556, "Study Quality": "1"}, {"PMID": 26658133, "Study Quality": "1"}, {"PMID": 29628611, "Study Quality": "4"}]}
| 0
| null | 0
| null | 7
| 7
| 0
| 0
| 1
| 1
| 1
| 2
| 6
| 0
| 0
| 6,300
|
Back Pain — Child
|
Child. Back pain with none of the following clinical red flags
|
CT myelography complete spine
|
Usually not appropriate
| null |
{"References": []}
| 5
|
30-100 mSv
| 4
|
3-10 mSv
| 1
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 7,928
|
Sinonasal Disease
|
Acute sinusitis with rapid progression or suspected invasive fungal sinusitis. Initial Imaging.
|
MRA head without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 18029900, "Study Quality": "4"}, {"PMID": 28438285, "Study Quality": "4"}, {"PMID": 28341385, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 11
| 2
| 2
| 1
| 0
| 0
| 1
| 0
| 0
| 6,123
|
Staging of Renal Cell Carcinoma
|
Renal cell carcinoma. Contraindication only to iodinated CT intravenous contrast. Staging.
|
MRI abdomen without IV contrast
|
Usually not appropriate
|
Strong
|
{"References": [{"PMID": 12704036, "Study Quality": "3"}, {"PMID": 29724245, "Study Quality": "2"}, {"PMID": 18076946, "Study Quality": "3"}, {"PMID": 11832712, "Study Quality": "3"}, {"PMID": 15665685, "Study Quality": "2"}, {"PMID": 31741596, "Study Quality": "3"}, {"PMID": 15615960, "Study Quality": "2"}, {"PMID": 15100535, "Study Quality": "2"}, {"PMID": 14684543, "Study Quality": "3"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 3
| 3
| 4
| 1
| 5
| 4
| 1
| 0
| 1
| 0
| 0
| 1,374
|
Placenta Accreta Spectrum Disorder
|
Low risk for placenta accreta spectrum disorder. No known clinical risk factors. Initial Imaging.
|
MRI abdomen and pelvis without and with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 30471891, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 12
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 9,340
|
Tinnitus
|
Nonpulsatile tinnitus, bilateral; no hearing loss, and no neurologic deficit, and no trauma. Initial imaging.
|
CT head without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 1
| 1
| 14
| 1
| 1
| 1
| 1
| 0
| 0
| 0
| 0
| 7,588
|
Acute Trauma to the Foot
|
Adult or child older than 5 years of age. Acute trauma to the foot. Suspect penetrating trauma with a foreign body. Radiographs of the foot are negative. Next imaging study.
|
MRI foot without and with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 11856673, "Study Quality": "4"}, {"PMID": 22744349, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 6,678
|
Pretreatment Evaluation and Follow-up of Invasive Cancer of the Cervix
|
Initial treatment response assessment of cervical cancer after chemoradiation.
|
CT chest with IV contrast
|
May be appropriate (Disagreement)
|
Expert Opinion
|
{"References": [{"PMID": -3195133, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 5
| 5
| 0
| 0
| 3
| 2
| 2
| 1
| 3
| 0
| 0
| 3,971
|
Chronic Shoulder Pain
|
Chronic shoulder pain. Initial imaging.
|
Bone scan shoulder
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 3
|
1-10 mSv
| 0
| null | 1
| 1
| 15
| 1
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 8,255
|
Chronic Chest Pain-Noncardiac Etiology Unlikely: Low to Intermediate Probability of Coronary Artery Disease
|
Chronic chest pain, noncardiac etiology unlikely
|
MRI heart function and morphology without IV contrast
|
May be appropriate
|
Strong
|
{"References": [{"PMID": 12403662, "Study Quality": "3"}, {"PMID": 15289384, "Study Quality": "2"}, {"PMID": 22196944, "Study Quality": "3"}, {"PMID": 16580532, "Study Quality": "3"}, {"PMID": 22084203, "Study Quality": "1"}, {"PMID": 23578348, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 5
| 5
| 0
| 0
| 3
| 3
| 5
| 3
| 1
| 0
| 0
| 10
|
Sinusitis–Child
|
Child. Suspected invasive fungal sinusitis. Initial imaging.
|
CT paranasal sinuses without IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 3174990, "Study Quality": "3"}, {"PMID": 16025049, "Study Quality": "4"}, {"PMID": 24923371, "Study Quality": "3"}, {"PMID": 23271503, "Study Quality": "4"}, {"PMID": 21400253, "Study Quality": "2"}]}
| 2
|
1-1mSv
| 3
|
3-3 mSv
| 3
| 3
| 3
| 0
| 8
| 0
| 7
| 0
| 0
| 0
| 1
| 3,369
|
Cervical Neck Pain or Cervical Radiculopathy
|
Chronic cervical or neck pain without or with radiculopathy. Radiographs show ossification in the posterior longitudinal ligament (OPLL). Next imaging study.
|
CTA neck with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 3
|
1-10 mSv
| 3
|
3-3 mSv
| 1
| 1
| 12
| 1
| 2
| 2
| 1
| 0
| 0
| 0
| 0
| 2,615
|
Staging and Surveillance of Testicular Cancer
|
Initial staging of nonseminoma testicular cancer. Diagnosed by orchiectomy.
|
MRI head without and with IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 31059667, "Study Quality": "4"}, {"PMID": 31277730, "Study Quality": "4"}, {"PMID": 27815687, "Study Quality": "4"}, {"PMID": -3186719, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 5
| 5
| 0
| 0
| 4
| 2
| 5
| 2
| 0
| 0
| 0
| 1,426
|
Staging and Follow-up of Esophageal Cancer
|
Esophageal cancer. Posttreatment imaging. Suspected or known recurrence.
|
Radiography chest
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 24435775, "Study Quality": "2"}]}
| 1
|
1 mSv
| 1
|
03 mSv
| 1
| 1
| 16
| 2
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 11,401
|
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