Breast
• Breast Cancer Screening
• Breast Imaging of Pregnant and Lactating Women
• Breast Implant Evaluation
• Breast Pain
• Breast Pain Female with clinically insignificant breast pain (nonfocal, cyclical) without clinically significant findings initial imaging
• female with clinically significant breast pain (focal and non cyclical. Age 30 to 39. initial imaging
• female with clinically significant breast pain (focal and non cyclical. Age greater than or equal to 40. initial imaging
• female with clinically significant breast pain (focal and non cyclical. Age less than 30. initial imaging
• Evaluation of Nipple Discharge
• physiologic nipple discharge. female of any age. initial imaging
• pathologic nipple discharge. male or female 40 years of age or older. initial imaging
• pathologic nipple discharge. male or female age 30 to 39. initial imaging
• pathologic nipple discharge. female under 30. initial imaging
• pathologic nipple discharge. female under 30. initial imaging
• pathologic nipple discharge. male under 30. initial imaging
• Evaluation of Symptomatic Male Breast
• male patient of any age with symptoms and physical exam of gynecomastia or pseudogynecomastia initial imaging
• male younger than 25 with indeterminate palpable breast mass initial imaging
• male 25 or older with indeterminate palpable breast mass initial imaging
• male 25 or older with indeterminate palpable breast mass with a suspicious or indeterminate initial evaluation on mammography or digital tomosynthesis
• male of any age with physical exam suspicious for breast cancer (suspicious palpable breast mass, axillary adenopathy nipple discharge or nipple retraction initial imaging)
• Palpable Breast Mass
• Female 40 or older initial evaluation
• Female 40 or older mammography suspicious for malignancy
• Female 40 or older mammography findings probably benign
• Female 40 or older mammography findings benign like a lipoma at site of palpable mass
• Female 40 or older mammography negative, next exam to perform
• Female younger than 30 initial evaluation
• Female younger than 30 ultrasound findings suspicious for malignancy, next exam to perform
• Female younger than 30 , Ultrasound findings probably benign, next exam
• Female younger than 30, ultrasound findings benign like a simple cyst, next exam
• Female younger than 30, Ultrasound findings negative , next exam
• Female 30 to 39, initial evaluation
• algorithm evaluation of palpable breast lesions in women 40 and older with probably benign or suspicious findings on mammography
• algorithm evaluation of palpable breast lesions in women aged 40 years or older with mammogram that is negative or shows benign findings
• Algorithm evaluation of palpable breast lesions in women under 30 with probably benign or suspicious findings on ultrasound
• Evaluation of palpable breast lesions in women under 30 with benign or negative findings on ultrasound
• algorithm management of palpable findings in women 30 to 39
• Stage 1 Breast Cancer in Asymptomatic Women Mass
• rule out bone metastases initial imaging
• rule out thoracic metastases initial imaging
• rule out abdominal metastases initial imaging
• Rule out brain metastases initial evaluation
• rule out bone thoracic, abdominal, brain metastases initial imaging
• rule out local recurrence
Cardiac
• Acute Chest Pain Suspected Aortic Dissection
• Acute Nonspecific Chest Pain Low Probability of Coronary Artery Disease CAD
• Asymptomatic Patient at Risk for Coronary Artery Disease CAD
• asymptomatic patient at risk for CAD low risk
• asymptomatic patient at risk for CAD intermediate risk
• asymptomatic patient at risk for CAD high risk
• Chest Pain Possible Acute Coronary Syndrome ACS
• chest pain low to intermediate probability for ACS initial imaging
• chest pain high probability for ACS initial imaging
• Chronic Chest Pain High Probability of Coronary Artery Disease CAD
• Chronic Chest Pain Noncardiac Etiology Unlikely to Low to Intermediate Probability of Coronary Artery Disease CAD
• Dyspnea Suspected Cardiac Origin
• Dyspnea due to heart failure Ischemia not excluded
• dyspnea due to nonischemic heart failure Ischemia excluded
• dyspnea due to suspected valvular heart disease Ischemia excluded
• dyspnea due to suspected cardiac arrythmia Ischemia Excluded
• Dyspnea due to suspected pericardial disease Ischemia Excluded
• Known or Suspected Congenital Heart Disease in the Adult
• Suspected New Nonacute Heart Failure
• suspected new onset non acute heart failure not previously diagnosed initial imaging
• differentiating new onset heart failure with reduced ejection fraction HFrEF from new onset heart failure with preserved ejection fraction HFpEF
• Confirmed new onset heart failure with reduced jection fraction HFrEF of uncertain etiology ischemic versus non ischemic
GastroIntestinal
• Acute Nonlocalized Abdominal Pain
• acute nonlocalized abdominal pain and fever No recent surgery Initial Imaging
• Acute nonlocalized abdominal pain and fever Postoperative patient Initial imaging
• Acute nonlocalized abdominal pain Neutropenic patient Initial imaging
• Acute nonlocalized abdominal pain Not otherwise specified Initial imaging
• Acute Pancreatitis
• suspected acute pancreatitis First time presentation Epigastric pain and increased amylase and lipase Less then 48 to 72 hours after symptom onset Initial imaging
• SUspected acute pancreatitis Initial presentation with atypical sings and symptoms including quivocal amylase and lipase when other diagnoses are possible Initial Imaging
• Acute Pancreatitis Critically Ill (SIRS) Systemic Inflammatory Response System, Greater than 48 to 72 hours after onset of systems
• Acute Pancreatitis continued SIRS Systemic Inflammatory Response Syndrome, Leukocytosis, Fevers, more than 7 to 21 days after symptom onset
• Necrotizing pancreatitis Significant deterioration in clinical status
• Acute pancreatitis Known pancreatic or peripancreatic fluid collection with continued abdominal pain early satiety nausea vomiting or signs of infection Greater than 4 weeks after symptom onset
• Chronic Liver Disease
• diagnosing fibrosis
• screening and surveillance for HCC HepatoCellular Carcinoma No prior diagnosis
• Previous HCC diagnosis , surveillance for hepatocellular carcinoma
• Colorectal Cancer Screening CRC
• Crohn's Disease
• suspected Crohn disease No prior diagnosis Initial imaging
• Known crohn disease Suspected acute exacerbation
• Known crohn disease Surveillance and monitoring therapy
• Dysphagia
• oropharyngeal dysphagia with attributable cause
• unexplained oropharyngeal dysphagia Initial imaging
• Retrosternal dysphagia in immunocompetent patient Initial imaging
• Retrosternal dysphagia in Immunocompromised patients initial imaging
• Earlt postoperative dysphagia Oropharyngeal or Retrosternal Initial imaging
