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
• Abturator 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. Protocol
 Topogram- Anteroposterior 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
 Reconstruction 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.