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Appropriateness Criteria

Variant 1: Follow-up for clinically localized renal cell carcinoma; post radical or partial nephrectomy.
Procedure Appropriateness Category SOE Adult RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
MRI abdomen without and with IV contrast Usually appropriate Limited O 0 mSv O 0 mSv [ped] 8 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
38 (20429759) 2
39 (30955139) 4
11 (30803729) 4
CT abdomen with IV contrast Usually appropriate Strong ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 8 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
29 (23764074) 4
9 (23665399) 4
21 (7776446) 2
15 (9507823) 4
22 (9836544) 4
17 (15201737) 2
20 (10893575) 2
30 (9146581) 2
31 (21843882) 2
16 (31711833) 4
CT abdomen without and with IV contrast Usually appropriate Strong ☢☢☢☢ 10-30 mSv ☢☢☢☢☢ 10-30 mSv [ped] 7 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
29 (23764074) 4
9 (23665399) 4
21 (7776446) 2
15 (9507823) 4
22 (9836544) 4
17 (15201737) 2
20 (10893575) 2
30 (9146581) 2
31 (21843882) 2
16 (31711833) 4
US abdomen with IV contrast May be appropriate Strong O 0 mSv O 0 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
44 (27569091) 2
48 (25404183) 3
49 (24665032) 2
9 (23665399) 4
42 (23092215) 2
47 (21107560) 2
46 (20204642) 2
2 (28596261) 4
11 (30803729) 4
41 (31585824) 3
45 (31509441) 2
43 (30384977) 2
US kidneys retroperitoneal May be appropriate Limited O 0 mSv O 0 mSv [ped] 4 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
40 (31579200) 4
11 (30803729) 4
36 (28863862) 4
Radiography chest May be appropriate Strong ☢ <0.1 mSv ☢ <0.03 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
28 (24096433) 2
9 (23665399) 4
12 (26617405) 4
27 (26880407) 2
11 (30803729) 4
24 (30205104) 3
MRI abdomen and pelvis without and with IV contrast May be appropriate Limited O 0 mSv O 0 mSv [ped] 5 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
33 (9888732) 4
34 (12090319) 4
38 (20429759) 2
39 (30955139) 4
11 (30803729) 4
32 (30228095) 3
25 (29489406) 3
MRI abdomen and pelvis without IV contrast May be appropriate Limited O 0 mSv O 0 mSv [ped] 5 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
33 (9888732) 4
34 (12090319) 4
38 (20429759) 2
39 (30955139) 4
11 (30803729) 4
32 (30228095) 3
25 (29489406) 3
MRI abdomen without IV contrast May be appropriate Limited O 0 mSv O 0 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
38 (20429759) 2
39 (30955139) 4
11 (30803729) 4
CT abdomen and pelvis with IV contrast May be appropriate Strong ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
29 (23764074) 4
9 (23665399) 4
2 (28596261) 4
21 (7776446) 2
33 (9888732) 4
34 (12090319) 4
15 (9507823) 4
22 (9836544) 4
17 (15201737) 2
20 (10893575) 2
30 (9146581) 2
31 (21843882) 2
16 (31711833) 4
11 (30803729) 4
32 (30228095) 3
25 (29489406) 3
CT abdomen and pelvis without IV contrast May be appropriate Strong ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 4 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
29 (23764074) 4
9 (23665399) 4
2 (28596261) 4
21 (7776446) 2
33 (9888732) 4
34 (12090319) 4
15 (9507823) 4
22 (9836544) 4
17 (15201737) 2
20 (10893575) 2
30 (9146581) 2
31 (21843882) 2
16 (31711833) 4
11 (30803729) 4
32 (30228095) 3
25 (29489406) 3
CT abdomen without IV contrast May be appropriate Strong ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 5 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
29 (23764074) 4
9 (23665399) 4
21 (7776446) 2
15 (9507823) 4
22 (9836544) 4
17 (15201737) 2
20 (10893575) 2
30 (9146581) 2
31 (21843882) 2
16 (31711833) 4
CT chest with IV contrast May be appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
27 (26880407) 2
37 (20846691) 3
11 (30803729) 4
26 (-3194081) 4
36 (28863862) 4
CT chest without IV contrast May be appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 5 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
27 (26880407) 2
37 (20846691) 3
11 (30803729) 4
26 (-3194081) 4
36 (28863862) 4
CT abdomen and pelvis without and with IV contrast May be appropriate Strong ☢☢☢☢ 10-30 mSv ☢☢☢☢☢ 10-30 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
