pelvic

An evaluation of changes to pelvic US referrals from primary care in line with NICE guidelines

Mid Yorkshire Teaching NHS Trust has specific guidelines for accepting pelvic ultrasound scans (USS) from primary care; however, not all referrals comply with the NICE guidance. In 2018 the stakeholders in the trust’s radiology department, including consultant gynaecologist Dr Andrea Sanderson and consultant sonographer Alison McGuinness, began the process of changing the way pelvic USS […]

Melanie Harrison

Mid Yorkshire Teaching NHS Trust

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Pelvic trauma: an orthopaedic surgical and musculoskeletal imaging perspective

Pelvic injury sustained during polytrauma is one of the most challenging and complex cases to manage. Trauma can be associated with significant morbidity and mortality and consist of both low and high energy impacts. High energy trauma is usually seen more in the younger population but it is worth remembering that low energy trauma in […]

Dr Amrit Jha, Dr Subhasis Basu

Wrightington Hospital

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Pelvic imaging for ovarian pathology

Transvaginal ultrasound (TVUS) remains the primary imaging modality for detecting and characterising ovarian lesions with the aim to categorise ovarian masses as likely benign or malignant, in order to triage to appropriate treatment pathways. Most ovarian lesions are benign and can either be managed expectantly or by minimally invasive techniques, while lesions with a high […]

Dr Diane DeFriend

University Hospitals Plymouth NHS Trust

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Pelvic trauma

Displaced pelvic ring injuries are a marker for high energy trauma and have a high association with other life-threatening injuries. Despite a fall in mortality rate in patients with pelvic fractures in recent years, the incidence of pelvic fractures remains high because of the increased incidence of high speed motor vehicle accidents and improved survival […]

Dr Lisa Meacock

King's College Hospital

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Pelvic MR imaging in pregnancy

Magnetic resonance imaging (MRI) is the preferred cross-sectional imaging modality for pelvic pathology in pregnancy given the well-established risks of ionising radiation to the fetus with computed tomography. While ultrasound, a safe and readily available imaging tool, remains the primary imaging investigation in pregnancy, it can be limited by overlying structures, bowel gas and the […]

Dr Ciara Gillespie, Dr Heather Moriarty, Dr Tony Geoghegan, Professor Leo Lawler

Mater Misericordiae University Hospital

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Imaging for pelvic radiotherapy

Three dimensional (3D) imaging is key to the successful planning and delivery of pelvic radiotherapy treatment and is integrated into every step of the radiotherapy treatment pathway. Diagnostic and therapeutic imaging technology has evolved in the last decade, increasing the complexity of imaging choices available for target localisation, and introducing soft tissue visualisation into the […]

Ingrid White, Susan Lalondrelle

Institute of Cancer Research and The Royal Marsden NHS Foundation Trust

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Improving patient outcomes with image-guided brachytherapy for pelvic cancers

Radiotherapy is a core part of multidisciplinary cancer management, with around 40% of those cured having radiotherapy as part of or the whole of their cancer treatment. Brachytherapy (derived from the Greek word brachys meaning ‘shortdistance’) is a form of radiotherapy where a sealed radiation source is placed directly into the body. Brachytherapy has advantages […]

Dr Jwala Philip, Dr Fei Sun, Dr Ann Henry

Leeds Teaching Hospitals NHS Trust

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Pelvic skeletal findings on abdominal CT scans

The pelvis is a bony ring, interposed between the movable vertebrae of the vertebral column which it supports, and the lower limbs upon which it rests. It is composed of four bones: The two iliac bones laterally and in front, and the sacrum and coccyx behind. The osseous pelvis is a well-recognised site of origin […]

Dr Sara Moeen, Dr V Murty Vusirikala, Dr Nagabathula Ramesh

Bedford Hospital NHS Trust, Midland Regional Hospital

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