• Delayed (more than one month) posterative dysphagia Retrosternal or Oropharyngeal
• Jaundice
• Jaundice without predisposing conditions Initial imaging
• Suspected mechanical obstruction baised on initial imaging, clinical condition, or laboratory values
• No suspected mechanical obstruction, Suspected medical, metabolic or functional etiologies based on initial imaging clinical condition, or laboratory values
• Left Lower Quadrant Pain Suspected Diverticulitis LLQ
• Suspected diverticulitis Left Lower Quadrant LLQ pain Initial imaging
• Suspected complications of diverticulitis LLQ pain
• Liver Lesion Initial Characterization Hepatic
• Algorithm Indeterminate mass greater than 1 cm
• Algorithm Indeterminate mass less than 1 cm on initial imaging
• Indeterminate lesion greater than 1 cm on initial imaging with ultrasound Normal liver No suspicion or evidence of extrahepatic malignancy or underlying liver disease
• Indeterminate lesion greater than 1 cm on initial imaging with CT Normal liver no evidence of extrahepatic malignancy or underlying disease
• Indeterminate lesion greater than 1 cm on initial imaging with ultrasound KNOWN HISTORY OF extrahepatic malignancy
• indeterminate lesion greater than 1 cm on initial imaging with CT with a KNOWN HISTORY of extrahepatic malignancy
• Indeterminate lesion greater than 1 cm on initial imaging with noncontrast MRI with a KNOWN HISTORY OF extrahepatic malignancy
• indeterminate lesion greater than 1 cm on initial imaging with ultrasound Known or suspected liver diseaseassociated with a high risk of hepatocellular carcinoma including hepatitis cirrhosis hemochromatosis
• Indeterminate lesion greater than 1 cm on initial imaging with CT with Known or suspected liver disease associated with a high risk of hepatocellular carcinoma like chronic hepatosis cirrhosis hemochromatosis
• indeterminate lesion greater than 1 cm on initial imaging with MRI with suspected liver disease associated with high risk hepatocellular carcinoma
• indeterminate lesion less than 1 cm on initial imaging with ultrasound Normal liver without suspicion for extrahepatic malignancy or disease
• Indeterminate lesion less than 1 cm on initial imaging with CT with a Normal liver without suspicion or evidence or extrahepatic disease
• Indeterminate lesion less than 1 cm on initial imaging with MRI with a normal liver withotu suspicion of extrahepatic disease
• Indeterminate lesion less than 1 cm on initial imaging with ultrasound with a known history of extrahepatic malignancy
• Indeterminate lesion less than 1 cm on initial imaging with CT with a KNOWN history of extrahepatic malignancy
• Indeterminate lesion less than 1 cm on initial imaging with MRI with a KNOWN history of extrahepatic malignancy
• indeterminate lesion less than 1 cm on initial imaging with ultrasound with a KNOWN or suspected liver disease associated with a high risk of hepatocellular carcinoma HCC
• Indeterminate lesion less than 1 cm on initial imaging with CT with a KNOWN or suspected liver disease associated with a high risk of hepatocellular carcinoma HCC
• Indeterminate lesion less than 1 cm on initial imaging with MRI with a KNOWN or suspected liver disease associated with a high risk og hepatocellular carcinoma HCC
• Palpable Abdominal Mass Suspected Neoplasm
• palpable abdominal mass Suspected intraabdominal neopalsm Initial imaging
• Palpable abdominal mass Suspected abdominal wall mass Inititial imaging
• Pancreatic Cyst
• Incidentally detected pancreatic cyst less than or equal to 2.5 cm Initial Evaluation
• Incidentally detected pancreatic cyst greater than 2.5 cm without High risk or worrisome features Initial Evaluation
• Incidentally detected pancreatic cyst greater than 2.5 cm WITH High risk or worrisome features Initial Evaluation
• Incidentally detected main pancreatic duct dilation greater than 7 mm millimeters with Suspected main duct intraductal papillary mucinous neoplasm IPMN initial evaluation
• follow up imaging of pancreatic cyst
• Pretreatment Staging Colorectal Cancer CRC
• Rectal Cancer Locoregional staging
• Colorectal cancer Staging for distant metastases
• Right Lower Quadrant Pain Suspected Appendicitis RLQ
• RLQ Right Lower Quadrant Pain, Fever, Leukocytosis, suspected Appendicitis Initial Imaging
• Atypical presentation for Possible Appendicitis.PNG
• Pregnant woman with suspected appendicitis Initial Imaging
• Right Upper Quadrant Pain RUQ
• Suspected biliary disease
• No fever or high WBC count Negative or equivocal ultrasound Suspected biliary disease
• Suspected biliary disease with fever elevated WBC cout but negative or equivocal ultrasound
• Suspected acalculous cholecystitis with Negative or equivocal ultrasound
• Staging of Pancreatic Ductal Adenocarcinoma
• Pancreatic ductal adenocarcinoma Initial staging pretreatment
• Follow up post neoadjuvant therapy evaluate rectability for borderline resectable tumor pancreatic ductal adenocarcinoma
Major Blunt Trauma
• Major Blunt Trauma
• Hemodynamically Unstable Initial Imaging
• Hemodynamically stable Not otherwise specified initial imaging
• hemodynamically stable suspected facial injury initial injury
• hemodynamically stable Suspected Extremity Trauma Initial Imaging
• Hemodynamically Suspected Bowel Trauma Initial Imaging
• Hemodynamically Stable Suspected Urinary sytem , including urethra trauma initial imaging
• Hemodynamically stable Suspected Chest Trauma initial imaging
• Pregnant patient Major Blunt Trauma Hemodynamically stable Initial Imaging
Musculoskeletal
• Suspected Acute Hand and Wrist Trauma
• initial imaging
• suspect acute hand or wrise trauma initial radiographs negative or equivocal Next imgaging study
• acute wrist fracture on radiograph with suspected tendon or ligament trauma Next imaging study
• initial radiographs showing distal radioulnar joint or carpal malalignment WITHOUT fracture Next imaging study
• Acute hand fracture on radiographs Suspect hand tendon or ligament trauma next imaging study
• Acute Hip Pain Suspected Fracture
• Acute Trauma to the Knee, adult or child older than one
• Fall or twisting injury without focal tenderness or affusion and Able to walk First tudy
• Fall or twisting injury with either focal focal tenderness or unable to bear weight First study
• Fall or twisting injury with either no fracture or a second fracture seen on radiograph Suspect internal derangement Next study
• Fall or twisting injury with a tibial plateau fracture on a radiograph with additional bone or soft tissue injury suspected Next study
• Injury to knee of an unknown mechanism with Focal patellar tenderness, effusion and ability to talk
• Significant trauma to the knee from motor vehicle accident Suspect knee dislocation
• Chronic Ankle Pain
• chronic ankle pain initial imaging
