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. 2020 Mar 31;20(80):e43–e54. doi: 10.15557/JoU.2020.0008

Tab. 3.

Indications for abdominal CT [ACR–SPR Practice Parameter for the performance of computed tomography (CT) of the abdomen and computed tomography (CT) of the pelvis; https://www.acr.org/-/media/ACR/Files/Practice-Parameters/ct-abd-pel.pdf]

Evaluation of abdominal, flank, or pelvic pain, including evaluation of suspected or known urinary calculi and appendicitis
Evaluation of abdominal or pelvic trauma
Evaluation of renal and adrenal masses and of urinary tract abnormalities with CT urography
Evaluation of known or suspected abdominal or pelvic masses or fluid collections, including gynecological masses
Evaluation of primary or metastatic malignancies, including lesion characterization (e.g. focal liver lesion), staging, and treatment monitoring
Surveillance following locoregional therapies in abdominal malignancies, including percutaneous ablation, intra-arterial therapies (transarterial chemoembolization, selective internal radiation therapy), and targeted image-guided radiation therapy
Assessment for recurrence of tumors following surgical resection
Detection of complications following abdominal and pelvic surgery, e.g. abscess, lymphocele, radiation change, and fistula/sinus tract formation
Evaluation of diffuse liver disease (e.g. cirrhosis, steatosis, iron deposition disease) and biliary system, including CT cholangiography)
Evaluation of abdominal or pelvic inflammatory processes, including inflammatory bowel disease, infectious bowel disease and its complications, without or with CT enterography
Assessment of abnormalities of abdominal or pelvic vascular structures; noninvasive angiography of the aorta and its branches and noninvasive venography
Clarification of findings from other imaging studies or laboratory abnormalities
Evaluation of known or suspected congenital abnormalities of abdominal or pelvic organs
Evaluation for bowel obstruction or Gl bleeding
Screening and diagnostic evaluation for colonic polyps and cancers with CT colonography
Guidance for interventional or therapeutic procedures within the abdomen or pelvis
Follow-up evaluation after interventional or therapeutic procedures within the abdomen or pelvis, including abscess drainage
Treatment planning for radiation and chemotherapy and evaluation of tumor response to treatment, including perfusion studies
Pre- and post-transplant assessment