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Appropriateness Criteria

Variant 1: Brachial plexopathy, acute or chronic, nontraumatic. No known malignancy. Initial imaging.
Procedure Appropriateness Category SOE Adult RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
MRI brachial plexus without IV contrast Usually appropriate Strong O 0 mSv O 0 mSv [ped] 7 7 0 1 0 1 3 0 6 4 5
References Study Quality
44 (22071340) 3
45 (19663545) 3
6 (21763092) 4
9 (24355190) 4
10 (30688245) 4
27 (24210315) 4
47 (28987674) 1
46 (28723713) 2
MRI brachial plexus without and with IV contrast Usually appropriate Strong O 0 mSv O 0 mSv [ped] 9 9 1 0 0 0 0 1 2 3 13
References Study Quality
44 (22071340) 3
45 (19663545) 3
6 (21763092) 4
9 (24355190) 4
10 (30688245) 4
27 (24210315) 4
47 (28987674) 1
46 (28723713) 2
MRI cervical spine without and with IV contrast May be appropriate Limited O 0 mSv O 0 mSv [ped] 5 5 0 0 1 0 16 4 0 0 0
References Study Quality
48 (27318668) 3
49 (25557217) 2
MRI cervical spine without IV contrast May be appropriate Limited O 0 mSv O 0 mSv [ped] 6 6 0 0 0 0 9 11 1 0 0
References Study Quality
48 (27318668) 3
49 (25557217) 2
CT neck with IV contrast May be appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 5 5 0 0 0 2 14 5 0 0 0
References Study Quality
43 (28096728) 4
US neck Usually not appropriate Strong O 0 mSv O 0 mSv [ped] 2 2 10 2 3 1 2 2 0 0 0
References Study Quality
39 (25454274) 2
55 (30107038) 2
50 (29791960) 4
54 (29202391) 2
35 (28762574) 2
53 (28618294) 2
52 (27927940) 2
30 (27074430) 2
51 (25703205) 2
MRI brachial plexus with IV contrast Usually not appropriate Strong O 0 mSv O 0 mSv [ped] 1 1 20 1 0 0 0 0 0 0 0
References Study Quality
44 (22071340) 3
45 (19663545) 3
6 (21763092) 4
9 (24355190) 4
10 (30688245) 4
27 (24210315) 4
47 (28987674) 1
46 (28723713) 2
MRI cervical spine with IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 1 12 0 2 0 4 2 0 0 0
References Study Quality
48 (27318668) 3
49 (25557217) 2
CT cervical spine with IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 11 3 4 0 0 1 0 0 1
CT cervical spine without and with IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 14 2 2 0 0 0 1 0 1
CT cervical spine without IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 12 3 3 0 1 0 0 0 1
CT neck without and with IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 12 3 2 1 2 0 0 0 0
References Study Quality
43 (28096728) 4
CT neck without IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 2 2 10 1 5 3 1 0 0 0 0
References Study Quality
43 (28096728) 4
CT myelography cervical spine Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv ☢☢☢ 0.3-3 mSv [ped] 1 1 14 2 2 1 0 0 0 0 1
FDG-PET/CT whole body Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 16 1 2 0 0 0 0 0 1
Variant 2: Lumbosacral plexopathy, acute or chronic, nontraumatic. No known malignancy. Initial imaging.
Procedure Appropriateness Category SOE Adult RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
MRI lumbosacral plexus without and with IV contrast Usually appropriate Strong O 0 mSv O 0 mSv [ped] 9 9 1 0 0 0 1 0 3 2 13
References Study Quality
63 (19333087) 3
4 (23842967) 4
2 (24210317) 4
56 (30262644) 2
62 (29581014) 2
3 (27454861) 4
8 (25940664) 4
1 (30152741) 4
64 (28059708) 2
7 (29662907) 4
61 (25764239) 4
MRI lumbosacral plexus without IV contrast Usually appropriate Strong O 0 mSv O 0 mSv [ped] 7 7 0 0 0 0 0 0 12 7 2
References Study Quality
63 (19333087) 3
4 (23842967) 4
2 (24210317) 4
56 (30262644) 2
62 (29581014) 2
3 (27454861) 4
8 (25940664) 4
1 (30152741) 4
64 (28059708) 2
7 (29662907) 4
61 (25764239) 4
MRI lumbar spine without and with IV contrast May be appropriate Limited O 0 mSv O 0 mSv [ped] 5 5 0 0 1 0 19 1 0 0 0
References Study Quality
1 (30152741) 4
MRI lumbar spine without IV contrast May be appropriate Limited O 0 mSv O 0 mSv [ped] 6 6 0 0 2 0 3 7 3 2 3
References Study Quality
1 (30152741) 4
CT abdomen and pelvis with IV contrast May be appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 5 5 0 0 0 1 17 3 0 0 0
MRI lumbar spine with IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 1 21 0 0 0 0 0 0 0 0
References Study Quality
1 (30152741) 4
MRI lumbosacral plexus with IV contrast Usually not appropriate Strong O 0 mSv O 0 mSv [ped] 1 1 20 0 0 1 0 0 0 0 0
References Study Quality
63 (19333087) 3
4 (23842967) 4
2 (24210317) 4
