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
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Staging and Post-Therapy Assessment of Head and Neck Cancer
|
Suspected or diagnosed cancer of a major salivary gland (parotid, submandibular, and sublingual glands). Initial staging.
|
MRA neck with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 32113152, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 16
| 1
| 1
| 1
| 0
| 0
| 0
| 0
| 0
| 11,960
|
Imaging after Mastectomy and Breast Reconstruction
|
Female. Breast cancer screening. High-risk, bilateral prophylactic mastectomy with nonautologous (implant) reconstructions.
|
FDG-PET breast dedicated
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 3
|
1-10 mSv
| 0
| null | 1
| 1
| 13
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 10,206
|
Imaging of the Axilla
|
Female. Newly diagnosed locally recurrent breast cancer. Initial imaging of the axilla following diagnostic mammography or DBT.
|
Sestamibi MBI
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 26314782, "Study Quality": "4"}, {"PMID": -3182246, "Study Quality": "4"}, {"PMID": 31558898, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 0
| null | 1
| 1
| 16
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 10,409
|
Urinary Tract Infection–Child
|
Child. Older than 6 years of age. First febrile urinary tract infection with appropriate response to medical management. Initial imaging.
|
MRU without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": -3192173, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 12
| 3
| 0
| 0
| 1
| 1
| 1
| 0
| 0
| 3,461
|
Staging and Post-Therapy Assessment of Head and Neck Cancer
|
Suspected or diagnosed nasopharynx cancer or EBV-associated unknown primary of the head and neck. Initial staging.
|
FDG-PET/CT skull base to mid-thigh
|
Usually appropriate
|
Strong
|
{"References": [{"PMID": 25348201, "Study Quality": "Good"}, {"PMID": 24283555, "Study Quality": "Not Assessed"}, {"PMID": 25405771, "Study Quality": "2"}, {"PMID": 33416977, "Study Quality": "2"}, {"PMID": 17873135, "Study Quality": "2"}, {"PMID": 31635767, "Study Quality": "4"}, {"PMID": 11130825, "Study Quality": "2"}, {"PMID": 18704401, "Study Quality": "2"}]}
| 4
|
10-30 mSv
| 4
|
3-10 mSv
| 8
| 8
| 0
| 0
| 0
| 0
| 1
| 0
| 6
| 4
| 7
| 11,900
|
Acute Onset Flank Pain-Suspicion of Stone Disease (Urolithiasis)
|
Acute onset flank pain. Suspicion of stone disease. CT without contrast is inconclusive for the presence of stones. Next imaging study.
|
Radiography abdomen and pelvis
|
Usually not appropriate
| null |
{"References": []}
| 3
|
1-10 mSv
| 3
|
3-3 mSv
| 1
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 794
|
Acutely Limping Child Up To Age 5
|
Child up to age 5. Acute limp. Nonlocalized symptoms. Concern for infection. Initial imaging.
|
Radiography lumbar spine
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 17314640, "Study Quality": "3"}, {"PMID": 18560822, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 2
|
3 mSv
| 3
| 3
| 3
| 3
| 5
| 2
| 2
| 1
| 0
| 0
| 0
| 730
|
Cerebrovascular Diseases-Stroke and Stroke-Related Conditions
|
Adult. Focal neurologic deficit. Clinically suspected acute ischemic stroke. Initial imaging.
|
CT head with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 3
|
1-10 mSv
| 3
|
3-3 mSv
| 1
| 1
| 14
| 4
| 1
| 0
| 0
| 0
| 1
| 1
| 0
| 9,812
|
Headache
|
Headache with features of intracranial hypertension (eg, papilledema, pulsatile tinnitus, visual symptoms worse on Valsalva). Initial imaging.
|
Arteriography cervicocerebral
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 1
| 1
| 14
| 2
| 1
| 1
| 1
| 0
| 0
| 0
| 0
| 5,140
|
Anorectal Disease
|
Suspected complication postproctectomy or coloproctectomy or colectomy with pouch or other anastomosis. Initial imaging.
|
US pelvis transrectal
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 24156793, "Study Quality": "3"}, {"PMID": 17245179, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 2
| 2
| 7
| 2
| 5
| 2
| 0
| 0
| 1
| 0
| 0
| 8,653
|
Cerebrovascular Diseases-Aneurysm, Vascular Malformation, and Subarachnoid Hemorrhage
|
Known cerebral aneurysm; untreated. Surveillance monitoring.
|
MRI head with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 14
| 2
| 2
| 0
| 0
| 0
| 0
| 0
| 0
| 10,062
|
Chronic Hand and Wrist Pain
|
Adult. Chronic hand or wrist pain. Initial imaging.
|
CT arthrography area of interest
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
| null | 0
| null | 1
| 1
| 12
| 0
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 2,626
|
Multiple Gestations
|
Multiple gestations. Dichorionic twins or multichorionic higher order multiples. Growth and antepartum surveillance.
|
US pregnant uterus transvaginal
|
May be appropriate
|
Expert Consensus
|
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 6
| 6
| 0
| 0
| 0
| 1
| 3
| 3
| 2
| 0
| 1
| 4,058
|
Liver Lesion — Initial Characterization
|
Indeterminate, greater than 1 cm liver lesion on initial imaging with CT (noncontrast or single-phase) or noncontrast MRI. Normal liver. No suspicion or evidence of extrahepatic malignancy or underlying liver disease.
|
FDG-PET/CT skull base to mid-thigh
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 4
|
10-30 mSv
| 4
|
3-10 mSv
| 1
| 1
| 10
| 4
| 2
| 0
| 1
| 0
| 0
| 0
| 0
| 4,457
|
Suspected Pulmonary Embolism
|
Suspected pulmonary embolism. High pretest probability. Initial Imaging.
|
CT chest with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 11323478, "Study Quality": "1"}, {"PMID": 18212216, "Study Quality": "3"}, {"PMID": 10966705, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 2
| 2
| 6
| 7
| 5
| 0
| 0
| 0
| 0
| 0
| 0
| 1,745
|
Acute Pyelonephritis
|
Suspected acute pyelonephritis. First-time presentation. Uncomplicated patient (eg, no history of pyelonephritis, diabetes, immune compromise, history of stones or renal obstruction, prior renal surgery, advanced age, vesicoureteral reflux, lack of response to therapy, or pregnancy). Initial imaging.
|
MRI abdomen and pelvis without IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 18203942, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 14
| 2
| 0
| 0
| 0
| 0
| 0
| 1
| 0
| 5,706
|
Cerebrovascular Disease
|
New focal neurologic defect, fixed or worsening. Less than 6 hours. Suspected stroke.
