This is an education resource only. Ordering of all procedure codes on this website are subject to the Canberra Health Services guidelines for imaging orders.
CT PELVIS CONTRAST

INDICATIONS (1-3)
From ACR Criteria:
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colectomy with anastomosis, complication suspected, initial imaging
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Coloproctectomy with anastomosis, complication suspected, initial imaging
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Perianal abscess suspected (initial imaging)
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Post proctectomy with anastomosis, complication suspected, initial imaging
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Pouchitis suspected (initial imaging)
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Rectovaginal fistula suspected, initial imaging
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Recto vesicular fistula suspected, initial imaging
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Deep pelvic hernia
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suspected, obturator, initial imaging
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suspected, perineal, initial imaging
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suspected, sciatic, initial imaging
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Groin hernia
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suspected, femoral, initial imaging
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suspected, inguinal, initial imaging
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Primary bone tumour, aggressive, pelvis, local recurrence surveillance
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Soft tissue mass, pelvis, US/X-RAY non-diagnostic, MRI contraindicated
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Soft tissue infection
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suspected, pelvis, hx of puncture wound, possible foreign body retained, X-RAY normal, next imaging study
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suspected, pelvis, soft tissue gas on XR, no puncture wound, next imaging study
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suspected, pelvis, XR findings suggest joint effusion or swelling, next imaging study
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suspected, pelvis, XR normal, next imaging study
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PATHOLOGY DEMONSTRATED (1-3)
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Pelvic collection
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Hernia
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Soft tissue mass
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Fracture/dislocation
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Perianal abscess/fistula
PATIENT PREPARATION
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Patient able to lie still for ten minutes
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Not claustrophobic (sedation may be given)
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Cognitively capable of following basic instructions
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Metal artefacts removed from the region of interest
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No respiratory distress when lying supine
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Not allergic to Iodine based Contrast
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No known kidney disease (eGFR below 30 as per RANZCR), however, acute setting consultant may sign to continue with poor renal function
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No hyperthyroidism, may induce thyroid storm
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Patient to have 20G cannula in anterior cubital fossa.
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Preferably patient fasted for 4 hours
ANATOMY INCLUDED

CT Pelvis (Portal Venous Axial)

CT Pelvis (Portal Venous Coronal)

CT Pelvis (Portal Venous Sagittal)
REFERENCES
1. American College of Radiology (ACR). Appropriateness Criteria. [Internet]. 2022 [Updated 2021, cited 10 Aug 2022]. Available from https://www.acr.org/Clinical-Resources/ACR-Appropriateness-Criteria​
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2. Radiopaedia. CT Abdomen-Pelvis (Protocol) [Internet]. 2008 [updated 7 April 2022, cited 23 Aug 2022]. Available from https://radiopaedia.org/articles/ct-abdomen-pelvis-protocol-1?lang=us
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3. Radiopaedia. CT Pelvis (Protocol) [Internet]. 2008 [updated 7 April 2022, cited 23 Aug 2022]. Available from https://radiopaedia.org/articles/ct-pelvis-protocol-1?lang=gb