56 (30262644) 2
62 (29581014) 2
3 (27454861) 4
8 (25940664) 4
1 (30152741) 4
64 (28059708) 2
7 (29662907) 4
61 (25764239) 4
MRI pelvis with IV contrast Usually not appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 1 1 15 1 1 2 1 0 0 0 0
MRI pelvis without and with IV contrast Usually not appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 1 1 12 2 3 0 1 2 0 0 0
MRI pelvis without IV contrast Usually not appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 1 1 11 2 2 4 1 0 0 0 0
CT abdomen and pelvis without IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 3 3 7 3 2 5 3 0 0 0 0
CT lumbar spine with IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 11 3 4 0 1 0 0 0 1
CT lumbar spine without IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 12 2 5 0 0 0 0 0 1
CT abdomen and pelvis without and with IV contrast Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv ☢☢☢☢☢ 10-30 mSv [ped] 1 1 11 2 2 1 3 1 0 0 0
CT lumbar spine without and with IV contrast Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 15 1 3 0 0 0 0 0 1
CT myelography lumbar spine Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv 1 1 15 1 2 0 1 0 0 0 1
FDG-PET/CT whole body Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 14 3 2 0 0 0 0 0 1
Variant 3: Brachial plexopathy, traumatic (not perinatal). Initial imaging.
Procedure Appropriateness Category SOE Adult RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
MRI brachial plexus without IV contrast Usually appropriate Limited O 0 mSv O 0 mSv [ped] 9 9 2 0 0 0 0 0 4 1 13
References Study Quality
44 (22071340) 3
6 (21763092) 4
9 (24355190) 4
10 (30688245) 4
71 (28886666) 2
69 (29145043) 4
66 (29778092) 4
27 (24210315) 4
72 (27801698) 3
MRI brachial plexus without and with IV contrast Usually appropriate Limited O 0 mSv O 0 mSv [ped] 7 7 0 0 0 0 0 0 15 5 1
References Study Quality
44 (22071340) 3
6 (21763092) 4
9 (24355190) 4
10 (30688245) 4
71 (28886666) 2
69 (29145043) 4
66 (29778092) 4
27 (24210315) 4
72 (27801698) 3
MRI cervical spine without and with IV contrast May be appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 5 5 1 0 1 4 11 3 0 1 0
MRI cervical spine without IV contrast May be appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 6 6 0 0 0 0 9 10 1 1 0
CT cervical spine without IV contrast May be appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 5 5 0 0 0 3 15 3 0 0 0
CT myelography cervical spine May be appropriate Limited ☢☢☢☢ 10-30 mSv ☢☢☢ 0.3-3 mSv [ped] 5 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
70 (17405253) 3
68 (-3189553) 4
28 (-3189555) 4
CT myelography cervical spine May be appropriate Limited ☢☢☢☢ 10-30 mSv ☢☢☢ 0.3-3 mSv [ped] 5 5 0 0 0 0 15 6 0 0 0
References Study Quality
70 (17405253) 3
68 (-3189553) 4
28 (-3189555) 4
US neck Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 2 2 8 5 7 1 0 0 0 0 0
References Study Quality
83 (24677066) 3
67 (29040777) 4
73 (24768481) 4
MRI brachial plexus with IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 1 20 1 0 0 0 0 0 0 0
References Study Quality
44 (22071340) 3
6 (21763092) 4
9 (24355190) 4
10 (30688245) 4
71 (28886666) 2
69 (29145043) 4
66 (29778092) 4
27 (24210315) 4
72 (27801698) 3
MRI cervical spine with IV contrast Usually not appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 1 1 20 1 0 0 0 0 0 0 0
CT cervical spine with IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 12 2 4 0 1 0 1 0 0
CT cervical spine without and with IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 14 2 2 0 1 0 1 0 0
CT neck with IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 3 3 7 2 2 3 5 1 0 0 0
CT neck without and with IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 13 2 2 1 1 0 1 0 0
CT neck without IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 3 3 6 1 6 3 3 0 0 1 0
FDG-PET/CT whole body Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 18 0 1 0 0 0 0 0 1
Variant 4: Lumbosacral plexopathy, traumatic. Initial imaging.
Procedure Appropriateness Category SOE Adult RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
MRI lumbosacral plexus without and with IV contrast Usually appropriate Limited O 0 mSv O 0 mSv [ped] 7 7 0 0 0 0 0 0 16 4 1
References Study Quality
4 (23842967) 4
8 (25940664) 4
MRI lumbosacral plexus without IV contrast Usually appropriate Limited O 0 mSv O 0 mSv [ped] 9 9 0 0 0 0 0 0 1 6 14