|
CTA head and neck with IV contrast
|
Usually appropriate
| null |
{"References": []}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 8
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 4,792
|
Thoracic Outlet Syndrome
|
Arterial thoracic outlet syndrome. Initial imaging and follow-up imaging after surgery or intervention.
|
US duplex Doppler subclavian artery and vein
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 16439785, "Study Quality": "3"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 8
| 8
| 0
| 0
| 0
| 0
| 0
| 0
| 5
| 13
| 4
| 7,209
|
Staging and Post-Therapy Assessment of Head and Neck Cancer
|
Suspected or diagnosed nasopharynx cancer or EBV-associated unknown primary of the head and neck. Initial staging.
|
CT chest without IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 25239083, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 5
| 5
| 0
| 0
| 0
| 4
| 7
| 3
| 3
| 1
| 0
| 11,906
|
Cranial Neuropathy
|
Anosmia or other abnormalities of the sense of smell (olfactory nerve, CN I). Initial imaging.
|
MRI head without IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 20472036, "Study Quality": "3"}, {"PMID": 25712545, "Study Quality": "2"}, {"PMID": 29269404, "Study Quality": "2"}, {"PMID": 29324366, "Study Quality": "2"}, {"PMID": 25977168, "Study Quality": "2"}, {"PMID": 23775878, "Study Quality": "4"}, {"PMID": 29088516, "Study Quality": "4"}, {"PMID": 21330398, "Study Quality": "2"}, {"PMID": 22730050, "Study Quality": "2"}, {"PMID": 23376116, "Study Quality": "2"}, {"PMID": 24051351, "Study Quality": "2"}, {"PMID": 33132007, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 2
| 2
| 8
| 3
| 4
| 1
| 3
| 1
| 0
| 0
| 0
| 6,348
|
Pretreatment Detection, Surveillance, and Staging of Prostate Cancer
|
Clinically suspected prostate cancer. No prior biopsy (biopsy naïve). Initial diagnosis. Initial imaging.
|
Choline PET/MRI skull base to mid-thigh
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 3
|
1-10 mSv
| 0
| null | 1
| 1
| 11
| 2
| 0
| 0
| 0
| 0
| 1
| 0
| 0
| 1,199
|
Cerebrovascular Diseases-Stroke and Stroke-Related Conditions
|
Adult. Recent ischemic infarct; greater than 24 hours. Initial imaging.
|
MRA neck without IV contrast
|
May be appropriate
|
Strong
|
{"References": [{"PMID": 16155164, "Study Quality": "2"}, {"PMID": 15955853, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 6
| 6
| 0
| 1
| 0
| 1
| 7
| 8
| 2
| 0
| 0
| 9,841
|
Palpable Breast Masses
|
Adult female, younger than 30 years of age. Palpable breast mass. US findings negative (BI-RADS 1). Next imaging study.
|
Mammography screening
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 28754486, "Study Quality": "3"}, {"PMID": 25341156, "Study Quality": "4"}, {"PMID": 23046046, "Study Quality": "3"}, {"PMID": 21477168, "Study Quality": "3"}]}
| 2
|
1-1mSv
| 0
| null | 1
| 1
| 16
| 0
| 0
| 0
| 1
| 0
| 0
| 0
| 0
| 5,958
|
Inflammatory Back Pain: Known or Suspected Axial Spondyloarthropathy
|
Inflammatory back pain. Suspected axial spondyloarthritis. Negative radiographs and negative MRI of the sacroiliac joints. Next imaging study.
|
CT spine area of interest without and with IV contrast
|
Usually not 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": 28110981, "Study Quality": "4"}, {"PMID": 27889235, "Study Quality": "4"}, {"PMID": 27608795, "Study Quality": "4"}, {"PMID": 27355535, "Study Quality": "4"}, {"PMID": 25837448, "Study Quality": "4"}]}
| 0
| null | 0
| null | 1
| 1
| 11
| 0
| 1
| 1
| 1
| 0
| 1
| 0
| 0
| 7,399
|
Fibroids
|
Known fibroids. Treatment planning. Initial imaging.
|
US duplex Doppler pelvis
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 25251811, "Study Quality": "3"}, {"PMID": 26023602, "Study Quality": "3"}, {"PMID": 28211610, "Study Quality": "3"}, {"PMID": 21147300, "Study Quality": "3"}, {"PMID": 33153547, "Study Quality": "4"}, {"PMID": 11904599, "Study Quality": "3"}, {"PMID": 24077979, "Study Quality": "4"}, {"PMID": 11833866, "Study Quality": "3"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 7
| 7
| 1
| 0
| 0
| 0
| 2
| 3
| 1
| 2
| 3
| 11,854
|
Multiple Gestations
|
Multiple gestations. Dichorionic twins or multichorionic higher order multiples. Second trimester anatomy examination. Follow-up imaging.
|
MRI fetal without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 9
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 4,040
|
Nonvariceal Upper Gastrointestinal Bleeding
|
Adult. Suspected nonvariceal upper gastrointestinal bleeding; no endoscopy performed. Initial imaging.
|
CTA abdomen and pelvis without and with IV contrast
|
Usually appropriate
|
Moderate
|
{"References": [{"PMID": 31363814, "Study Quality": "3"}, {"PMID": 31987743, "Study Quality": "4"}, {"PMID": 33449577, "Study Quality": "3"}, {"PMID": 25023179, "Study Quality": "3"}, {"PMID": 25650332, "Study Quality": "1"}, {"PMID": 31346741, "Study Quality": "4"}, {"PMID": 23192375, "Study Quality": "M"}, {"PMID": 28754326, "Study Quality": "3"}, {"PMID": 29883267, "Study Quality": "4"}]}
| 4
|
10-30 mSv
| 0
| null | 9
| 9
| 0
| 0
| 0
| 0
| 0
| 1
| 3
| 2
| 7
| 1,889
|
Suspected Spine Infection
|
Suspected spine infection (such as epidural abscess or discitis osteomyelitis), with new or worsening back or neck pain, with or without fever, who may have one or more of the following red flags (diabetes mellitus, IV drug use, cancer, HIV, or dialysis) or abnormal lab values. Initial imaging.
|
Gallium scan whole body
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 22643395, "Study Quality": "4"}, {"PMID": 27523445, "Study Quality": "2"}, {"PMID": 29452617, "Study Quality": "4"}]}
| 4
|
10-30 mSv
| 0
| null | 4
| 4
| 2
| 1
| 4
| 6
| 6
| 1
| 0
| 0
| 1
| 9,730
|
Plexopathy
|
Brachial plexopathy, traumatic (not perinatal). Initial imaging.