29 (23764074) 4
9 (23665399) 4
2 (28596261) 4
21 (7776446) 2
33 (9888732) 4
34 (12090319) 4
15 (9507823) 4
22 (9836544) 4
17 (15201737) 2
20 (10893575) 2
30 (9146581) 2
31 (21843882) 2
16 (31711833) 4
11 (30803729) 4
32 (30228095) 3
25 (29489406) 3
FDG-PET/CT skull base to mid-thigh May be appropriate Strong ☢☢☢☢ 10-30 mSv ☢☢☢☢ 3-10 mSv [ped] 4 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
52 (27824726) Good
56 (26996777) 3
55 (26202597) 3
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
54 (30120698) 2
53 (30070347) 3
Radiography abdomen Usually not appropriate Limited ☢☢ 0.1-1mSv ☢☢ 0.03-0.3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
Radiography intravenous urography Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
Radiography skeletal survey Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
MRI head without and with IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
MRI head without IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
MRU without and with IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 3 3 3 3 4 1 2 1 0 1 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
35 (29525875) 4
MRU without IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 2 2 6 4 3 0 1 1 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
35 (29525875) 4
Bone scan whole body Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 2 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
51 (11696720) 3
50 (4060382) 3
11 (30803729) 4
CT chest without and with IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 3 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
27 (26880407) 2
37 (20846691) 3
11 (30803729) 4
26 (-3194081) 4
36 (28863862) 4
CT head with IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
CT head without and with IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
CT head without IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
CTU without and with IV contrast Usually not appropriate Limited ☢☢☢☢ 10-30 mSv ☢☢☢☢☢ 10-30 mSv [ped] 3 3 3 1 6 1 2 2 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
35 (29525875) 4
Variant 2: Follow-up for clinically localized renal cell carcinoma; post ablation.
Procedure Appropriateness Category SOE Adult RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
MRI abdomen without and with IV contrast Usually appropriate Strong O 0 mSv O 0 mSv [ped] 9 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
72 (27401340) 4
73 (26797360) 2
29 (23764074) 4
74 (20173161) 2
CT abdomen with IV contrast Usually appropriate Strong ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 7 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
70 (26154677) 2
71 (24345460) 3
29 (23764074) 4
69 (20227295) 4
22 (9836544) 4
17 (15201737) 2
20 (10893575) 2
30 (9146581) 2
16 (31711833) 4
CT abdomen without and with IV contrast Usually appropriate Strong ☢☢☢☢ 10-30 mSv ☢☢☢☢☢ 10-30 mSv [ped] 9 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
70 (26154677) 2
71 (24345460) 3
29 (23764074) 4
69 (20227295) 4
22 (9836544) 4
17 (15201737) 2
20 (10893575) 2
30 (9146581) 2
16 (31711833) 4
US abdomen with IV contrast May be appropriate Strong O 0 mSv O 0 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
44 (27569091) 2
48 (25404183) 3
49 (24665032) 2
42 (23092215) 2
47 (21107560) 2
41 (31585824) 3
45 (31509441) 2
43 (30384977) 2
US kidneys retroperitoneal May be appropriate Limited O 0 mSv O 0 mSv [ped] 4 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
Radiography chest May be appropriate Strong ☢ <0.1 mSv ☢ <0.03 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
28 (24096433) 2
9 (23665399) 4
12 (26617405) 4
2 (28596261) 4
27 (26880407) 2
11 (30803729) 4
MRI abdomen and pelvis without and with IV contrast May be appropriate Strong O 0 mSv O 0 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
72 (27401340) 4
73 (26797360) 2
29 (23764074) 4
9 (23665399) 4
74 (20173161) 2
2 (28596261) 4
33 (9888732) 4
34 (12090319) 4
11 (30803729) 4
32 (30228095) 3
25 (29489406) 3
MRI abdomen and pelvis without IV contrast May be appropriate Strong O 0 mSv O 0 mSv [ped] 5 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
72 (27401340) 4
