Dynamic Magnetic Resonance Imaging and pelvic floor disorders: how and when?

Pizzoferrato, Anne‐Cécile; Timoh, Krystel Nyangoh; Fritel, Xavier; Zareski, Élise; Bader, G.

doi:10.1016/j.ejogrb.2014.07.025

Cited by 31 publications

(18 citation statements)

References 51 publications

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“…MRI performed in the supine/sitting position gives variable results, 29 with increased detection of anterior and posterior abnormalities. 30,31 There is also a variation in the use of contrasts such as vaginal/bladder/nil contrast, [32][33][34][35] ultrasound gel as the rectal contrast, 36 mashed potatoes with gadolinium 37 or air balloon. 38 There have been also variations in the use of a reference line to measure pelvic floor descent such as using the pubococcygeal line, mid-pubic line, perineal line or H-line (levator hiatus width line).…”

Section: Techniquementioning

confidence: 99%

Interobserver agreement of multicompartment ultrasound in the assessment of pelvic floor anatomy

Lone¹,

Sultan²,

Stankiewicz³

et al. 2016

BJR

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Objective: To assess the interobserver agreement of pelvic floor anatomical measurements using multicompartment pelvic floor ultrasound. Methods: Females were recruited from the urogynaecology/gynaecology clinics between July and October 2009 and underwent multicompartment pelvic floor ultrasonography (PFUS) using twodimensional (2D) transperineal ultrasound (TPUS), high-frequency 2D/three-dimensional (3D) endovaginal ultrasound (EVUS) using a biplane probe with linear and transverse arrays and a 360°rotational 3D-EVUS. PFUS measurements were independently analysed by two clinicians. Results: 158 females had PFUS assessment. Good-toexcellent interobserver agreement was observed for bladder-symphysis distance at rest and valsalva, urethral thickness, urethral length, urethral volume, levator hiatus area and width, anteroposterior diameter and anorectal angle. Lins Correlation was used to calculate the interobserver agreement and Bland-Altman plots were created to demonstrate the agreement between the researchers. There was also a good-to-excellent agreement between the two clinicians for the assessment of pelvic organ prolapse (POP) in the anterior, middle and posterior compartment. Conclusion: Multicompartment PFUS is a reliable tool in the anatomical assessment of pelvic floor measurements and POP. Advances in knowledge: We found a good-to-excellent agreement between the two assessors in the assessment of pelvic floor measurements for all three pelvic floor compartments and suggest that multicompartment PFUS could be considered as a systematic integrated approach to assess the pelvic floor.

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Section: Techniquementioning

confidence: 99%

Interobserver agreement of multicompartment ultrasound in the assessment of pelvic floor anatomy

Lone¹,

Sultan²,

Stankiewicz³

et al. 2016

BJR

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show abstract

“…Clinical complaints include urinary and anal incontinence, chronic pelvic pain, sexual dysfunction, constipation and urogenital prolapse (1,2). They make a considerable decrease in the quality of life and involve up to 30% -50% of middle-aged women (1)(2)(3). Pelvic structures could be divided into passive and active structures.…”

Section: Introductionmentioning

confidence: 99%

“…The recurrence rate of PFD symptoms after surgery is high. Up to 30% of patients with anterior compartment prolapse need another surgery (1). One of the reasons for such a high recurrence rate could be the incorrect or incomplete diagnosis before surgery.…”

Section: Introductionmentioning

confidence: 99%

“…One of the reasons for such a high recurrence rate could be the incorrect or incomplete diagnosis before surgery. It has been reported that in many cases, the problem is complex and multicompartmental treatment approach is needed (1). On the other hand, a correct surgical plan depends on the clinical and paraclinical findings and we need a reliable scoring method to rate the severity of pathologies.…”

Section: Introductionmentioning

confidence: 99%

“…It could not yield any data on fasciae and pelvic floor muscles. MRI especially dynamic MRI is one of the most important methods that has been considered in the recent years as it is not invasive and could yield visualization of all soft tissues and pelvic compartments (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Different MRI sequences and protocols could assess these structures.…”

Section: Introductionmentioning

confidence: 99%

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Agreement of Manual Exam (POP-Q) with Pelvic MRI in Assessment of Anterior Pelvic Organ Prolapse

et al. 2016

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Background: Pelvic floor dysfunction (PFD) refers to a wide range of issues that occur when muscles of the pelvic floor are weak, tight, or there is an impairment of the sacroiliac joint, lower back, coccyx, or hip joints. PFD and pelvic organ prolapse (POP) affect about 50% of women past middle age. Symptoms include pelvic pain, pressure, dyspareunia, incontinence, incomplete emptying, and gross organ protrusion. Nowadays, there are novel diagnostic tools and therapies proposed for pelvic floor weakness and organ prolapse. Pelvic organ prolapse quantification system (POP-Q) examination and complementary magnetic resonance imaging (MRI) are two methods of diagnosis. Objectives: The goal of our study was to assess the agreement between POP-Q examination and MRI in detecting anterior pelvic prolapses. In addition, we evaluated the additive role of MRI adjunct to POP-Q examination in detecting anterior pelvic organ prolapse. Patients and Methods: An experimental study was carried out on 61 patients having clinical manifestations suggesting pelvic floor weakness. The medical history and physical examination were obtained from all patients. POP-Q examination and dynamic MR imaging was performed. POP-Q results were compared with dynamic MRI findings thereafter. Results: Considering pubococcygeal line (PCL) and H line as reference lines, comparison of MRI and POP-Q findings for detecting bladder neck and urethra prolapses revealed a moderate to good agreement (49% -80%) rate between MRI and POP-Q examination. This corresponds to a weak to moderate agreement between these two methods. Conclusion: Agreement of MRI and POP-Q is moderate to good for detecting anterior pelvic organs prolapses. MRI could be regarded as a complementary method to POP-Q examination. A combination diagnostic approach, including MRI and POP-Q, for high stage pelvic prolapse is highly recommended.

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Imaging modalities for the detection of posterior compartment disorders in women with obstructed defaecation syndrome

Gruting

Stankiewicz

Thakar

et al. 2015

Cochrane Database of Systematic Reviews

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Dynamic Magnetic Resonance Imaging and pelvic floor disorders: how and when?

Cited by 31 publications

References 51 publications

Interobserver agreement of multicompartment ultrasound in the assessment of pelvic floor anatomy

Interobserver agreement of multicompartment ultrasound in the assessment of pelvic floor anatomy

Agreement of Manual Exam (POP-Q) with Pelvic MRI in Assessment of Anterior Pelvic Organ Prolapse

Imaging modalities for the detection of posterior compartment disorders in women with obstructed defaecation syndrome

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