• chronic ankle pain. Multiple sites of degenerative joint disease in the hindfoot detected by ankle radiograph. next study
• chronic ankle pain. ankle radiographs normal Suspected osteochondral lesion. next study
• chronic ankle pain Ankle radiographs normal or non specific Suspected tendon abnormality Next study
• Chronic ankle pain Ankle radiographs normal or nonspecific Suspected ankle instability Next study
• Chronic ankle pain Ankle radiographs normal or nonspecific Suspected ankle impingement syndrome Next study.PNG
• Chronic ankle pain Ankle radiographs normal Pain of uncertain etiology Next study.PNG
• Chronic Back Pain Suspected Sacroiliitis Spondyloarthropathy
• Chronic back pain suspected sacroiliitis or spondyloarthropathy Inflammatory sacroiliac or back symptoms Suspected axial spondyloarthropathy Initial evaluation
• Chronic back pain suspected sacroiliitis or spondyloarthropathy Inflammatory sacroiilac symptoms Suspected acial psondyloarthropathy Radiographs negative or equivocal
• inflammatoyr back pain symptoms Suspected spondyloarthropathy Radiographs negative or equivocal
• Chronic back pain suspected sacroiliitis or spondyloarthropathy indlammatory sacroiliac symptoms suspected axial spondyloarthropathy Negative radiographs and mri of sacroiliac joints
• spine ankyloses Suspect fracture
• Chronic back pain suspected sacroiliitis or spondyloarthropathy Known axial spondyloarhtopathy. follow up treatment response or disease progression
• Chronic Elbow Pain
• chronic elbow pain Evaluation for chronic elbow pain First test
• chronic elbow pain mechanical symptoms like locking clikcing limited motino with suspcition for intra articular osterocartilagenous body or synovial abnormality, radiographs non diagnostic
• chronic elbow pain suspect occult fracture or other bone abnormality Radiographs non diagnostic
• chronic elbow pain Assess stability of steochondral injury Radiographs nondiagnostic
• chronic elbow painpalpable soft tissue mass Radiographs non diagnostic
• chronic elbow pain Suspect chronic epicondylitis Refractory to empirical treatmetn Radiographs nondiagnostic
• chronic elbow pain Suspect collateral ligament teat Radiographs non diagnostic
• chronic elbow pain suspect biceps tendon tear radiographs nondiagnostic
• chronic elbow pain suspect nerve abnormality radiographs nondiagnsotic
• chronic elbow pain Elbow stiffness suspect heterotopic ossisfication or osteophytosis by radiography nNext test
• chronic elbow pain suspect inflammatory arthritis or bursitis Radiographs obtained
• Chronic Extremity Joint Pain Suspected Inflammatory Arthritis
• chronic extremity joint pain suspect rheumatoid arthritis
• chronic extremity joint pain suspect seonegative spondyloarthropathy
• chronic extremity joint pain suspect gout
• chronic extremity joint pain suspect calicum pyrophosphate dihydrate disease aka pseudogout
• chronic extremity joint pain suspect erosive osteoarthritis
• Chronic Foot Pain
• chronic foot pain of unknown etiology first study
• adult or child Painful rigid flat foot Radiographs unremarkable or equivocal and clinical concern for tarsal coalition
• chronic foot pain Radiographs unremarkable or equivocal and clinical concern for complex regional pain syndrome type 1 one aka CRPS
• chronic foot pain adult or child Radiographs noncontributory Pain and tendernress over head of second metatarsal and clinical concern for Freiburg infraction
• chronic foot pain Pain and tenderness over tarsus unresponsive to conservative therapy Radiographs showed accessory ossicle
• chornic foot painRadiographs unremarkable equivocal or further diagnostic information needed CLinical concern for inflammatory arthropathy including rheumatoid arthritis
• chronic foot pain Localized pain at the plantar aspect of the heel Radiographs unremarkable or equivocal Clinical concern for plantar fasciitis
• chronic foot pain Burning pain and paresthesias along the plantar surfact of the foot and toes. radiographs unremarkable or equivocal Clinical concern for tarsal tunnel syndrome
• chronic foot pain Pain int he 3-4 web space with radiation to the toes Radiographs unremarkable or equivocal Clinical concern for morton neuroma
• Chronic foot pain Athlete with pain and tenderness over tarsal navicular Radiographs unremarkable or equivocal Clinical concern for stress injury or occult fracture
• chronic foot pain radiographs unremarkable or equivocal and with persistent clinical concern for tendinopathy
• Chronic Hip Pain
• chronic hip pain first test
• chronic hip pain Radiographs negative or equivocal or non diagnostic Suspect extraarticular noninfectious soft tissue abnormality such as tendonitis
• chronic hip pain radiographs negative equivocal or nondiagnostic supect impingement
• chronic hip pain radiographs negative equivocal or nondiagnostic Suspect labral tear witih or without clinical findings consistent with or suggestive of impingement
• chronic hip pain evaluate articular cartilege Next test after radiographs
• Chronic hip pain Radiographs positive Arthritis of uncertain type Infection is a consideration
• chronic hip pain radiographs suggestive of pigmented villonodular synovitis or osteochondromatosis
• chronic hip pain and low back pelvic or knee pathology Want to exclude hip as the source Radiographs negative equivocal or showing mild osteoarthritis
• chronic hip pain computer navigation of hip arthroplasty or modeling
• Chronic Knee Pain
• chronic knee pain Adult or child greater than 5 years old initial imaging
• chronic knee pain adult or child greater than 5 years old Initial radiographs negative or show joint effusion next imaging procedure
• chronic knee pain adult of child older than 5 initial knee imaging shows osteochondritis dissecans OCD loose bodies or history of cartilege or meniscal repair Next imaging procedure
• chronic knee pain adult or child greater than 5 years old initial radiograph shows degenerative changes of chondrocalcinosis Next imaging procedure
• chronic knee pain adult or child greater than 5 initial knee radiographs demonstrates singns of prior osseous injury like a Segond fracture tibial spine avulsion Next imaging procedure
• Chronic Wrist Pain
• chronic wrist pain withotu or withotu prior injury best initial study
• chronic wrist pain Routine radiographs normal or nonsepcific Persistent symptoms Next study
• chronic wrist pain Routine radiographs normal or nonspecific suspect inflammatory arthritis Next study
• chronic wrist pain Radiographs normal or show nonspecific arthritis Exclude infection next study
• chronic wrist pain Ulnar sided Radiographs normal or nonspecific next study
• chronic wrist pain Radial sided Radiographs normal or nonspecific Next study
• Chronic wrist pain Radiographs normal or nonspecific Suspect Kienbock Kienböck disease Next study
• chronic wrist pain with Kienbock Kienböck disease on radiographs Next study