|
MRI brachial plexus without IV contrast
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 22071340, "Study Quality": "3"}, {"PMID": 21763092, "Study Quality": "4"}, {"PMID": 24355190, "Study Quality": "4"}, {"PMID": 30688245, "Study Quality": "4"}, {"PMID": 28886666, "Study Quality": "2"}, {"PMID": 29145043, "Study Quality": "4"}, {"PMID": 29778092, "Study Quality": "4"}, {"PMID": 24210315, "Study Quality": "4"}, {"PMID": 27801698, "Study Quality": "3"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 9
| 9
| 2
| 0
| 0
| 0
| 0
| 0
| 4
| 1
| 13
| 5,544
|
Sepsis
|
Suspected or confirmed sepsis. No specific symptoms suggestive of origin, or symptoms cannot be assessed. Initial imaging.
|
Nuclear medicine scan gallbladder
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 32971451, "Study Quality": "2"}, {"PMID": 25468363, "Study Quality": "4"}]}
| 2
|
1-1mSv
| 0
| null | 1
| 1
| 14
| 2
| 3
| 0
| 1
| 1
| 0
| 0
| 0
| 11,819
|
Staging of Colorectal Cancer
|
Rectal cancer. Locoregional staging. Initial imaging.
|
CT abdomen and pelvis with IV contrast
|
May be appropriate
|
Strong
|
{"References": [{"PMID": 19571705, "Study Quality": "2"}, {"PMID": 20103950, "Study Quality": "3"}, {"PMID": 18697365, "Study Quality": "4"}, {"PMID": 8646512, "Study Quality": "3"}, {"PMID": 9568652, "Study Quality": "1"}, {"PMID": 15376205, "Study Quality": "3"}, {"PMID": 19949791, "Study Quality": "3"}, {"PMID": 21110194, "Study Quality": "2"}, {"PMID": 22100372, "Study Quality": "3"}, {"PMID": 22281979, "Study Quality": "2"}, {"PMID": 22271004, "Study Quality": "3"}, {"PMID": 31305437, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 5
| 5
| 0
| 0
| 0
| 0
| 15
| 2
| 0
| 0
| 1
| 32
|
Chronic Shoulder Pain
|
Chronic shoulder pain. Initial imaging.
|
US shoulder
|
May be appropriate
|
Strong
|
{"References": [{"PMID": 31201467, "Study Quality": "3"}, {"PMID": 29504320, "Study Quality": "2"}, {"PMID": 30423642, "Study Quality": "2"}, {"PMID": 32298371, "Study Quality": "3"}, {"PMID": 18599231, "Study Quality": "4"}, {"PMID": 28537759, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 5
| 5
| 2
| 1
| 0
| 2
| 9
| 1
| 0
| 0
| 0
| 8,250
|
Congenital or Acquired Heart Disease
|
Child. Known single ventricle physiology. Preoperative evaluation for stage 3 single ventricle palliation (total cavopulmonary connection). Incomplete or inadequate assessment of cardiovascular morphology and function after transthoracic echocardiography. Next imaging study.
|
MRI heart function with stress without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 2
| 2
| 10
| 2
| 5
| 0
| 3
| 0
| 1
| 1
| 0
| 8,911
|
Staging and Follow-up of Vulvar Cancer
|
Post-treatment assessment of clinically suspected recurrence of known vulvar cancer.
|
CT pelvis without IV contrast
|
May be appropriate (Disagreement)
|
Expert Opinion
|
{"References": [{"PMID": 26059775, "Study Quality": "3"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 5
| 5
| 2
| 4
| 2
| 4
| 1
| 0
| 1
| 0
| 1
| 9,330
|
Hydronephrosis on Prior Imaging-Unknown Cause
|
Adult. Symptomatic hydronephrosis with unknown cause. Initial imaging.
|
CT abdomen and pelvis without IV contrast
|
May be appropriate
|
Strong
|
{"References": [{"PMID": 27533351, "Study Quality": "3"}, {"PMID": 31958894, "Study Quality": "3"}, {"PMID": 28611874, "Study Quality": "1"}, {"PMID": 31535518, "Study Quality": "4"}, {"PMID": 26747219, "Study Quality": "3"}, {"PMID": 29663580, "Study Quality": "2"}, {"PMID": 24440589, "Study Quality": "3"}, {"PMID": 27369294, "Study Quality": "2"}, {"PMID": 34773812, "Study Quality": "2"}, {"PMID": 30853305, "Study Quality": "4"}, {"PMID": 34304393, "Study Quality": "3"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 6
| 6
| 0
| 0
| 0
| 1
| 3
| 4
| 5
| 1
| 1
| 12,137
|
Supplemental Breast Cancer Screening Based on Breast Density
|
Supplemental breast cancer screening. High-risk females with nondense breasts.
|
MRI breast without and with IV contrast abbreviated
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 28506511, "Study Quality": "4"}, {"PMID": 26521970, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 6
| 6
| 0
| 0
| 0
| 1
| 4
| 7
| 3
| 1
| 1
| 10,449
|
Suspected Spine Infection
|
Suspected spine infection (such as epidural abscess or discitis osteomyelitis), with recent intervention (such as surgery with or without hardware, pain injection, or stimulator implantation). Initial imaging.
|
MRI spine area of interest without and with IV contrast
|
Usually appropriate
|
Strong
|
{"References": [{"PMID": 22643395, "Study Quality": "4"}, {"PMID": 21669158, "Study Quality": "4"}, {"PMID": 25296275, "Study Quality": "4"}, {"PMID": 26585257, "Study Quality": "2"}, {"PMID": 24999081, "Study Quality": "4"}, {"PMID": 31103765, "Study Quality": "2"}, {"PMID": 27616314, "Study Quality": "4"}, {"PMID": 27452260, "Study Quality": "2"}, {"PMID": 24792614, "Study Quality": "4"}, {"PMID": 22922857, "Study Quality": "2"}, {"PMID": 29582111, "Study Quality": "2"}, {"PMID": 21417700, "Study Quality": "4"}, {"PMID": 27755204, "Study Quality": "4"}, {"PMID": 28379730, "Study Quality": "2"}, {"PMID": 30971277, "Study Quality": "2"}, {"PMID": 1509065, "Study Quality": "2"}, {"PMID": 31399800, "Study Quality": "4"}, {"PMID": 28437330, "Study Quality": "2"}, {"PMID": 32554421, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 9
| 9
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 6
| 14
| 9,737
|
Thyroid Disease
|
Suspected recurrence of medullary thyroid cancers.