73 (26797360) 2
29 (23764074) 4
9 (23665399) 4
74 (20173161) 2
2 (28596261) 4
33 (9888732) 4
34 (12090319) 4
11 (30803729) 4
32 (30228095) 3
25 (29489406) 3
MRI abdomen without IV contrast May be appropriate Strong O 0 mSv O 0 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
72 (27401340) 4
73 (26797360) 2
29 (23764074) 4
74 (20173161) 2
CT abdomen and pelvis with IV contrast May be appropriate Strong ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 5 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
70 (26154677) 2
71 (24345460) 3
29 (23764074) 4
9 (23665399) 4
69 (20227295) 4
2 (28596261) 4
33 (9888732) 4
34 (12090319) 4
22 (9836544) 4
17 (15201737) 2
20 (10893575) 2
30 (9146581) 2
16 (31711833) 4
11 (30803729) 4
32 (30228095) 3
25 (29489406) 3
CT abdomen and pelvis without IV contrast May be appropriate Strong ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 4 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
70 (26154677) 2
71 (24345460) 3
29 (23764074) 4
9 (23665399) 4
69 (20227295) 4
2 (28596261) 4
33 (9888732) 4
34 (12090319) 4
22 (9836544) 4
17 (15201737) 2
20 (10893575) 2
30 (9146581) 2
16 (31711833) 4
11 (30803729) 4
32 (30228095) 3
25 (29489406) 3
CT abdomen without IV contrast May be appropriate Strong ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 4 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
70 (26154677) 2
71 (24345460) 3
29 (23764074) 4
69 (20227295) 4
22 (9836544) 4
17 (15201737) 2
20 (10893575) 2
30 (9146581) 2
16 (31711833) 4
CT chest with IV contrast May be appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
27 (26880407) 2
37 (20846691) 3
11 (30803729) 4
26 (-3194081) 4
36 (28863862) 4
CT chest without IV contrast May be appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 5 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
27 (26880407) 2
37 (20846691) 3
11 (30803729) 4
26 (-3194081) 4
36 (28863862) 4
CT abdomen and pelvis without and with IV contrast May be appropriate Strong ☢☢☢☢ 10-30 mSv ☢☢☢☢☢ 10-30 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
70 (26154677) 2
71 (24345460) 3
29 (23764074) 4
9 (23665399) 4
69 (20227295) 4
2 (28596261) 4
33 (9888732) 4
34 (12090319) 4
22 (9836544) 4
17 (15201737) 2
20 (10893575) 2
30 (9146581) 2
16 (31711833) 4
10 (30563753) 3
32 (30228095) 3
25 (29489406) 3
Radiography abdomen Usually not appropriate Limited ☢☢ 0.1-1mSv ☢☢ 0.03-0.3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
Radiography intravenous urography Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
Radiography skeletal survey Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
MRI head without and with IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
MRI head without IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
MRU without and with IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 1 9 3 3 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
35 (29525875) 4
MRU without IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 2 2 6 3 3 0 2 1 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
35 (29525875) 4
Bone scan whole body Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 2 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
51 (11696720) 3
50 (4060382) 3
11 (30803729) 4
CT chest without and with IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 3 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
27 (26880407) 2
37 (20846691) 3
11 (30803729) 4
26 (-3194081) 4
36 (28863862) 4
CT head with IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
CT head without and with IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
CT head without IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
CTU without and with IV contrast Usually not appropriate Limited ☢☢☢☢ 10-30 mSv ☢☢☢☢☢ 10-30 mSv [ped] 3 3 4 0 6 1 2 1 1 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
35 (29525875) 4
FDG-PET/CT skull base to mid-thigh Usually not appropriate Limited ☢☢☢☢ 10-30 mSv ☢☢☢☢ 3-10 mSv [ped] 2 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
56 (26996777) 3
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
Variant 3: Follow-up for clinically localized renal cell carcinoma; active surveillance.
