CT of small pelvis organs in women
Computed tomography of pelvic organs is of high accuracy by obtaining a series of layered images of the scanned area. This method is useful in initial diagnosis and for differentiation of oncological and surgical pathology, gynecological diseases, traumatic lesions of the pelvis. An important condition is the careful preparation of the patient to the study.
Indications for CT study of the pelvis in women
- Detection of congenital anomalies of the reproductive and urinary systems.
- Urogenital diseases of the inflammatory nature (e.g., oophoritis)
- Traumatic bone lesions, parenchymal and hollow organs of the pelvis.
- Identifying the causes of pain in the lower floor of the abdomen unspecified nature.
- Suspected tumor of the genital or urinary organs.
- The establishment stage of cancer of the genital organs (cervix and body of uterus, vagina), cancer of the bladder, urethra and rectum.
- Differential diagnosis of mass lesions of genitalia (uterus, appendages).
- Assessment of the dynamics of the treatment (surgical, chemotherapy or radiotherapy).
- Identification of urethral fistula.
- Assessment of the nature and quantity of the content liquid in the pelvic cavity (blood, pus, exudate).
- There are contraindications to performing MRI of the pelvis.
In some cases of the pelvis is a contraindication?
Contraindications to computed tomography study involve the use of ionizing radiation and iodine-containing preparations under artificial enhancement, namely:
- pregnancy (KT possible only in cases of emergency);
- intolerance to iodinated contrast media (if you plan contrast study);
- kidney failure and liver disease in the severe stage (in this case, you cannot use iodinated contrast agents);
- the period of breast-feeding (at this time, do not use iodinated contrast media);
- the weight of the patient exceeds the permissible value for this type of imaging (an average of more than 120-140 kg).
Preparing for examination — the key to high-precision result
For better visualization of the scanned area requires a tight filling of the bladder. Therefore before the test (30-60 minutes), the patient should drink 700-1000 ml of water without gas. The training of women is to limit spicy and fatty foods, and foods that cause flatulence for a few days before the survey. To relieve spasm of the intestine, we recommend taking antispasmodics for thirty minutes prior to manipulation (for example, two tablets shpy).
The tomographic study shows the anatomical features of the pelvic organs, functional state of the urinary organs and rectum allows visualization of the blood vessels and lymph nodes in the scanning area. Also has high diagnostic accuracy in the assessment of bone structure, which allows to determine traumatic and inflammatory changes in bones and pathological processes in the spine (lumbar, sacral spine and the coccyx).
With the ability to assess hollow structure CT is able to visualize the ureters and the rectum, which makes it indispensable in the detection of pathological changes in these anatomical structures.
What shows CT scan with contrast
It is best to conduct CT of pelvis with contrast, as this study visualized small pathological formations which are not visible without contrast. In addition, more clearly visualized soft tissue and vascular structures. Contrast study allows us to differentiate benign tumors cancer (malignant tumor having a vascular neoset), shows the spread of the tumor in the body and beyond.
Thus, the contrast-enhanced CT allows to identify the formation even of small size and to diagnose the pathological process in the early stages of development. This explains the need for computed tomography for examination of pelvic organs (including the reproductive system in women).
In conclusion, I want to emphasize the role of CT in the detection of tumors of the pelvis. The method indicates the presence of pathological education, to evaluate the degree of its spread to neighbouring organs and tissues, and to determine the stage of cancer.
Please note! To identify cancer pathology of the pelvic organs and essential for tomography is a thorough preparation of the study and the use of intravenous contrast.