MRI/CT Scan Radiology Decision Tool

MRI/CT Scan Decision Tool
Summary: This tool provides suggestions for Magnetic Resonance Imaging (MRI) or Computed Tomography (CT) studies based on body area and clinical condition. Other studies, including ultrasound exist and may be more appropriate. It is always wise to consult with radiology regarding the proper study to order.
[select name="Q1" value="...........ABDOMEN AND PELVIS...........=0|Abnormal Enzymes=22|Abscess=18|Adrenal Mass=22|Appendicitis=18|Biliary Obstruction=22|Cancer=18|Cirrhosis=21|Colitis=19|Crohns=19|Diffuse Small Bowel Disease/Gluten Enteropathy=23|Endometrioma=24|Fibroid=24|Gall Bladder Stones=22|Hemangioma=21|Hematuria with Pain=20|Hepatitis=21|Hepatoma=21|Incomplete Colonoscopy or Screening=25|Inflammatory Bowel Disease=19|Jaundice=22|Occult Gastrointestinal Bleeding=23|Ovarian Mass=24|Pain=18|Pancreatitis=21|Post Liver Embolization=21|Pre/Post Fibroid Embolization=24|Pseudocyst=21|Stone Survey=20|Tumor=18|...........ABDOMINAL AORTA/VESSELS...........=0|Aneurysm=37|Dissection=37|Mesenteric Stenosis=37|Post Stent Grafting=37|Renal Artery Stenosis=37|...........BRAIN...........=0|Alzheimer=1|Aneurysm=5|Arteriovenous Malformation (AVM)=3|Bleeding=1|Cerebrovascular Accident=1|Confusion=1|Cranial Nerve Lesions=3|Dizziness=3|Elevated Prolactin Levels=3|Headache=1|Hearing Loss=3|Infection=3|Memory Loss=1|Mental Status Change=1|Multiple Sclerosis=3|Pituitary Lesions=3|Seizures=3|Shunt Check=1|Stroke=5|Transient Ischemic Attack=1|Trauma=1|Tumor=3|Vertigo=3|...........BRAIN/VESSELS...........=0|Aneurysm=44|Cerebrovascular Accident=45|Intracranial Hemorrhage=44|Transient Ischemic Attack=45|...........CERVICAL, THORACIC, AND LUMBAR SPINE...........=0|Cancer=27|Compression Fracture with History of Malignancy=27|Degenerative Disease=27|Disc Herniation=27|Discitis=27|Epidural Abscess=27|Fracture=26|Fusion=26|Metastasis=27|Multiple Sclerosis=27|Myelopathy=27|Osteomyelitis=27|Pain=26|Post Op Fusion=27|Radiculopathy=27|Syrinx=27|Trauma=26|Tumor=27|...........CHEST...........=0|Brachial Plexus Pathology=17|Cough=15|Hilar or Mediastinal Mass=14|Idiopathic Pulmonary Fibrosis=16|Interstitial Lung Disease=16|Lung Cancer=14|Lymphoma=14|Mesothelioma=14|Metastatic Workup=14|Neural Tumor=17|Nodule=15|Pain=15|Sarcoid=17.5|Staging=14|Usual Interstitial Pneumonia=16|...........CHEST/PULMONARY ARTERIES/VESSELS...........=0|Aneurysm=38|Chest Pain=38|Dissection=38|Dyspnea=38|...........CHEST/THORACIC AORTA/VESSELS...........=0|Deep Vein Thrombosis=40|Hemoptysis=39|Pulmonary Hypertension=39|Pulmonary Venous Mapping=39|Screening Cardiac Calcium Scoring=41|SOB=39|Tachypnea=39|...........FACIAL BONES...........=0|Pain=10|Trauma=10|...........LOWER EXTREMITIES/VESSELS...........=0|Peripheral Artery Disease=42|...........NECK...........=0|Adenopathy=12|Infection=13|Mass=12|Pain=13|Vocal Cord Paralysis=13|...........NECK/CAROTID/VESSELS...........=0|Bruit=43|Cerebrovascular Accident=43|Stenosis=43|Transient Ischemic Attack=43|Vascular Tumor=43|...........ORBITS...........=0|Exopthalmus=9|Foreign Body=7|Fracture=7|Graves Disease=9|Infection=8|Mass=8|Proptosis=9|Pseudotumor=9|Trauma=7|Vascular Lesions=9|...........PELVIS/BONY...........