|
CT abdomen with IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 25810047, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 6
| 6
| 0
| 1
| 0
| 1
| 6
| 8
| 0
| 0
| 0
| 8,736
|
Central Venous Access Device and Site Selection
|
Device selection
|
Tunneled central venous catheter
|
Usually appropriate
|
Moderate
|
{"References": [{"PMID": 16970212, "Study Quality": "M"}, {"PMID": 21652113, "Study Quality": "3"}, {"PMID": 24218174, "Study Quality": "M"}, {"PMID": 31044308, "Study Quality": "Good"}]}
| 0
| null | 0
| null | 7
| 7
| 0
| 0
| 0
| 0
| 1
| 2
| 7
| 4
| 2
| 7,759
|
Imaging After Shoulder Arthroplasty
|
Symptomatic patient with a primary shoulder arthroplasty, infection not excluded. Additional imaging following radiographs.
|
3-phase bone scan with SPECT or SPECT/CT shoulder
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 19038601, "Study Quality": "4"}, {"PMID": 536788, "Study Quality": "4"}, {"PMID": 30193652, "Study Quality": "4"}, {"PMID": -3194396, "Study Quality": "3"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 3
| 3
| 4
| 1
| 5
| 3
| 1
| 0
| 0
| 0
| 0
| 7,816
|
Cerebrovascular Disease-Child
|
Child. Clinical presentation suggestive of acute stroke, known or suspected cortical vein or dural venous sinus thrombosis. Initial imaging.
|
MRI head without and with IV contrast
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 23212594, "Study Quality": "4"}, {"PMID": 22948810, "Study Quality": "4"}, {"PMID": 25938564, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 8
| 8
| 1
| 1
| 0
| 0
| 1
| 1
| 3
| 5
| 7
| 8,506
|
Headache-Child
|
Child. Headache attributed to infection. Initial imaging.
|
CT head without IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 25846458, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 3
|
3-3 mSv
| 5
| 5
| 0
| 1
| 0
| 4
| 9
| 0
| 1
| 0
| 0
| 3,181
|
Imaging after Breast Surgery
|
Female. Age 40 years or older. Postsurgical excision with nonmalignant pathology. Asymptomatic. Initial imaging.
|
Digital breast tomosynthesis diagnostic
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 30172804, "Study Quality": "4"}, {"PMID": 29299726, "Study Quality": "4"}, {"PMID": 25423143, "Study Quality": "3"}, {"PMID": 26492902, "Study Quality": "4"}, {"PMID": 24639339, "Study Quality": "4"}, {"PMID": 27425222, "Study Quality": "4"}, {"PMID": -3194411, "Study Quality": "4"}]}
| 2
|
1-1mSv
| 0
| null | 1
| 1
| 9
| 6
| 2
| 0
| 0
| 0
| 0
| 0
| 0
| 11,416
|
Acute Nonlocalized Abdominal Pain
|
Acute nonlocalized abdominal pain and fever. Postoperative patient. Initial imaging.
|
WBC scan abdomen and pelvis
|
Usually not appropriate
|
Strong
|
{"References": [{"PMID": 4015374, "Study Quality": "4"}, {"PMID": 2112472, "Study Quality": "4"}, {"PMID": 3567506, "Study Quality": "2"}, {"PMID": 1941134, "Study Quality": "1"}]}
| 4
|
10-30 mSv
| 0
| null | 3
| 3
| 2
| 6
| 3
| 4
| 0
| 1
| 0
| 0
| 0
| 4,245
|
Lung Cancer Screening
|
Lung cancer screening. Patient of any age with less than 20 packs per year history of smoking, and no additional risk factor (ie, radon exposure or occupational exposure or cancer history or family history of lung cancer or history of COPD or history of pulmonary fibrosis). Initial imaging.
|
CT chest with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 28724283, "Study Quality": "2"}, {"PMID": 33514608, "Study Quality": "4"}, {"PMID": 31848206, "Study Quality": "2"}, {"PMID": 28783541, "Study Quality": "2"}, {"PMID": 17290054, "Study Quality": "4"}, {"PMID": 28874145, "Study Quality": "2"}, {"PMID": 32482786, "Study Quality": "2"}, {"PMID": 30445189, "Study Quality": "2"}, {"PMID": 33430831, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 1
| 1
| 14
| 0
| 0
| 1
| 0
| 0
| 0
| 1
| 0
| 9,009
|
Pretreatment Evaluation and Follow-Up of Endometrial Cancer
|
Pretreatment evaluation of endometrial cancer; assessment of lymph node and distant metastasis for low-grade tumor (Type I, grade 1, 2).
|
US abdomen
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 3049262, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 3
| 3
| 4
| 2
| 5
| 2
| 3
| 0
| 0
| 1
| 0
| 3,881
|
Liver Lesion — Initial Characterization
|
Incidental liver lesion, less than 1 cm on US, noncontrast or single-phase CT, or noncontrast MRI. Known chronic liver disease.
|
DOTATATE PET/CT skull base to mid-thigh
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 20098330, "Study Quality": "2"}, {"PMID": 23932636, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 0
| null | 1
| 1
| 10
| 5
| 2
| 0
| 0
| 0
| 0
| 0
| 0
| 4,519
|
Penetrating Trauma-Lower Abdomen and Pelvis
|
Penetrating trauma, lower abdomen and pelvis. Suspected lower urinary tract trauma. Initial imaging.
|
CT pelvis without IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 16488281, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 4
| 4
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 1,486
|
Dementia and Movement Disorders
|
Suspected dementia with Lewy bodies.
|
I-123 IMP SPECT head
|
May be appropriate
| null |
{"References": []}
| 3
|
1-10 mSv
| 0
| null | 5
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 605
|
Recurrent Lower Urinary Tract Infections in Females
|
Recurrent lower urinary tract infections in a female. Complicated, or patients who are nonresponders to conventional therapy, develop frequent reinfections or relapses, or have known underlying risk factors.
|
CTU without and with IV contrast
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 17597338, "Study Quality": "4"}, {"PMID": 19188307, "Study Quality": "4"}, {"PMID": 30466909, "Study Quality": "4"}]}
| 4
|
10-30 mSv
| 5
|
10-30 mSv
| 8
| 8
| 1
| 0
| 0
| 0
| 1
| 0
| 3
| 5
| 4
| 5,862
|
Staging and Post-Therapy Assessment of Head and Neck Cancer
|
Suspected or diagnosed cancer of the oral cavity or oropharynx or hypopharynx or larynx or cancer of unknown primary of the head and neck. Initial staging.
