CT Pelvis MSK

Last Updated: 2026-01-01 Author:

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• 1. Clinical Summary

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  Acquisition SummaryClinical Indications

  Series	Phase	Coverage
  CT Pelvis	Contrast (N/A or 60s if contrast delay)	Iliac crests to Proximal femurs

  • Pelvic fracture
  • Sacral fracture
  • SI joint
  • Pelvic ring injury
  • Pre-operative planning

• 2. Patient Prep

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  • Position: Supine
  • NPO Status: N/A

• 3. IV Contrast & Injection

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  Injection ParametersLab Requirements

  Parameter	Value
  Agent	None typically. Contrast if infection
  Volume	If contrast: 100 mL
  Flow Rate	2-3 mL/s

  Use full dose if GFR > 30

  If GFR < 30

  Max Contrast = \(2*\left[\frac{\text{Patient Weight}}{75 \text{ kg}} * \text{eGFR}\right]\)

• 4. Special Notes

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  Technologist NotesNursing NotesRadiologist NotesTips & Tricks

  • Iliac crests to proximal femurs. Submillimeter for 3D. Assess pelvic ring integrity. Inlet and outlet views
  • Additional Recons: 3D pelvis. Inlet and outlet views. Young-Burgess classification. Measure displacement

  • No IV unless contrast indicated

  Safety First

  • Renal Function: N/A or eGFR > 30
  • Allergy: N/A or check allergy

  • Pelvic ring fractures (Young-Burgess). Sacral fractures (Denis). Acetabulum. SI joints. Symphysis pubis

  • Submillimeter for 3D pelvic reconstruction

Series AcquisitionPost-Processing

Series Name	Start Location	End Location	Delay	Slice Thickness	Notes
Scout	Iliac crests	Proximal femurs	N/A	N/A	AP
CT Pelvis	Iliac crests	Proximal femurs	N/A or 60s if contrast	0.625 mm	Submillimeter for 3D

Plane	Acquisition	FOV	Thickness/Increment	Kernel	IR Strength	Notes
Axial	Pelvis	Pelvis	2 mm/2 mm	Bone	N/A	Axial bone
Coronal	Pelvis	Pelvis	2 mm/2 mm	Bone	N/A	Coronal pelvis
Sagittal	Pelvis	Pelvis	2 mm/2 mm	Bone	N/A	Sagittal sacrum
Inlet/Outlet	Pelvis	Pelvic ring	2-3 mm oblique	Bone	N/A	Pelvic ring views