Pelvis CT in upper abdominal malignancy in children-is it a justifiable practise

CT in children with abdominal cancer: should we routinely include the pelvis?
Gnanasambandam S, Olsen OE
Radiology Department, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London, WC1N 3JH, UK, olseno@gosh.nhs.uk.

It has been suggested that the pelvis should not be habitually included on abdominal CT examinations, but the potential benefit of such a practice in childhood abdominal malignancies is unknown.

From a paediatric tertiary referral hospital authors retrospectively included patients having abdominal CT for primary upper abdominal tumours (1997-2004), the scan range routinely including the pelvis. Their data suggest that diagnostically significant findings in the pelvis are rare; consequently, the habitual inclusion of the pelvis on abdominal CT for primary malignant tumours in the abdomen is not justified.

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Pediatr Radiol 2005 Dec 6;:1-3 [Epub ahead of print]