|
MRI head with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 32113152, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 14
| 3
| 1
| 1
| 0
| 0
| 0
| 0
| 0
| 11,882
|
Staging and Follow-up of Ovarian Cancer
|
Extent of disease in suspected or known recurrence of ovarian cancer.
|
US pelvis transvaginal
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 22858859, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 3
| 3
| 1
| 5
| 10
| 1
| 1
| 1
| 0
| 0
| 0
| 1,533
|
Chronic Hand and Wrist Pain
|
Adult. Chronic wrist pain. Radiographs show old scaphoid fracture. Evaluate for nonunion, malunion, osteonecrosis, or post-traumatic osteoarthritis. Next imaging study.
|
US wrist
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 23812413, "Study Quality": "3"}, {"PMID": 17449771, "Study Quality": "1"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 10
| 1
| 2
| 0
| 0
| 0
| 1
| 0
| 0
| 2,651
|
Pulmonary Arteriovenous Malformation (PAVM)
|
Adult. Asymptomatic with abnormal imaging on CT or chest radiography suggestive of PAVM. Next imaging study.
|
MRA chest without and with IV contrast
|
May be appropriate
|
Expert Consensus
|
{"References": [{"PMID": 19553198, "Study Quality": "4"}, {"PMID": 31875234, "Study Quality": "4"}, {"PMID": 25032812, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 5
| 5
| 0
| 1
| 0
| 2
| 6
| 0
| 7
| 1
| 0
| 7,498
|
Crohn Disease
|
Known Crohn disease, suspected acute exacerbation.
|
US abdomen and pelvis
|
Usually not appropriate
|
Strong
|
{"References": [{"PMID": 23182513, "Study Quality": "4"}, {"PMID": 27495028, "Study Quality": "Good"}, {"PMID": 24344807, "Study Quality": "3"}, {"PMID": 23921767, "Study Quality": "Good"}, {"PMID": 23643057, "Study Quality": "3"}, {"PMID": 22483566, "Study Quality": "3"}, {"PMID": 27338853, "Study Quality": "4"}, {"PMID": 15987966, "Study Quality": "M"}, {"PMID": 14616167, "Study Quality": "2"}, {"PMID": 19408327, "Study Quality": "1"}, {"PMID": 23796373, "Study Quality": "4"}, {"PMID": 19148846, "Study Quality": "3"}, {"PMID": 21615440, "Study Quality": "4"}, {"PMID": 15942733, "Study Quality": "2"}, {"PMID": 18067121, "Study Quality": "2"}, {"PMID": 17680844, "Study Quality": "1"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 3
| 3
| 1
| 3
| 4
| 2
| 4
| 1
| 0
| 0
| 0
| 4,365
|
Epigastric Pain
|
Epigastric pain with clinical suspicion for acid reflux or esophagitis or gastritis or peptic ulcer or duodenal ulcer. Initial imaging.
|
Fluoroscopy single contrast esophagram
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 26562229, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 0
| null | 6
| 6
| 1
| 0
| 0
| 0
| 3
| 7
| 8
| 1
| 0
| 10,523
|
Imaging of Invasive Breast Cancer
|
Surveillance. Regardless of clinical stage of breast cancer at time of original presentation. Evaluation for distant metastatic disease.
|
CT chest abdomen pelvis with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": -3195169, "Study Quality": "4"}, {"PMID": -3195171, "Study Quality": "4"}, {"PMID": 23601761, "Study Quality": "4"}, {"PMID": 26314782, "Study Quality": "4"}]}
| 4
|
10-30 mSv
| 4
|
3-10 mSv
| 1
| 1
| 11
| 0
| 4
| 0
| 0
| 1
| 0
| 0
| 0
| 11,769
|
Acute Respiratory Illness in Immunocompetent Patients
|
Acute respiratory illnesses in immunocompetent patients with positive physical examination, abnormal vital signs, organic brain disease or other risk factors. Initial imaging.
|
MRI chest without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 8
| 3
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 3,532
|
Staging of Renal Cell Carcinoma
|
Renal cell carcinoma. No contraindication to either iodinated CT contrast or gadolinium-based MR intravenous contrast. Staging.
|
CT chest without IV contrast
|
Usually not appropriate
|
Strong
|
{"References": [{"PMID": 31955483, "Study Quality": "3"}, {"PMID": 27684653, "Study Quality": "3"}, {"PMID": 21557795, "Study Quality": "2"}, {"PMID": 19450840, "Study Quality": "3"}, {"PMID": 25241004, "Study Quality": "3"}, {"PMID": 20846691, "Study Quality": "3"}, {"PMID": 26880407, "Study Quality": "2"}, {"PMID": -3195129, "Study Quality": "4"}, {"PMID": 30803729, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 2
| 2
| 6
| 3
| 3
| 1
| 3
| 0
| 0
| 0
| 0
| 1,330
|
Routine Chest Imaging
|
Routine chest imaging for hospital admission. No clinical concern for cardiopulmonary disease. Initial Imaging.
|
MRI chest without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 31407223, "Study Quality": "2"}, {"PMID": 26781150, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 14
| 1
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 3,693
|
Adrenal Mass Evaluation
|
Indeterminate adrenal mass, greater than 2 cm and less than 4 cm on initial imaging. No diagnostic benign imaging features. No history of malignancy. Adrenal specific imaging.
|
Image-guided biopsy adrenal gland
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 8497619, "Study Quality": "3"}, {"PMID": 3871150, "Study Quality": "4"}, {"PMID": 1910990, "Study Quality": "4"}, {"PMID": 9167965, "Study Quality": "4"}, {"PMID": 1643776, "Study Quality": "4"}, {"PMID": 10732267, "Study Quality": "4"}, {"PMID": 10690869, "Study Quality": "4"}, {"PMID": 9267279, "Study Quality": "3"}, {"PMID": 19451490, "Study Quality": "4"}, {"PMID": 24836548, "Study Quality": "3"}]}
| 0
| null | 0
| null | 1
| 1
| 9
| 5
| 2
| 0
| 0
| 0
| 1
| 0
| 0
| 957
|
Cerebrovascular Disease
|
Proven parenchymal hemorrhage (hematoma).