• chronic wrist pain Palpable mass or suspected occult ganglion cyst Radiographs normal or nonspecific Next study
• chronic knee pain adult or child greater than 5 years old initial radiograph shows degenerative changes of chondrocalcinosis Next imaging procedure
• Chronic wrist pain Suspect occult fracture or stress fracture Radiographs nondiagnostic Next study
• Chronic wrist pain Radiographs show old scaphoid fracture Evaluate for nonunion malunion osteonecrosis or post traumatic osteoarthritis Next study
• Chronic wrist pain Radiographs normal or nonspecific Suspect carpal tunnel syndrome Next study.PNG
• Follow up of Malignant or Aggressive Musculoskeletal Tumors
• Imaging After Shoulder Arthroplasty
• imaging after shoulder arthroplasty Follow up of the asymptomatic patient with a primary shoulder arthroplasty
• imaging after shoulder arthroplasty Symptomatic patient with a primary shoudller arthroplasty Unknown diagnoiss Initial study
• imaging after shoulder arthroplasty evaluating patients with a painful primary shoudler arthroplasty Suspect aseptic loosening Additional imaging following radiographs
• imaging after shoulder arthroplasty Evaluating patietns with a painful primary shoulder arthroplasty Suspect infection Additional imaging following radiographs
• imaging after sholder arthroplasty Evaluating patients with a painful primary total sholder arthroplasty Suspect fracture Additional imaging following radiographs
• imaging after shoulder arthroplasty Evaluating primary shoulder arthroplasty patients with possible rotator cuff tear Additional imaging following radiographs
• imaging after shoulder arthroplasty Evaluating primary shoulder arthroplasty patients with possible nerve injury Additional imaging following radiographs
• Imaging After Total Hip Arthroplasty
• imaging after total hip arthroplasty Follow up of the asymptomatic patient with a total hip arthroplasty
• imaging after total hip arthroplasty Evaluating suspected component malposition.PNG
• imaging after total hip arhtroplasty evaluating patinets with a painaul primary total hip arthroplasty Infection not included
• imaging after total hip arthroplasty Evaluating patient with a painful primary total hip arthroplasty Suspect aseptic loosening Infection Excluded
• imaging after total hip arthroplasty Evaluating suspected parrticle disease liek Aggressive granulomatous disease with Infection excluded
• imaging after total hip arthroplasty Evaluating patients with a painful primary metal on metal total hip arhtroplasty or surface replacement Evaluate for aseptic lymhocyte dominated vasculitis associated lesion
• imaging after total hip arthroplasty Total hip arthroplasty Trochanteric pain Suspect abductor injury or trochanteric bursitis
• imaging after total hip arthroplasty suspect iliopsoas buritis or tendonitis
• imaging after total hip arthroplasty suspect nerve damage
• imaging after total hip arthroplasty evaluate heterotopic bone
• uimaging after total hip arthroplasty Total hip arthroplasty Suspect periprosthetic fracture
• Imaging After Total Knee Arthroplasty
• imaging after total knee arthroplasty Follow up of the asymptomatic patient with a total knee arthroplast
• imaging after total knee arthroplasty measuring component wear
• imaging after total kneee arthroplasty Pain after total knee arthroplasty Periprosthetic infection NOT excluded Initial imaging evaluation, inclufing image guided intervention
• imaging after total knee arthroplasty Pain after total knee arthroplasty Joinot aspiration cultures positive for infection Additional imagign following radiographs
• imaging after total knee arthroplasty Pain after total knee arthroplasty Joint aspiration culture negative or inconclusive Suspect infection Additional imaging following radiographs including image guided intervention
• imaging after total knee arthroplasty Pain after total knee arthroplasty Negative studies for infection Suspect aseptic loosening Additional imaging following radiograph
• imaging after total knee arthroplasty Pain after total knee arthroplasty Negative studies for infection Suspect granulomas or osteolysis Additional imaging following radiograph
• imaging after total knee arthroplasty pain after total knee arthroplasty Clinical concern for instabiltiy
• imagning after total knee arthroplasty Pain after total knee arthroplasty Suspect periprosthetic fracture
• imaging after total knee arthroplasty Suspect complication related to the patella or the petellar liner with subluxation dislocation fracture component loosening or wear or impingement as well as osteonecrosis
• imaging after total knee arthroplasty pain after total knee arthroplasty measure component rotation
• imaging after total knee arthroplasty pain after total knee arthroplasty Supect periprosthetic soft tissue abnormality unrelated to infection including qudriceps or patellar tendinopathy or impingement of nerves or other soft tissues
• Osteonecrosis of the Hip
• osteonecroiss of the hip in adult or child with clinically suspected osteonecrosis First study
• osteonecrosis of the hip in and adult with clinically suspected osteonecrosis with Normal radiographs or radiographs showing femoral head lucencies suspicious for osteonecrosis
• osteonecrosis fo the hip in a child with clinically suspected osteonecrosis with normal radiographs or radiographs suspicious for osteonecrosis
• osteonecrosis of the hip in an adult with Osteonecrosis with femoral head collapse by radiographs in the painful hips surgery contemplated
• osteonecrosis of the hips in a child with fmeoral head collpase by radiographs in the painful hip Sugery contemplated
• osteonecrosis of the hip in adult of rchild with osteonecrosis clinically suspected Radiographs normal or abnormal but MRI contraindicated with Further evaluation needed
• Osteoporosis and Bone Mineral Density
• osteonecroiss of the hip in adult or child with clinically suspected osteonecrosis First study
• osteonecrosis of the hip in and adult with clinically suspected osteonecrosis with Normal radiographs or radiographs showing femoral head lucencies suspicious for osteonecrosis
• osteonecrosis fo the hip in a child with clinically suspected osteonecrosis with normal radiographs or radiographs suspicious for osteonecrosis
• osteonecrosis of the hip in an adult with Osteonecrosis with femoral head collapse by radiographs in the painful hips surgery contemplated
• osteonecrosis of the hips in a child with fmeoral head collpase by radiographs in the painful hip Sugery contemplated
• osteonecrosis of the hip in adult of rchild with osteonecrosis clinically suspected Radiographs normal or abnormal but MRI contraindicated with Furither ecaluation needed
• asymptomatic one mineralization disorder BMD screening or individulas with established or clinically suspected low BMD
