1. Review current evidence regarding use of contrast enhanced computed tomography (CECT) in acute pelvic trauma (APT).
2. Discuss important technical factors influencing sensitivity of CECT for APT.
3. Introduce the concept of finding the bleeding vessel based on the pelvic vascular territories, using case examples with DSA correlation.
Use of CECT for detecting haemorrhage in APT
How CECT compares with DSA (literature review)
Technical factors affecting sensitivity of CTA
How adjustments to CT scan protocol may influence therapeutic decision making in APT
Briefly review the pelvic vascular anatomy using illustrations
Review of CECT imaging findings
Sample cases with DSA correlation and reference to pelvic vascular anatomy
Future directions and summary
Major teaching points:
1. Current role of CECT in management algorithm of APT
2. Concept of finding the bleeder based on pelvic vascular territories using case examples with DSA correlation
Hallinan, J,
Tan, C,
Pua, U,
Emergent Computed Tomography for Acute Pelvic Trauma: Where Is the Bleeder?. Radiological Society of North America 2012 Scientific Assembly and Annual Meeting, November 25 - November 30, 2012 ,Chicago IL.
http://archive.rsna.org/2012/12020244.html