|
MRA head and neck without IV contrast
|
May be appropriate
| null |
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 5
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 4,822
|
Acute Nonlocalized Abdominal Pain
|
Acute nonlocalized abdominal pain. Neutropenic patient. Initial imaging.
|
CT abdomen and pelvis with IV contrast
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 18580213, "Study Quality": "3"}, {"PMID": 23245270, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 9
| 9
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 2
| 14
| 4,246
|
Nonischemic Myocardial Disease with Clinical Manifestations (Ischemic Cardiomyopathy Already Excluded)
|
Suspected restrictive cardiomyopathy or infiltrative disease. Ischemic cardiomyopathy already excluded. Initial imaging.
|
US echocardiography transesophageal
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 2
| 2
| 6
| 7
| 3
| 0
| 0
| 0
| 0
| 0
| 0
| 6,888
|
Assessment of Gravid Cervix
|
Assessment of gravid cervix. History of prior preterm birth. Initial imaging.
|
US cervix transperineal
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 15904442, "Study Quality": "3"}, {"PMID": 11339192, "Study Quality": "3"}, {"PMID": 11587014, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 6
| 6
| 0
| 0
| 4
| 1
| 0
| 6
| 0
| 0
| 0
| 4,122
|
Staging and Post-Therapy Assessment of Head and Neck Cancer
|
Treated cancer of the oral cavity or oropharynx or hypopharynx or larynx or cancer of unknown primary of the head and neck. Surveillance imaging or follow-up imaging for suspected or known recurrence.
|
CT maxillofacial with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 32113152, "Study Quality": "4"}]}
| 2
|
1-1mSv
| 0
| null | 1
| 1
| 11
| 3
| 2
| 0
| 2
| 0
| 0
| 0
| 0
| 11,995
|
Suspected Acute Aortic Syndrome
|
Acute chest pain; suspected acute aortic syndrome.
|
MRI chest abdomen pelvis without IV contrast
|
May be appropriate
|
Expert Consensus
|
{"References": [{"PMID": 23521452, "Study Quality": "2"}, {"PMID": 24939821, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 4
| 4
| 0
| 5
| 3
| 7
| 2
| 0
| 0
| 0
| 0
| 1,660
|
Lower Urinary Tract Symptoms: Suspicion of Benign Prostatic Hyperplasia
|
Lower urinary tract symptoms. Suspicion of benign prostatic hyperplasia. Initial imaging.
|
CT abdomen and pelvis with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 25433478, "Study Quality": "2"}, {"PMID": 10664665, "Study Quality": "4"}, {"PMID": 27476123, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 1
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 1,026
|
Chronic Liver Disease
|
Chronic liver disease. Diagnosis and staging of liver fibrosis. Initial imaging.
|
CT abdomen with IV contrast multiphase
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 23192205, "Study Quality": "3"}, {"PMID": 24261358, "Study Quality": "4"}, {"PMID": 23169796, "Study Quality": "3"}]}
| 4
|
10-30 mSv
| 0
| null | 5
| 5
| 0
| 0
| 1
| 4
| 9
| 0
| 0
| 0
| 0
| 7,895
|
Shoulder Pain-Traumatic
|
Traumatic shoulder pain. Radiographs show humeral head or neck fracture. Next imaging study.
|
MR arthrography shoulder
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 24060014, "Study Quality": "3"}, {"PMID": 19098184, "Study Quality": "3"}, {"PMID": 23716283, "Study Quality": "3"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 13
| 0
| 0
| 0
| 1
| 1
| 0
| 0
| 0
| 2,879
|
Pretreatment Detection, Surveillance, and Staging of Prostate Cancer
|
Clinically established low-risk prostate cancer. Active surveillance.
|
Choline PET/MRI skull base to mid-thigh
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 3
|
1-10 mSv
| 0
| null | 1
| 1
| 9
| 3
| 0
| 0
| 0
| 1
| 1
| 0
| 0
| 1,247
|
Nuchal Translucency Evaluation at 11 to 14 Weeks Gestational Age
|
Routine nuchal translucency measurement at 11 to 14 weeks of gestation for single or twin gestations. Initial imaging.
|
US pregnant uterus transvaginal
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 7640926, "Study Quality": "3"}, {"PMID": 12389656, "Study Quality": "4"}, {"PMID": 15572480, "Study Quality": "4"}, {"PMID": 1392745, "Study Quality": "4"}, {"PMID": 18558475, "Study Quality": "3"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 6
| 6
| 0
| 0
| 0
| 1
| 2
| 5
| 1
| 2
| 0
| 9,159
|
Dementia and Movement Disorders
|
Clinical features suggestive of neurodegeneration with brain iron accumulation.
|
CT head with IV contrast
|
May be appropriate
| null |
{"References": []}
| 3
|
1-10 mSv
| 3
|
3-3 mSv
| 4
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 655
|
Dementia and Movement Disorders
|
Suspected vascular dementia.
|
MR spectroscopy head without IV contrast
|
Usually not appropriate
| null |
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 2
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 623
|
Suspected Osteomyelitis, Septic Arthritis, or Soft Tissue Infection (Excluding Spine and Diabetic Foot)
|
Suspected osteomyelitis. Initial radiographs normal or with findings suggestive of osteomyelitis. Next imaging study.
|
3-phase bone scan and WBC scan and sulfur colloid scan area of interest
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 27742026, "Study Quality": "4"}, {"PMID": 30675635, "Study Quality": "4"}]}
| 4
|
10-30 mSv
| 5
|
10-30 mSv
| 5
| 5
| 0
| 0
| 1
| 2
| 10
| 1
| 0
| 0
| 0
| 7,690
|
Palpable Breast Masses
|
Adult female, younger than 30 years of age. Palpable breast mass. US findings are suspicious or highly suggestive of malignancy (BI-RADS 4 or 5). Next imaging study.
|
MRI breast without and with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 25341156, "Study Quality": "4"}, {"PMID": 21477168, "Study Quality": "3"}, {"PMID": 23046046, "Study Quality": "3"}, {"PMID": 28754486, "Study Quality": "3"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 13
| 0
| 1
| 2
| 0
| 0
| 1
| 0
| 0
| 5,931
|
Liver Lesion — Initial Characterization
|
Incidental liver lesion, less than 1 cm on US, noncontrast or single-phase CT, or noncontrast MRI. Known chronic liver disease.
|
RBC scan abdomen and pelvis
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 20098330, "Study Quality": "2"}, {"PMID": 23932636, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 0
| null | 1
| 1
| 10
| 4
| 3
| 0
| 0
| 0
| 0
| 0
| 0
| 4,521
|
Primary Bone Tumors
|
Suspect primary bone tumor. Lesion on radiographs. Indeterminate or aggressive appearance for malignancy. Next imaging study.
