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 |