• osteoporosis and bone mineral densityin patients with T scores less that negative one -1 and some of the following
• osteoporosis and bone mineral density Follow up in Patients demonstrated to have risk for fracture or low density
• osteoporosis and bone mineral density Identify low bone mineral density BMD Premenopausal females with risk factors or males twenty to fifty 20 to 50 20-50 years old with risk factors
• osteoporosis and bone mineral density Diagnosis in males and females over 50 with advanced degenerative changes of the spine with or without scoliosis
• osteoporosis and bone mineral density Suspected fracture Nonscreening of a vertebral body based on acute or subacute syptomatology in a patient with suspected osteoporosis or a patient on steroids for more than 3 months First examination
• osteoporosis and bone mineral density suspected fracture Nonscreening of a vertebral body based on acute or subacute symptoms in a patient with suspected osteoporosis or treated with steroids fro more then 3 months with negative radiograph
• osteoporosis and bone mineral denisty
• osteoporosis and bone mineral density Patients on long term treatment 3-5 years of bisphosphonates with thigh or groin pain First examination
• osteoporosis and bone mineral density Patient on long term treatment 3-5 years of bisphosphonates with thigh or groin pain and negative radiographs
• Primary Bone Tumors
• Shoulder Pain Atraumatic
• atraumatic shoulder pain initial imaging
• atraumatic shoulder pain Suspect rotator cuff disorders like tendinosis tear calcific tendinitis with Initial radiograpsh normal or inconclusive Next imaging study
• atraumatic shoulder pain Suspect labral tear and instability Initial radiographs normal or inconclusive Next imaging study
• Atraumatic shoulder pain Suspect bursitis Initial radiographs normal or inconclusive Next imaging study
• atraumatic shoulder pain Suspect adhesive capsulitis Initial radiographs normal or inconclusive NExtimagign study
• Atraumatic shoulder pain Suspect biceps tendinitis bursitis dislocation or tear Initial radiographs normal or inconclusive Next imaging study
• atraumatic shoulder pain after rotator cuff repiar initial radiographs normal or inconclusive next imaging study
• Atraumatic shoulder pain Neurogenic pain excluding plexopathy Initial imaging
• Shoulder Pain Traumatic
• Traumatic shoulder pain any etiology initial imaging
• Traumatic shoulder pain Nonlocalized shoulder pain Negative radiographs Next imaging study
• Traumatic shoulder pain Radiographs show humeral head or neck fracture Next imaging study
• traumatic shoulder pain radiographs show scapula fracture next imaging study
• traumatic shoulder apin Radiographs show Bankary or Hill-Sachs lesion Next imaging study
• Traumatic shoulder tapin Radiographs normal Physical examination and history consistent with dislocation event or instability Next imaging study
• Traumatic shoulder pain Radiographs normal Physical exam findings consistent with labral tear Next imaging study
• Traumatic shoulder pain Radiographs normal Physical examination findings consistent with rotator cuff tear Next imaging study
• Traumatic shoulder pain Radiographs already performed Physcial exam consistent with vascular compromise Next imaging study
• Traumatic shoulder pain Radiographs already performed Neuropathic syndrome excluding plexopathy Next imaging study
• Soft Tissue Masses
• Stress Fatigue Insufficiency Fracture Including Sacrum Excluding Other Vertebrae
• Traumatic shoulder pain Radiographs already performed Neuropathic syndrome excluding plexopathy Next imaging study
• Traumatic shoulder pain Radiographs already performed Neuropathic syndrome excluding plexopathy Next imaging study
• Traumatic shoulder pain Radiographs already performed Neuropathic syndrome excluding plexopathy Next imaging study
• Traumatic shoulder pain Radiographs already performed Neuropathic syndrome excluding plexopathy Next imaging study
• Traumatic shoulder pain Radiographs already performed Neuropathic syndrome excluding plexopathy Next imaging study
• Traumatic shoulder pain Radiographs already performed Neuropathic syndrome excluding plexopathy Next imaging study
• Traumatic shoulder pain Radiographs already performed Neuropathic syndrome excluding plexopathy Next imaging study
• Traumatic shoulder pain Radiographs already performed Neuropathic syndrome excluding plexopathy Next imaging study
• Traumatic shoulder pain Radiographs already performed Neuropathic syndrome excluding plexopathy Next imaging study
• Traumatic shoulder pain Radiographs already performed Neuropathic syndrome excluding plexopathy Next imaging study
• Traumatic shoulder pain Radiographs already performed Neuropathic syndrome excluding plexopathy Next imaging study
• Stress Fatigue Insufficiency Fracture Including Sacrum Excluding Other Vertebrae
• stress fracture ecluding vertebrae first imaging study
• suspected stress fracture of the hip negative radiograph next study
• suspected stress fracture excluding hip and vertebrae negative radiographs next study
• suspected stress fracture excluding vertebrae negative radiographs IMMEDIATE NEED TO KNOW DIAGNOSIS next imaging study
• confirmed stress fracture excluding vertebrae Follow up imaging study for a return to play evaluation
• suspected stress fracture pelvis or hip first study
• suspected stress fracture pelvis or hip With negative radiographs next imaging study
• suspected stress fracture of lower extremity excluding pelvis and hip First imaging study
• suspected stress fracture of lower extremity excluding pelvis and hip Negative radiographs next imaging study
• suspected stress fracture follow up imaging for characterizing nonspecific focal uptake on technitium MDP bone scintigraphy
• suspect stress fracture pelvis hip or sacrum in pregnant patient
• suspect stress fractureof the long bones pregnant patient
• Suspected Osteomyelitis of the Foot in Patients with Diabetes Mellitus
• suspected osteomyelitis of the foot in diabtic patient initial imaging
• Suspected osteomyelitis of the foot in diabetic patient with soft tissue swelling without ulcer Additional imaging follwoing radiographs
• Suspected osteomyelitis of the foot in diabetic patient with or without neuropathic arthropathy with soft tissue swelling WITH ulcer Additional imaging following radiographs
Neurologic
• Acute Mental Status Change Delirium and New Onset Psychosis AMS
• Acute mental status change. Increased risk for intracranial bleeding (anticoagulant use, coagulopathy), hypertensive emergency, or clinical suspicion for intracranial infection, mass, or elevated intracranial pressure Initial imaging