|
FDG-PET/CT whole body
|
May be appropriate
|
Strong
|
{"References": [{"PMID": 15286325, "Study Quality": "2"}, {"PMID": 11376267, "Study Quality": "3"}, {"PMID": 8657920, "Study Quality": "2"}, {"PMID": 15937711, "Study Quality": "3"}, {"PMID": 18278491, "Study Quality": "3"}, {"PMID": 18756363, "Study Quality": "3"}, {"PMID": 18309481, "Study Quality": "3"}, {"PMID": 26356700, "Study Quality": "Good"}, {"PMID": 22072239, "Study Quality": "Good"}]}
| 4
|
10-30 mSv
| 4
|
3-10 mSv
| 5
| 5
| 1
| 0
| 0
| 1
| 10
| 1
| 1
| 0
| 0
| 2,199
|
Suspected Physical Abuse — Child
|
Child ≤24 months of age. High suspicion for abuse. Negative initial skeletal survey. Follow-up imaging evaluation.
|
CT head without and with IV contrast
|
Usually not appropriate
| null |
{"References": []}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 1
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 3,418
|
Crohn Disease
|
Known Crohn disease, disease surveillance; monitoring therapy.
|
CT abdomen and pelvis without and with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 17604930, "Study Quality": "2"}]}
| 4
|
10-30 mSv
| 5
|
10-30 mSv
| 3
| 3
| 2
| 4
| 7
| 0
| 1
| 0
| 0
| 1
| 0
| 4,385
|
Workup of Noncerebral Systemic Arterial Embolic Source
|
Known multiorgan system arterial occlusions. Suspected embolic etiology. Next imaging study to determine source.
|
MRA chest without IV contrast
|
May be appropriate
|
Limited
|
{"References": [{"PMID": 17285264, "Study Quality": "2"}, {"PMID": 20013276, "Study Quality": "3"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 6
| 6
| 0
| 0
| 0
| 0
| 3
| 9
| 4
| 1
| 0
| 11,335
|
Hernia
|
Suspected diaphragmatic hernia including traumatic, Bochdalek, or Morgagni. Initial imaging.
|
Fluoroscopy upper GI series with small bowel follow-through
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 30157820, "Study Quality": "4"}, {"PMID": 28135794, "Study Quality": "4"}, {"PMID": 26705205, "Study Quality": "4"}, {"PMID": 26303737, "Study Quality": "4"}, {"PMID": 21951119, "Study Quality": "4"}, {"PMID": 20039230, "Study Quality": "4"}, {"PMID": 19242298, "Study Quality": "4"}, {"PMID": 15899350, "Study Quality": "4"}, {"PMID": 26105131, "Study Quality": "3"}, {"PMID": 26100355, "Study Quality": "3"}, {"PMID": 30539157, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 3
| 3
| 3
| 2
| 4
| 4
| 1
| 1
| 1
| 0
| 0
| 10,607
|
Parathyroid Adenoma
|
Adult or child. Primary hyperparathyroidism. Initial imaging.
|
Sestamibi dual-phase scan with SPECT or SPECT/CT neck
|
Usually appropriate
|
Strong
|
{"References": [{"PMID": 21710322, "Study Quality": "Good"}, {"PMID": 26932954, "Study Quality": "2"}, {"PMID": 22454482, "Study Quality": "4"}, {"PMID": 26825209, "Study Quality": "2"}, {"PMID": 20466104, "Study Quality": "4"}, {"PMID": 19893394, "Study Quality": "2"}, {"PMID": 25642803, "Study Quality": "Good"}, {"PMID": 18794320, "Study Quality": "4"}, {"PMID": 30835187, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 0
| null | 9
| 9
| 0
| 0
| 0
| 0
| 0
| 2
| 2
| 5
| 12
| 10,689
|
Asymptomatic Patient at Risk for Coronary Artery Disease
|
Asymptomatic patient. Intermediate risk for coronary artery disease. Initial imaging.
|
SPECT or SPECT/CT MPI rest and stress
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 21181519, "Study Quality": "4"}, {"PMID": 24556531, "Study Quality": "4"}]}
| 4
|
10-30 mSv
| 5
|
10-30 mSv
| 2
| 2
| 5
| 6
| 4
| 1
| 0
| 0
| 0
| 0
| 0
| 6,851
|
Nontraumatic Aortic Disease
|
Congenital aortic disease. Initial imaging.
|
MRA chest and abdomen without and with IV contrast
|
Usually appropriate
|
Strong
|
{"References": [{"PMID": 16891235, "Study Quality": "3"}, {"PMID": 18356435, "Study Quality": "2"}, {"PMID": 25644073, "Study Quality": "3"}, {"PMID": 25476670, "Study Quality": "4"}, {"PMID": 28617686, "Study Quality": "4"}, {"PMID": 27384018, "Study Quality": "4"}, {"PMID": 15699283, "Study Quality": "3"}, {"PMID": 16249863, "Study Quality": "4"}, {"PMID": 11305558, "Study Quality": "4"}, {"PMID": 25061611, "Study Quality": "3"}, {"PMID": 27390537, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 9
| 9
| 0
| 0
| 0
| 0
| 0
| 1
| 0
| 5
| 8
| 7,053
|
Acute Respiratory Illness in Immunocompetent Patients
|
Acute respiratory illness in immunocompetent patients with negative physical examination, normal vital signs and no other risk factors. Initial imaging.
|
MRI chest without IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 9
| 3
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 3,526
|
Chronic Hand and Wrist Pain
|
Adult. Chronic hand or wrist pain. Initial imaging.
|
CT area of interest without IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
| null | 0
| null | 1
| 1
| 11
| 1
| 1
| 0
| 0
| 0
| 0
| 0
| 0
| 2,625
|
Female Breast Cancer Screening
|
Adult female. Breast cancer screening. Average risk.
|
MRI breast without IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 32524221, "Study Quality": "2"}, {"PMID": 31880677, "Study Quality": "4"}, {"PMID": 27186635, "Study Quality": "3"}, {"PMID": 33223001, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 19
| 0
| 1
| 2
| 0
| 0
| 0
| 0
| 0
| 6,739
|
Cerebrovascular Diseases-Stroke and Stroke-Related Conditions
|
Adult. Known cervical vascular dissection or injury. Surveillance imaging.
