NCCT OR CECT PELVIS BONE.pptx, INDICATIONS OF PELVIS BONE

RUKAMANEE YADAV, NCCT OR CECT PELVIS BONE, CECT PELVIS BONE, INDICATIONS OF PELVIS BONE

1. NCCT/CECT PELVIS BONE Rukmanee Yadav Assistant Professor Department of Radiology and Imaging Technology Mewar university Rajasthan

2. INTRODUCTION Pelvis bone is also called bony pelvis or pelvis girdle. it is basin shaped and connect to trunk and legs It support and balance the trunk . It consist paired hipbone ,connected infront of pubic symphysis. Pelvis play many functions in human body-pelvis carries the entire weight of upper body. Stabilize the body, sitting , standing. Bony pelvis provide the comfortable environmental for fetus during pregnancy. CT scan is fast, non-invasive and give the 3D image.

3. Continue…. Pelvic bone consist- Sacrum Iliac bone Ischium Pubic bone Acetabulum A bturator Foramen (opening in the hip bone b/t pubic and ischium ) passes of blood vessel and nerve. Coccyx bone

4. indications Suspected occult fractures (suddenly fall) Complex fractures Preoperative baseline evaluation Post surgical evaluation Sacroiliac joint Gross hip evaluation Congenital abnormalties Multiple fractures

5. contraindications Pregnancy Consent decline Sensitivity from contrast media. Serum Creatinine reports abnormal Kidney failure

6. Patient preparation Contrast media: nonionic, iodinated contrast media used. Volume: 40-60ml. Rate:1ml to 3ml/sec. Contrast media administration:IV

7. Patient position Supine with head or feet first with the knee extension. After the position finish the laser light should be off. POSITION LANDMARK- Level of umbilicus

8. P rotocol Topogram - A nteroposterior Level of umbilicus. Scan extent - Highest point of iliac crest to inter- trochantric region bilaterally. Slice thickness — 2-3 mm Slice interval: 1-1.5 mm R econstruction algorithm - sharp for bone and medium for soft tissue Scan direction : cranio -caudal (head to feet) Scan delay-40-60 sec Pre contrast series : Axial images are acquired covering from Highest point of iliac crest to inter- trochantric region bilaterally . Post contrast series : Axial images are acquired covering from the Highest point of iliac crest to inter- trochantric region bilaterally.

9. Axial image of pelvic bone

10. After care Patient is brought out from the gantry Bring the patient down from the scanner table. Ask the patient to dress up. patient should be observed for possible CM reaction post procedure. If non is observed , IV cannula should be removed from the patient’s hand gently. Ensure that the patient is stable before leaving the department. Inform patient time and where to collect the result.