• Acute mental status change. Increased risk for intracranial bleeding (anticoagulant use, coagulopathy), hypertensive emergency, or clinical suspicion for intracranial infection, mass, or elevated intracranial pressure Initial imaging
• Acute or pregressively worsening mental status change in patient with a known intracranial process (mass, recent hemorrhage, recent infarct, central nercous system infection) Initial imaging
• Acute mental status change. Suspected causes found on iitial clinical or lab assessment (intoxication, medication related, hypoglycemia, sepsis) LOW CLINICAL SUSPICION for trauma or intracranial hemorrhage, stroke, mass, or intracranial infection, initial imaging
• Persistent or worsening mental status change despite clinical management of the suspected underlying cause (intoxication, medication-related, hypoglycemia, sepsis) or acute change in mental status of unknown cause. Initial imaging
• New Onset Delirium. Initial Imaging
• New Onset Psychosis. Initial imaging
• Ataxia
• Acute ataxia following recent head trauma initial imaging
• acute ataxia following recent spine trauma. initial imaging
• Ataxia withotu history of trauma. suspected intracranial process. Stroke intervention NOT a consideration. initial imaging
• Ataxia of any acuity. no history of trauma. Suspected spinal or spinal vascular process. Initial imaging
• Cerebrovascular Disease CVD
• Asymptomatic. structural lesion on physical examination like a cervical bruit and or risk factors
• Carotid territory or vertibrobasilar TIA, initial screening survery
• New focal neurologic deficit Fixed or worsening. Fewer than 6 hours. SUSPECT STROKE
• New Focal neurologica deficir, fixed or worsening. Longer than 6 hours. SUSPECT STROKE
• Risk of unruptured aneurysm including patients with polycystic kidney disease, patients who have at least two first degree relatices with history of subarachnoid hemorrhage (SAH) and those with previously ruptured and treated aneurysms
• clinically suspected acute subarachnoid hemorrhage SAH not yet confirmed
• Proven Subarachnoid Hemorrhage SAH by lumbar puncture or imaging
• Proven Subarachnoid hemorrhage SAH, negative angiogram, follow up
• Follow up imaging of previously treated cerbral aneurysms. Asymptomatic or no new symptoms
• Follow up imaging of untreated cerbral aneurysms. Asymptomatic or no new symptoms
• Evaluation for cerebral vasospasm after aneurysmal subarachnoid hemorrhage SAH
• Clinically suspected parenchymal hemorrhage (hematoma) not yet confirmed
• Proven parenchymal hemorrhage (hematoma)
• Evaluation of high flow vascular malformations
• Suspected dural venous sinus thrombosis
• Central nervous system vasculitis
• Cervical Neck Pain or Cervical Radiculopathy
• New or increasing nontraumatic cervical or neck pain. No Red Flags. initial imaging
• new or increasing nontraumatic cervical radiculopathy. No Red Flags. Initial imaging
• Prior cervical spine surgery. new or increasing nontraumatic cervical or neck pain or radiculopathy. initial imaging
• Suspicion for infection with new or increasing nontraumatic cervical or neck pain or radiculopathy. Initial imaging
• Known malignancy. New or increasing nontraumatic cervical or neck pain or radiculopathy Initial imaging
• Cervicogenic headache and new or increasing nontraumatic cervical or neck pain. no neurologic deficit Initial imaging
• Chronic cervical or neck pain initial imaging
• Chronic cervical or neck pain. no neurologic findings radiographs show degnerative changes Next imaging study
• Chronic cervical or neck pain with or withotu radiculopathy. radiographs show ossification in the posterior longitudinal ligament (OPLL) next imaging study
• Cranial Neuropathy
• Anosmia and abnormalities of the sense of smell (Olfactory nerve, CN 1, cranial nerve 1)
• Weakness or paralysis of the mastication muscles. Sensory abnormalities of the head and neck. Trigeminal neuralgia. Trigeminal nerve, CN 5
• weakness of paralysis of facial expression. hemifacial spasm. Bell Palsy. Bells Palsy. Bell's Palsy. Facial nerve. Cranial nerve 7 CN 7
• Palate weakness. Oropharyngeal pain. Glossopharyngeal nerve. Cranial nerve 9 CN 9
• Vocal cord paralysis. Vagal nerve. Cranial nerve 10 CN 10
• Weakness of paralysis of the sternocleidomastoid and trapezius muscles. Accessory Nerve, Cranial nerve 11, CN 11
• Weakness or paralysis of the tongue. hypoglossal nerve. Cranial nerve 12 CN 12
• Perineural spread of tumor. Most commonly trigeminal nerve, Facial nerve. Cranial Nerve 5 Cranial nerve 7 CN 5 CN 7
• Dementia and Movement Disorders
• Probable alzheimer's disease
• possible alzheimer's disease
• suspected frontotemporal dementia
• suspected Lewy Body dementia, dementia with Lewy Bodies
• suspected vascular dementia
• suspected priorn disease Creutzfeld-Jakob, iatrogenic or variant
• suspected normal pressure hydrocephalus
• suspected huntington disease
• Clinical features suggestive of neurodegeneration with brain iron accumulation
• Parkinson Disease. Typical clinical features, responsive to levodopa
• parkinsoninan syndrome. atypical clinical features. not responsive to levodopa
• motor neuron disease
• Dementia
• cognitive decline. suspected Alzheimer disease. initial imaging.
• suspected forntotemporal dementia. initial imaging
• suspected dementia with lewy bodies, Lewy Body dementia
• suspected vascular dementia
• suspected idiopathic normal pressure hydrocephalus. initial imaging
• Headache
• Sudden severe headache or "worst headache of life" initial imaging
• New headache with optic disc edema. initial imaging
• new or progressivle worsening headache with one or more of the following red flags : subacute head trauma, related activity or event (sexual activity, exertion, position), neurological deficit, known or suspected cancer, immunosuppressed or immunocompromised, or 50 years old or older. initial imaging
• New headache. Classic migraine or tension headache. normal neurologic examination. initial imaging.
• New primary headache of suspected trigeminal autonomic origin. Initial imaging
• Chronic headache. no new features. no neurologic deficit. initial imaging.
• Chronic headache. New features or increasing frequency. Initial Imaging.
• Head Trauma
• Mild or acute closed head injury (GCS 13 or greater) imaging NOT indicated by NOC or CCHR or NEXUS criteria. initial study
• Mild or acute closed head injury (GCS 13 or greater) imaging indicated by NOC or CCHR or NEXUS criteria. initial study
• Acute head trauma, moderate (GCS 9–12) or severe (GCS 3–8) or penetrating. Initial imaging
• Acute head trauma with unchanged neurologic examination and unremarkable initial imaging. Short-term follow-up imaging
• Acute head trauma with unchanged neurologic examination and positive finding(s) on initial imaging (eg, subdural hematoma). Short-term follow-up imaging.
• Acute head trauma with new or progressive neurologic deficit(s). Short-term follow-up imaging.