References Study Quality
4 (23842967) 4
8 (25940664) 4
MRI lumbar spine without and with IV contrast May be appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 5 5 1 0 1 7 9 3 0 0 0
MRI lumbar spine without IV contrast May be appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 6 6 0 0 0 1 6 13 1 0 0
MRI pelvis without and with IV contrast May be appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 4 4 3 0 1 8 7 2 0 0 0
MRI pelvis without IV contrast May be appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 5 5 1 0 0 2 15 3 0 0 0
CT abdomen and pelvis with IV contrast May be appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 4 4 8 1 1 5 4 1 0 0 0
CT abdomen and pelvis without IV contrast May be appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 4 4 6 3 1 5 5 0 0 0 0
CT lumbar spine without IV contrast May be appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 5 5 1 0 1 7 8 3 0 1 0
CT myelography lumbar spine May be appropriate Expert Consensus ☢☢☢☢ 10-30 mSv 5 5 1 0 0 9 8 3 0 0 0
MRI lumbar spine with IV contrast Usually not appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 1 1 20 1 0 0 0 0 0 0 0
MRI lumbosacral plexus with IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 1 20 1 0 0 0 0 0 0 0
References Study Quality
4 (23842967) 4
8 (25940664) 4
MRI pelvis with IV contrast Usually not appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 1 1 14 1 1 0 2 0 0 2 0
CT lumbar spine with IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 11 2 2 2 2 0 1 0 0
CT abdomen and pelvis without and with IV contrast Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv ☢☢☢☢☢ 10-30 mSv [ped] 1 1 12 2 2 2 1 1 0 0 0
CT lumbar spine without and with IV contrast Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 13 1 2 1 2 1 0 0 0
FDG-PET/CT whole body Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 17 0 2 0 0 0 0 0 1
Variant 5: Brachial plexopathy, known malignancy or post-treatment syndrome. Initial imaging.
Procedure Appropriateness Category SOE Adult RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
MRI brachial plexus without IV contrast Usually appropriate Limited O 0 mSv O 0 mSv [ped] 7 7 0 0 0 0 0 1 16 4 0
References Study Quality
20 (25300985) 3
5 (24370167) 4
6 (21763092) 4
9 (24355190) 4
10 (30688245) 4
80 (24842865) 4
27 (24210315) 4
79 (26934119) 4
76 (24928074) 4
MRI brachial plexus without and with IV contrast Usually appropriate Limited O 0 mSv O 0 mSv [ped] 9 9 2 0 0 0 0 0 1 1 16
References Study Quality
20 (25300985) 3
5 (24370167) 4
6 (21763092) 4
9 (24355190) 4
10 (30688245) 4
80 (24842865) 4
27 (24210315) 4
79 (26934119) 4
76 (24928074) 4
MRI cervical spine without and with IV contrast May be appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 6 6 0 0 0 0 3 17 1 0 0
MRI cervical spine without IV contrast May be appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 5 5 0 0 0 1 17 3 0 0 0
CT neck with IV contrast May be appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 6 6 0 0 0 0 8 12 1 0 0
References Study Quality
43 (28096728) 4
CT neck without IV contrast May be appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 4 4 6 3 1 5 3 1 0 1 0
References Study Quality
43 (28096728) 4
FDG-PET/CT whole body May be appropriate Limited ☢☢☢☢ 10-30 mSv ☢☢☢☢ 3-10 mSv [ped] 6 6 1 0 1 0 7 7 3 0 1
References Study Quality
76 (24928074) 4
82 (27095861) 4
US neck Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 3 3 6 4 6 3 1 1 0 0 0
References Study Quality
83 (24677066) 3
81 (29399848) 2
50 (29791960) 4
MRI brachial plexus with IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 1 21 0 0 0 0 0 0 0 0
References Study Quality
20 (25300985) 3
5 (24370167) 4
6 (21763092) 4
9 (24355190) 4
10 (30688245) 4
80 (24842865) 4
27 (24210315) 4
79 (26934119) 4
76 (24928074) 4
MRI cervical spine with IV contrast Usually not appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 1 1 12 1 3 0 2 1 1 0 0
CT cervical spine with IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 11 2 5 0 1 0 0 1 0
CT cervical spine without and with IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 14 3 2 0 0 0 0 1 0
CT cervical spine without IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 11 4 2 2 0 0 0 1 0
CT neck without and with IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 14 6 1 0 0 0 0 0 0
References Study Quality
43 (28096728) 4
