Group	Procedure	Rating	Comments	RRL*
	X-ray intravenous urography	8		Low
	CT urography	8		Med
	US kidneys and bladder	6	May miss ureteral and urothelial lesions; abdomen x-ray, retrograde pyelography, and cystoscopy are useful adjuncts.	None
	X-ray retrograde urography	5		Med
	MRI urography	4		None
	CT abdomen and pelvis	4	CT may follow IVP or US if initial findings are ambiguous.	High
	INV angiography kidney	4	Rarely, vascular malformations may cause hematuria and require angiography for diagnosis.	IP
	CT virtual cystoscopy	2		High
	X-ray abdomen	2	It is assumed that an abdomen film will be part of the indicated IVP. If an IVP is not performed, KUB may be performed along with US.	Low
	NUC scintigraphy urinary tract	2		Med
	MRI abdomen and pelvis	2		None

Appropriateness Criteria Scale

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