=0|Avascular Necrosis=35|Fracture=34|Mass=36|Muscle/Tendon Tear=35|Osteomyelitis=36|Pain=34|Septic Arthritis=36|Tumor=36|...........SINUSES...........=0|Congestion=6|Pain=6|Sinusitis=6|...........TEMPORAL BONES...........=0|Cholesteatoma=11|Pain=11|Tinnitus=11|Trauma=11|...........UPPER AND LOWER EXTREMITIES/JOINTS...........=0|Abscess=33|Avascular Necrosis=32|Cellulitis=33|Fascitis=33|Internal Derangement=32|Labral, Meniscal, Ligament, and Cartilage Tears=32|Mass=33|Myositis=33|Osteochondritis Dessecans=32|Osteomyelitis=33|Tumor=33|...........UPPER AND LOWER EXTREMITIES/NONJOINTS...........=0|Abscess=31|Cellulitis=31|Fascitis=31|Fracture=29|Fusion=29|Malunion=29|Morton Neuroma=31|Muscle/Tendon Tear=30|Osteomyelitis=31|Pain=30|Soft Tissue Tumor=31"]

CT/MRI Ordering Suggestion (It's always a good idea to verify the appropriate test with radiology) --> [calc memo="RECOMMENDATION" value="score=(Q1);score>44?'MRI Head Without Contrast':score>43?'CTA Head With Contrast or MRI Head Without Contrast':score>42?'CTA Neck With Contrast':score>41?'CTA Abdomen and Runoff With Contrast':score>40?'CT Screening Cardiac Calcium Scoring':score>39?'CTA Chest, CTA Abdomen and Runoff With Contrast':score>38?'CTA Chest With IV Contrast':score>37?'CTA Chest With IV Contrast':score>36?'CTA Abdomen with IV Contrast':score>35?'MRI Pelvis Without and With Contrast':score>34?'MRI Pelvis Without Contrast':score>33?'CT Pelvis Without':score>32?'MRI Without and With of Body Part':score>31?'MRI Without Contrast of Body Part':score>30?'MRI Without and With Contrast of Body Part':score>29?'MRI Without Contrast of Body Part':score>28?'CT Without Contrast of Body Part':score>26?'MRI Without Contrast of Specific Area':score>25?'CT Without Contrast of Specific Area':score>24?'CT Colonography':score>23?'MRI Pelvis Without and With Contrast':score>22?'CT Enterography':score>21?'MRI Abdomen Without Contrast/MRCP':score>20?'MRI Abdomen Without and With Contrast':score>19?'CT ABD and Pelvis Without Oral and IV Contrast':score>18?'CT ABD and Pelvis With Oral and IV Contrast OR CT Enterography':score>17.9?'CT ABD and Pelvis With Oral and IV Contrast':score>17.4?'CT Chest With Contrast OR CT Chest, High Resolution No Contrast':score>16?'MRI Chest Without Contrast':score>15?'CT Chest, High Resolution No Contrast':score>14?'CT Chest Without Contrast':score>13?'CT Chest With Contrast':score>12?'MRI Neck Without and With Contrast':score>11?'CT Neck With IV Contrast':score>10?'CT Temporal Bones Without Contrast':score>9?'CT Facial Bones Without Contrast':score>8?'MRI Orbits Without and With Contrast':score>7?'CT Orbits With IV Contrast':score>6?'CT Orbits Without Contrast':score>5?'CT Sinus Without Contrast':score>4?'MRI Brain Without Contrast':score>2?'MRI Brain Without and With Contrast':score>0?'CT Head Without Contrast or MRI Brain Without Contrast/MRI for more severe symptoms or persistent symptoms after a CT Head without contrast was performed':'Please be more specific/NOT ALL CAPS'"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
references:
[link memo="#1" url="http://www.aafp.org/afp/viewRelatedDocumentsByMesh.htm?meshId=D014057"] Am Fam Phys articles with MeSH term "CT"
[link memo="#2" url="http://www.aafp.org/afp/viewRelatedDocumentsByMesh.htm?meshId=D008279"] Am Fam Phys articles with MeSH term "MRI"[/conditional]