Procedure Appropriateness Category SOE Adult RRL Peds RRL Rating Median Final Tabulations
1 2 3 4 5 6 7 8 9
US abdomen with IV contrast Usually appropriate Limited O 0 mSv O 0 mSv [ped] 7 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
73 (26797360) 2
90 (28429490) 3
89 (24475802) 3
MRI abdomen without and with IV contrast Usually appropriate Limited O 0 mSv O 0 mSv [ped] 9 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
87 (22826399) 3
2 (28596261) 4
11 (30803729) 4
CT abdomen with IV contrast Usually appropriate Strong ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 8 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
82 (27331922) Good
86 (25794069) 3
9 (23665399) 4
78 (25698065) 1
2 (28596261) 4
CT abdomen without and with IV contrast Usually appropriate Strong ☢☢☢☢ 10-30 mSv ☢☢☢☢☢ 10-30 mSv [ped] 7 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
82 (27331922) Good
86 (25794069) 3
9 (23665399) 4
78 (25698065) 1
2 (28596261) 4
US kidneys retroperitoneal May be appropriate Strong O 0 mSv O 0 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
82 (27331922) Good
9 (23665399) 4
78 (25698065) 1
2 (28596261) 4
88 (18806171) 2
11 (30803729) 4
Radiography chest May be appropriate Limited ☢ <0.1 mSv ☢ <0.03 mSv [ped] 5 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
76 (21353376) 2
12 (26617405) 4
77 (22564495) 3
81 (21167561) 3
2 (28596261) 4
MRI abdomen and pelvis without and with IV contrast May be appropriate Strong O 0 mSv O 0 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
82 (27331922) Good
75 (25781204) 4
9 (23665399) 4
87 (22826399) 3
8 (21766302) Good
76 (21353376) 2
78 (25698065) 1
77 (22564495) 3
81 (21167561) 3
2 (28596261) 4
33 (9888732) 4
34 (12090319) 4
11 (30803729) 4
MRI abdomen and pelvis without IV contrast May be appropriate Strong O 0 mSv O 0 mSv [ped] 5 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
82 (27331922) Good
75 (25781204) 4
9 (23665399) 4
87 (22826399) 3
8 (21766302) Good
76 (21353376) 2
78 (25698065) 1
77 (22564495) 3
81 (21167561) 3
2 (28596261) 4
33 (9888732) 4
34 (12090319) 4
11 (30803729) 4
MRI abdomen without IV contrast May be appropriate Limited O 0 mSv O 0 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
87 (22826399) 3
2 (28596261) 4
11 (30803729) 4
CT abdomen and pelvis with IV contrast May be appropriate Strong ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
82 (27331922) Good
86 (25794069) 3
75 (25781204) 4
9 (23665399) 4
8 (21766302) Good
76 (21353376) 2
78 (25698065) 1
77 (22564495) 3
81 (21167561) 3
2 (28596261) 4
33 (9888732) 4
34 (12090319) 4
83 (31864937) 2
11 (30803729) 4
84 (28951284) 4
CT abdomen and pelvis without IV contrast May be appropriate Strong ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 4 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
82 (27331922) Good
86 (25794069) 3
75 (25781204) 4
9 (23665399) 4
8 (21766302) Good
76 (21353376) 2
78 (25698065) 1
77 (22564495) 3
81 (21167561) 3
2 (28596261) 4
33 (9888732) 4
34 (12090319) 4
83 (31864937) 2
11 (30803729) 4
84 (28951284) 4
CT abdomen without IV contrast May be appropriate Strong ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 5 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
82 (27331922) Good
86 (25794069) 3
9 (23665399) 4
78 (25698065) 1
2 (28596261) 4
CT chest with IV contrast May be appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 5 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
27 (26880407) 2
26 (-3194081) 4
CT chest without IV contrast May be appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 5 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
27 (26880407) 2
26 (-3194081) 4
CT abdomen and pelvis without and with IV contrast May be appropriate Strong ☢☢☢☢ 10-30 mSv ☢☢☢☢☢ 10-30 mSv [ped] 6 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
82 (27331922) Good
86 (25794069) 3
75 (25781204) 4
9 (23665399) 4
8 (21766302) Good
76 (21353376) 2
78 (25698065) 1
77 (22564495) 3
81 (21167561) 3
2 (28596261) 4
33 (9888732) 4
34 (12090319) 4
83 (31864937) 2
11 (30803729) 4
84 (28951284) 4
Radiography abdomen Usually not appropriate Limited ☢☢ 0.1-1mSv ☢☢ 0.03-0.3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
Radiography intravenous urography Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
Radiography skeletal survey Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
MRI head without and with IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
MRI head without IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
MRU without and with IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 1 1 10 1 4 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
MRU without IV contrast Usually not appropriate Limited O 0 mSv O 0 mSv [ped] 2 2 6 3 3 0 2 1 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
Bone scan whole body Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 2 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
51 (11696720) 3
50 (4060382) 3
11 (30803729) 4
CT chest without and with IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 3 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
27 (26880407) 2
26 (-3194081) 4
CT head with IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
CT head without and with IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢☢ 3-10 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
CT head without IV contrast Usually not appropriate Limited ☢☢☢ 1-10 mSv ☢☢☢ 0.3-3 mSv [ped] 1 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
CTU without and with IV contrast Usually not appropriate Limited ☢☢☢☢ 10-30 mSv ☢☢☢☢☢ 10-30 mSv [ped] 1 1 9 1 5 0 0 0 0 0 0
References Study Quality
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
FDG-PET/CT skull base to mid-thigh Usually not appropriate Moderate ☢☢☢☢ 10-30 mSv ☢☢☢☢ 3-10 mSv [ped] 3 n/a 0 0 0 0 0 0 0 0 0
References Study Quality
52 (27824726) Good
9 (23665399) 4
2 (28596261) 4
11 (30803729) 4
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.