Pelvic imaging

Dr Abubakr

15.5.2008

Diagnostic imaging techniques are:

Radiographs: Plain radiographs Hysterosalpingography Arteriography

Ultrasonography Computed Tomography (CT) Magnetic Resonance Imaging

(MRI)

They are used to:

1. Diagnose pelvic disease and fracture.

2. Assess congenital anomalies in pelvis and pelvic organs.

Radiographs:

1.Plain radiographs:Use the same sequence for reading X-rays: ID, side, view, soft tissue,

abnormal shadows, bone (for abnormalities, fractures, sex identification)

5 Step Method of Quick and Simple Pelvic X-ray Interpretation

• Look quickly to get a "feel" for symmetry. • Look at the "Circles," the big circle being the pelvic inlet. The little circles being the obturator foramina. • Look at the sacroiliac joints. • Look at the pubis symphysis. • Look at the acetabuli.

Radiographs1. Plain radiographs:

Sex identification:

Radiographs2. Hysterosalpingography :

Radiopaque dye is injected to the uterine cavity and tubes, is used to demonstrate anomy and patency of these organs, and for detecting any abnormality.

Find the abnormality (if present!):

?

vasogram

Radiographs3. Arteriography :

To visualize the pelvic arteries:

1. Abdominal aorta

2. Internal iliac artery.

3. External iliac artery

Ultrasonography Sound waves are used Solid & cystic tissues Safe for obstetrical scanning Transabdominal sonography, full

bladder Transrectal & tranvagianl and

more clear visualization of pelvic organs

Computed Tomography (CT)

MRI:

Thanks