CT myelography cervical spine Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv ☢☢☢ 0.3-3 mSv [ped] 2 2 9 3 6 1 0 0 0 1 0
Variant 6: Lumbosacral plexopathy, known malignancy or post-treatment syndrome. Initial imaging.
Procedure Appropriateness Category SOE Adult RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
MRI lumbosacral plexus without and with IV contrast Usually appropriate Limited O 0 mSv O 0 mSv [ped] 9 9 2 0 0 0 0 0 0 2 16
References Study Quality
4 (23842967) 4
2 (24210317) 4
3 (27454861) 4
8 (25940664) 4
85 (29264779) 4
7 (29662907) 4
84 (26323816) 4
76 (24928074) 4
MRI lumbosacral plexus without IV contrast Usually appropriate Limited O 0 mSv O 0 mSv [ped] 7 7 0 0 0 0 0 0 15 6 0
References Study Quality
4 (23842967) 4
2 (24210317) 4
3 (27454861) 4
8 (25940664) 4
85 (29264779) 4
7 (29662907) 4
84 (26323816) 4
76 (24928074) 4
MRI lumbar spine without and with IV contrast May be appropriate Limited O 0 mSv O 0 mSv [ped] 6 6 0 0 0 0 4 13 3 1 0
References Study Quality
3 (27454861) 4
7 (29662907) 4
MRI lumbar spine without IV contrast May be appropriate Limited O 0 mSv O 0 mSv [ped] 5 5 0 0 0 1 15 4 0 1 0
References Study Quality
3 (27454861) 4
7 (29662907) 4
MRI pelvis without and with IV contrast May be appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 6 6 0 0 0 0 7 11 3 0 0
MRI pelvis without IV contrast May be appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 5 5 0 0 0 10 9 2 0 0 0
CT abdomen and pelvis with IV contrast May be appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 6 6 0 0 0 0 8 12 1 0 0
FDG-PET/CT whole body May be appropriate Limited ☢☢☢☢ 10-30 mSv ☢☢☢☢ 3-10 mSv [ped] 6 6 2 0 0 0 7 6 4 0 1
References Study Quality
84 (26323816) 4
76 (24928074) 4
MRI lumbar spine with IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 1 12 1 2 1 2 0 1 1 0
References Study Quality
3 (27454861) 4
7 (29662907) 4
MRI lumbosacral plexus with IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 1 21 0 0 0 0 0 0 0 0
References Study Quality
4 (23842967) 4
2 (24210317) 4
3 (27454861) 4
8 (25940664) 4
85 (29264779) 4
7 (29662907) 4
84 (26323816) 4
76 (24928074) 4
MRI pelvis with IV contrast Usually not appropriate Expert Consensus O 0 mSv O 0 mSv [ped] 1 1 11 2 3 1 1 1 1 0 0
CT abdomen and pelvis without IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 3 3 5 3 4 4 3 1 0 0 0
CT lumbar spine with IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 11 3 4 0 1 0 0 1 0
CT lumbar spine without IV contrast Usually not appropriate Expert Consensus ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 13 1 3 2 0 0 0 1 0
CT abdomen and pelvis without and with IV contrast Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv ☢☢☢☢☢ 10-30 mSv [ped] 2 2 10 2 2 2 2 1 1 0 0
CT lumbar spine without and with IV contrast Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv ☢☢☢☢ 3-10 mSv [ped] 1 1 13 4 1 1 0 0 0 1 0
CT myelography lumbar spine Usually not appropriate Expert Consensus ☢☢☢☢ 10-30 mSv 2 2 10 3 5 0 2 0 0 0 0
Appendix Key

A more complete discussion of the items presented below can be found by accessing the supporting documents at the designated hyperlinks.

Appropriateness Category:The panel’s recommendation for a procedure based on the assessment of the risks and benefits of performing the procedure for the specified clinical scenario.

SOE: Strength of Evidence. The assessment of the amount and quality of evidence found in the peer reviewed medical literature for an appropriateness recommendation.

  • References: The citation number and PMID for the reference(s) associated with the recommendation.
  • Study Quality: The assessment of the quality of an individual reference based on the number of study quality elements described in the reference.

RRL: Relative Radiation Level. A population based assessment of the amount of radiation a typical patient may be exposed to during the specified procedure.

Rating: The final rating (1-9 scale) for the procedure as determined by the panel during rating rounds.

Median: The median rating (1-9 scale) for the procedure as determined by the panel during rating rounds.

Final tabulations: A histogram showing the number of panel members who rated the procedure as noted in the column heading (ie, 1, 2, 3, etc.).

Additional supporting documents about the AC methodology and processes can be found at www.acr.org/ac.