• Subacute or chronic head trauma with unexplained cognitive or neurologic deficit(s). Initial imaging.
• Head trauma with suspected intracranial arterial injury due to clinical risk factors or positive findings on prior imaging.
• Head trauma with suspected intracranial venous injury due to clinical risk factors or positive findings on prior imaging.
• Head trauma with suspected cerebrospinal fluid (CSF) leak. Initial imaging.
• Low Back Pain
• Acute low back pain with or without radiculopathy. No red flags. No prior management. Initial imaging
• Subacute or chronic low back pain with or without radiculopathy. No red flags. No prior management. Initial imaging.
• Subacute or chronic low back pain with or without radiculopathy. Surgery or intervention candidate with persistent or progressive symptoms during or following 6 weeks of optimal medical management. Initial imaging
• Low back pain with suspected cauda equina syndrome. Initial imaging.
• Low back pain with history of prior lumbar surgery and with or without radiculopathy. New or progressing symptoms or clinical findings. Initial imaging.
• Low back pain with or without radiculopathy. One or more of the following: low-velocity trauma, osteoporosis, elderly individual, or chronic steroid use. Initial imaging.
• Low back pain with or without radiculopathy. One or more of the following: suspicion of cancer, infection, or immunosuppression. Initial imaging.
• Management of Vertebral Compression Fractures
• New symptomatic compression fracture identified on radiographs or CT. No known malignancy.
• Osteoporotic compression fracture, with or without edema on MRI and no “red flags”. With or without spinal deformity, worsening symptoms, or pulmonary dysfunction.
• Painful osteoporotic compression fracture with edema on MRI. Contraindication to vertebral augmentation or surgery (eg, fitness, pregnancy, infection, coagulation disorder, etc)
• Known malignancy and new back pain. Compression fracture identified on radiographs or CT.
• Asymptomatic pathologic spinal fracture with or without edema on MRI.
• Pathologic spinal fracture with severe and worsening pain.
• Pathologic spinal fracture with spinal deformity or pulmonary dysfunction
• Pathologic spinal fracture with neurologic deficit
• Movement Disorders and Neurodegenerative Diseases
• Rapidly progressive dementia; suspected Creutzfeldt-Jakob disease. Initial imaging.
• Chorea; suspected Huntington disease. Initial imaging.
• Parkinsonian syndromes. Initial imaging
• Suspected neurodegeneration with brain iron accumulation. Initial imaging.
• Suspected motor neuron disease. Initial imaging.
• Myelopathy
• Acute onset myelopathy. Initial imaging.
• Chronic or progressive myelopathy. Initial imaging.
• Neck Mass Adenopathy
• Nonpulsatile neck mass(es). Not parotid region or thyroid. Initial imaging.
• Pulsatile neck mass(es). Not parotid region or thyroid. Initial imaging.
• Parotid region mass(es). Initial imaging.
• Child. Neck mass(es). Not parotid region or thyroid. Initial imaging.
• Neuroendocrine Imaging
• Adult. Suspected or known hypofunctioning pituitary gland (hypopituitarism, growth hormone deficiency, growth deceleration, panhypopituitarism, hypogonadotropic hypogonadism). Initial imaging.
• Adult. Suspected or known hyperfunctioning pituitary adenoma (hyperthyroidism [high thyroid-stimulating hormone], Cushing syndrome [high adrenal corticotrophic hormone], hyperprolactinemia, acromegaly, or gigantism). Initial imaging.
• Adult. Diabetes insipidus. Initial imaging.
• Adult. Pituitary apoplexy. Initial imaging
• Adult. Surveillance postpituitary or sellar mass resection.
• Child, males younger than 9 years of age; females younger than 8 years of age. Precocious puberty. Initial imaging.
• Orbits Vision and Visual Loss
• Traumatic visual defect. Suspect orbital injury. Initial imaging.
• Nontraumatic orbital asymmetry, exophthalmos, or enophthalmos. Initial imaging.
• Suspected orbital cellulitis, uveitis, or scleritis. Initial imaging.
• Suspected optic neuritis. Initial imaging
• Visual loss. Etiology identified on ophthalmologic examination or laboratory tests
• Visual loss. Intraocular mass, optic nerve, or pre-chiasm symptoms. Initial imaging.
• Nonischemic visual loss. Chiasm or post-chiasm symptoms. Initial imaging
• Ophthalmoplegia or diplopia. Initial imaging.
• Plexopathy
• Brachial plexopathy, acute or chronic, nontraumatic. No known malignancy. Initial imaging.
• Lumbosacral plexopathy, acute or chronic, nontraumatic. No known malignancy. Initial imaging.
• Brachial plexopathy, traumatic (not perinatal). Initial imaging
• Lumbosacral plexopathy, traumatic. Initial imaging.
• Brachial plexopathy, known malignancy or post-treatment syndrome. Initial imaging.
• Lumbosacral plexopathy, known malignancy or post-treatment syndrome. Initial imaging.
• Seizures and Epilepsy
• New-onset seizure. Unrelated to trauma. Initial imaging
• New-onset seizure. History of trauma. Initial imagin
• Known seizure disorder. Unchanged seizure semiology
• Known seizure disorder. Change in seizure semiology or new neurologic deficit or no return to previous neurologic baseline.
• Known seizure disorder. History of tumor.
• Known seizure disorder. Surgical candidate or surgical planning.
• Sinonasal Disease
• Acute (under 4 weeks) uncomplicated rhinosinusitis
• Possible surgical candidate. Recurrent acute rhinosinusitis, chronic rhinosinusitis, sinonasal polyposis, or noninvasive fungal sinusitis.
• Acute rhinosinusitis. Suspected orbital or intracranial complication
• Sinonasal obstruction. Suspected mass
• Suspected invasive fungal sinusitis
• Suspected Spine Trauma
• Age greater than or equal to 16 years and less than 65 years. Suspected acute blunt cervical spine trauma; imaging not indicated by NEXUS or CCR clinical criteria. Patient meets lowrisk criteria. Initial imaging.
• Age greater than or equal to 16 years. Suspected acute cervical spine blunt trauma. Imaging indicated by NEXUS or CCR clinical criteria. Initial imaging.
• Age greater than or equal to 16 years. Suspected acute cervical spine blunt trauma. Confirmed or suspected cervical spinal cord or nerve root injury, with or without traumatic injury identified on cervical CT. Next imaging study.
• Age greater than or equal to 16 years. Acute cervical spine injury detected on radiographs. Treatment planning for mechanically unstable spine.