|
US duplex Doppler transcranial
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 12
| 2
| 2
| 0
| 1
| 2
| 0
| 0
| 0
| 9,993
|
Urinary Tract Infection–Child
|
Child assigned male at birth (AMB). Younger than 2 months of age. First febrile urinary tract infection with appropriate response to medical management. Initial imaging.
|
MRI abdomen and pelvis without IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": -3192173, "Study Quality": "4"}, {"PMID": 10321827, "Study Quality": "4"}, {"PMID": 22698573, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 13
| 1
| 1
| 1
| 2
| 0
| 0
| 0
| 0
| 3,424
|
Suspected Pulmonary Embolism
|
Suspected pulmonary embolism. High pretest probability. Initial Imaging.
|
CT chest without and with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 11323478, "Study Quality": "1"}, {"PMID": 18212216, "Study Quality": "3"}, {"PMID": 10966705, "Study Quality": "2"}]}
| 3
|
1-10 mSv
| 4
|
3-10 mSv
| 2
| 2
| 7
| 6
| 4
| 0
| 0
| 0
| 0
| 0
| 1
| 1,746
|
Low Back Pain
|
Acute low back pain with or without radiculopathy. No red flags. No prior management. Initial imaging.
|
CT lumbar spine with IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"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
| 14
| 2
| 3
| 1
| 0
| 0
| 0
| 0
| 0
| 5,216
|
Osteomyelitis or Septic Arthritis-Child (Excluding Axial Skeleton)
|
Child. 5 years of age or older. Concern for osteomyelitis or septic arthritis involving an extremity. Initial radiographs normal, or with findings suggestive of osteomyelitis. Next imaging study.
|
Image-guided aspiration area of interest
|
Usually appropriate
|
Limited
|
{"References": [{"PMID": 8475290, "Study Quality": "4"}, {"PMID": 27603195, "Study Quality": "3"}, {"PMID": 26830217, "Study Quality": "3"}, {"PMID": 23389564, "Study Quality": "2"}]}
| 0
| null | 0
| null | 7
| 7
| 0
| 0
| 0
| 1
| 1
| 6
| 5
| 1
| 2
| 11,099
|
Orbits, Vision, and Visual Loss
|
Traumatic visual defect. Suspect orbital injury. Initial imaging.
|
CT orbits without and with IV contrast
|
Usually not appropriate
|
Strong
|
{"References": [{"PMID": 22964404, "Study Quality": "4"}, {"PMID": 27262056, "Study Quality": "4"}, {"PMID": 21326128, "Study Quality": "4"}, {"PMID": 10726796, "Study Quality": "2"}, {"PMID": 24694248, "Study Quality": "3"}, {"PMID": 24614544, "Study Quality": "4"}, {"PMID": 21772209, "Study Quality": "4"}, {"PMID": 22698295, "Study Quality": "3"}, {"PMID": 23287107, "Study Quality": "3"}]}
| 3
|
1-10 mSv
| 0
| null | 1
| 1
| 10
| 1
| 6
| 2
| 0
| 0
| 0
| 0
| 0
| 5,403
|
Chronic Hip Pain
|
Chronic hip pain. Radiographs suspicious for intra-articular synovial hyperplasia or neoplasia, including nodular synovitis, diffuse tenosynovial giant cell tumor, osteochondromatosis, other synovial neoplasm. Next imaging study.
|
Image-guided aspiration hip
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 2383449, "Study Quality": "4"}, {"PMID": 2845469, "Study Quality": "4"}]}
| 0
| null | 0
| null | 3
| 3
| 6
| 0
| 2
| 3
| 4
| 0
| 0
| 0
| 0
| 2,457
|
Orbital Imaging and Vision Loss-Child
|
Child. Six months of age or older. Papilledema detected on the ophthalmologic examination or signs of raised intracranial pressure. Initial imaging.
|
MRI orbits without IV contrast
|
Usually not appropriate
|
Expert Consensus
|
{"References": []}
| 0
|
0 mSv
| 0
|
0 mSv
| 3
| 3
| 5
| 1
| 6
| 3
| 0
| 0
| 1
| 0
| 0
| 10,964
|
Noninvasive Clinical Staging of Primary Lung Cancer
|
Noninvasive initial clinical staging of small-cell lung carcinoma.
|
MRI head without IV contrast
|
May be appropriate
|
Expert Consensus
|
{"References": [{"PMID": 10473359, "Study Quality": "4"}, {"PMID": 23649448, "Study Quality": "4"}, {"PMID": 27877227, "Study Quality": "3"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 5
| 5
| 0
| 0
| 3
| 3
| 6
| 1
| 0
| 0
| 0
| 3,798
|
Suspected Osteomyelitis of the Foot in Patients with Diabetes Mellitus
|
Soft-tissue swelling without ulcer. Suspected osteomyelitis or early neuropathic arthropathy changes of the foot in patients with diabetes mellitus. Additional imaging following radiographs.
|
US foot
|
Usually not appropriate
|
Expert Consensus
|
{"References": [{"PMID": 27587513, "Study Quality": "4"}, {"PMID": 24764120, "Study Quality": "4"}, {"PMID": 18025514, "Study Quality": "4"}, {"PMID": 20567730, "Study Quality": "4"}, {"PMID": 29058098, "Study Quality": "4"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 1
| 1
| 7
| 1
| 0
| 2
| 1
| 0
| 0
| 0
| 0
| 76
|
Seizures and Epilepsy
|
Known seizure disorder. Change in seizure semiology or new neurologic deficit or no return to previous neurologic baseline.
|
CT head with IV contrast
|
Usually not appropriate
|
Limited
|
{"References": [{"PMID": 27430454, "Study Quality": "4"}, {"PMID": 23676306, "Study Quality": "4"}, {"PMID": 19513318, "Study Quality": "4"}]}
| 3
|
1-10 mSv
| 3
|
3-3 mSv
| 1
| null | 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 0
| 4,881
|
Cerebrovascular Diseases-Aneurysm, Vascular Malformation, and Subarachnoid Hemorrhage
|
High-risk cerebral aneurysm screening.
|
MRA head without IV contrast
|
Usually appropriate
|
Strong
|
{"References": [{"PMID": 24326447, "Study Quality": "Good"}, {"PMID": 24495263, "Study Quality": "2"}, {"PMID": 21529794, "Study Quality": "2"}]}
| 0
|
0 mSv
| 0
|
0 mSv
| 9
| 9
| 1
| 0
| 0
| 0
| 0
| 0
| 1
| 5
| 11
| 10,097
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.