CT of the abdomen Pelvis by ucv16513

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									CT of the abdomen & Pelvis

      Finn Farquharson
      Consultant Radiologist
      Manchester Royal Infirmary
History of Computerised tomography

  (CAT SCAN)
 History of Computerised
tomography (CAT SCAN)
   History of Computerised
tomography (CAT SCAN) 1971
   History of Computerised
tomography (CAT SCAN) 1975
    History of Computerised
 tomography (CAT SCAN) 1975

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4 minutes per slice
History of Computerised tomography
     (CAT SCAN) 1st generation
History of Computerised tomography
    (CAT SCAN) 2nd generation
History of Computerised tomography
     (CAT SCAN) 3rd generation
History of Computerised tomography
     (CAT SCAN) 4th generation
History of Computerised tomography
     (CAT SCAN) 5th generation
History of Computerised tomography
            (CAT SCAN)
History of Computerised tomography
            (CAT SCAN)
  Patient preparation
•Low dose KUB;
       - NILL
•Upper abdomen/ liver;
       – NILL
       - WATER
       - 500 ML GASTROGRAFIN
       - LUCAZADE/CARBEX
•Full abdomen/ pelvis
       - 1L GASTROGRAFIN (1 HR PRIOR)
       - 24 HR PREP GASTROGRAFIN
       - RECTAL GASTROGRAFIN
       - AIR (COLONOGRAPHY)
       - LAXITIVE
  Patient preparation
GASTROGRAFIN;
• 30mL PER 1000 Ml (3% solution dilation)
  Patient preparation
Check List for scanning CT abdomen;-
•ID – DOB/Address
•Contra-indications for oral/ IV contrast media
•Explanation of procedure

•After-care
•Patient within Department 30 minutes
(with canulae in-situ)
Indications for CT of the abdomen
•Staging scans;         • Trauma;
-Lung                   •   KUB
-Ovary                  • Infection;
-Rectum
-breast                 • Arterial Anatomy;
                        -   Dissection
•Primary tumours;       -   Renal stenosis
-renal
-liver                  CO-REGISTRATION PET
-pancreas
-bowel (Colonography)
   Scans taken at different periods
    -Pre-intravenous contrast
    -Arterial phase
    -Portal venous phase
    -Delayed phase
Anatomy
Images
Focal fatty infiltration of liver
    (radiation therapy)
Haemangioma
Hepatic adenoma with recent
       haemorrhage
Multi-focal nodular hyperplasia
Liver mets- Ca colon
Cardiac cirrhosis due to
  pericardial effusion
Portal vein thrombosis
Polycystic liver
Abscess
Liver laceration with adrenal
        haemorrhage
Portal vein thrombosis
simulates dilated c.b.d.
Cirrhosis with oesophageal
          varices
CT Kidney




  RENAL CELL CARCINOMA
CT Kidney




  POLY CYSTIC DISEASE
CT Kidney




  RENAL CELL CANCER EXTENDING INTO IVC
CT Kidney




  RENAL VEIN THROMBOSIS
CT Kidney




TRAUMA RENAL LACERATION / DELAYED SCAN
CT Kidney




ADRENAL ADENOMA
CT PANCREAS




 PANCREATIC ABSCESS
CT PANCREAS




 PANCREATIC TAIL CANCINOMA
CT PANCREAS




 STONE IN CBD
CT PELVIS




  PELVIC MASS
CT VASCULAR




 AORTIC DISSECTION
    CT VASCULAR




ABDOMINAL AORTIC ANEURYSM WITH CONTAINED LEAK
CT VASCULAR




 ABDOMINAL AORTIC ANEURYSM
            Acknowledgements
   Bill Bailey and Nick Keat

								
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