• Age greater than or equal to 16 years. Suspected acute cervical spine blunt trauma. Clinical or imaging findings suggest arterial injury with or without positive cervical spine CT. Next imaging study.
• Age greater than or equal to 16 years. Suspected acute cervical spine blunt trauma. Obtunded patient with no traumatic injury identified on cervical spine CT. Next imaging study after CT cervical spine without IV contrast.
• Age greater than or equal to 16 years. Suspected acute cervical spine blunt trauma. Clinical or imaging findings suggest ligamentous injury. Next imaging study after CT cervical spine without IV contrast
• Age greater than or equal to 16 years. Suspected acute cervical spine blunt trauma. Followup imaging on patient with no unstable injury demonstrated initially, but kept in collar for neck pain. No new neurologic symptoms. Includes whiplash associated disorders.
• Age greater than or equal to 16 years. Blunt trauma meeting criteria for thoracic and lumbar imaging. Initial imaging
• 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.
• Thoracic Outlet Syndrome
• Neurogenic thoracic outlet syndrome. Initial imaging and follow-up imaging after surgery or intervention
• Venous thoracic outlet syndrome. Initial imaging and follow-up imaging after surgery or intervention.
• Arterial thoracic outlet syndrome. Initial imaging and follow-up imaging after surgery or intervention.
• Thyroid Disease
• Palpable thyroid nodule. Not goiter. Euthyroid. Initial imaging
• Suspected goiter. Initial imaging
• Thyrotoxicosis. Initial imaging
• Primary hypothyroidism. Initial imaging.
• Preoperative evaluation of differentiated thyroid cancer.
• Early imaging after treatment of differentiated thyroid cance
• Suspected recurrence of differentiated thyroid cancer.
• Suspected recurrence of medullary thyroid cancers
• Tinnitus
• Subjective or objective pulsatile tinnitus (no myoclonus or Eustachean tube dysfunction).
• Asymmetric or unilateral, subjective, nonpulsatile tinnitus (no otoscopic finding; no asymmetric hearing loss, neurologic deficit, or trauma).
• Symmetric or bilateral, subjective, nonpulsatile tinnitus (no hearing loss, neurologic deficit, or trauma).
Pediatrics
• Acutely Limping Child Up To Age 5
• Back Pain Child
• Developmental Dysplasia of the Hip Child DDH
• Fever Without Source or Unknown Origin Child
• Head Trauma Child
• Headache Child
• Hematuria Child
• Pneumonia in the Immunocompetent Child
• Scoliosis Child
• Seizures Child
• Sinusitis Child
• Suspected Appendicitis Child
• Suspected Physical Abuse Child
• Suspected Spine Trauma Child
• Suspected Spine Trauma Child
• Urinary Tract Infection Child UTI
• Vomiting in Infants Up to 3 Months of Age
Thoracic
• Acute Respiratory Illness in Immunocompetent Patients
• Acute Respiratory Illness in Immunocompromised Patients
• Blunt Chest Trauma
• Chronic Dyspnea Noncardiovascular Origin
• Hemoptysis
• Imaging of Possible Tuberculosis TB
• Intensive Care Unit Patients ICU
• Lung Cancer Screening
• Noninvasive Clinical Staging of Primary Lung Cancer
• Occupational Lung Diseases
• Radiographically Detected Solitary Pulmonary Nodule
• Rib Fractures
• Routine Chest Radiography
• Suspected Pulmonary Embolism PE
• Suspected Pulmonary Hypertension
Urologic
• Acute Onset Flank Pain Suspicion of Stone Disease Urolithiasis
• Acute Onset of Scrotal Pain Without Trauma Without Antecedent Mass
• Acute Pyelonephritis
• Hematospermia
• Hematuria
• Incidentally Discovered Adrenal Mass
• Indeterminate Renal Mass
• Lower Urinary Tract Symptoms Suspicion of Benign Prostatic Hyperplasia BPH
• Penetrating Trauma Lower Abdomen and Pelvis
• Post treatment Follow up of Prostate Cancer
• Post Treatment Surveillance of Bladder Cancer
• Post-Treatment Follow up Clinically Localized Renal Cell Cancer RCC
• Pretreatment Staging of Muscle Invasive Bladder Cancer
• Recurrent Lower Urinary Tract Infections in Women UTI
• Renal Cell Carcinoma Staging RCC
• Renal Failure
• Renal Transplant Dysfunction
• Staging of Testicular Malignancy
Vascular
• Abdominal Aortic Aneurysm Follow up Without Repair AAA
• Abdominal Aortic Aneurysm Interventional Planning and Follow up AAA
• Chylothorax Treatment Planning removed
• Clinically Suspected Pulmonary Arteriovenous Malformation PAVM removed
• Clinically Suspected Vascular Malformation of the Extremities
• Imaging for Transcatheter Aortic Valve Replacement TAVR
• Imaging of Deep Inferior Epigastric Arteries for Surgical Planning Breast Reconstruction Surgery
• Imaging of Mesenteric Ischemia
• Lower Extremity Arterial Revascularization Post Therapy Imaging
• Nonatherosclerotic Peripheral Arterial Disease PAD
• Nontraumatic Aortic Disease
• Nonvariceal Upper Gastrointestinal Bleeding UGB UGI UGIB
• Penetrating Neck Injury
• Pulsatile Abdominal Mass Suspected AAA
• Radiologic Management of Lower Extremity Venous Insufficiency
• Renovascular Hypertension
• Sudden Onset Cold Painful Leg
• Suspected Lower Extremity Deep Vein Thrombosis DVT
• Suspected Thoracic Aortic Aneurysm TAA
• Suspected Upper Extremity Deep Vein Thrombosis DVT
• Thoracic Aorta Interventional Planning and Follow
• Thoracic Outlet Syndrome
• Vascular Claudication assessment for revascularization
Women
• Abnormal Vaginal Bleeding
• Acute Pelvic Pain in the Reproductive Age Group
• Assessment of Fetal Well Being
• Assessment of Gravid Cervix
• Clinically Suspected Adnexal Mass No Acute Symptoms
• Female Infertility
• First Trimester Vaginal Bleeding
• Gestational Trophoblastic Disease GTD
• Growth Disturbances Risk of Fetal Growth Restriction
• Multiple Gestations
• Ovarian Cancer Screening
• Pelvic Floor Dysfunction
• Postmenopausal Subacute or Chronic Pelvic Pain
• Pretreatment Evaluation and Follow Up of Endometrial Cancer
• Pretreatment Planning of Invasive Cancer of the Cervix
• Second and Third Trimester Bleeding
• Staging and Follow up of Ovarian Cancer
• Suspected Placenta Accreta Spectrum Disorder