TY - JOUR
T1 - Practical guide to dynamic pelvic floor MRI
AU - Kobi, Mariya
AU - Flusberg, Milana
AU - Paroder, Viktoriya
AU - Chernyak, Victoria
N1 - Publisher Copyright:
© 2018 International Society for Magnetic Resonance in Medicine
PY - 2018/5
Y1 - 2018/5
N2 - Pelvic floor dysfunction encompasses a spectrum of functional disorders that result from impairment of the ligaments, fasciae, and muscles supporting the pelvic organs. It is a prevalent disorder that carries a lifetime risk over 10% for undergoing a surgical repair. Pelvic floor weakness presents as a wide range of symptoms, including pain, pelvic pressure or bulging, urinary and fecal incontinence, constipation, and sexual dysfunction. A correct diagnosis by clinical examination alone can be challenging, particularly in cases involving multiple compartments. Magnetic resonance imaging (MRI) allows noninvasive, radiation-free, high soft-tissue resolution evaluation of all three pelvic compartments, and has proved a reliable technique for accurate diagnosis of pelvic floor dysfunction. MR defecography with steady-state sequences allows detailed anatomic and functional evaluation of the pelvic floor. This article provides an overview of normal anatomy and function of the pelvic floor and discusses a practical approach to the evaluation of imaging findings of pelvic floor relaxation, pelvic organ prolapse, fecal incontinence, and obstructed defecation. Level of Evidence: 5. Technical Efficacy: Stage 2. J. Magn. Reson. Imaging 2018;47:1155–1170.
AB - Pelvic floor dysfunction encompasses a spectrum of functional disorders that result from impairment of the ligaments, fasciae, and muscles supporting the pelvic organs. It is a prevalent disorder that carries a lifetime risk over 10% for undergoing a surgical repair. Pelvic floor weakness presents as a wide range of symptoms, including pain, pelvic pressure or bulging, urinary and fecal incontinence, constipation, and sexual dysfunction. A correct diagnosis by clinical examination alone can be challenging, particularly in cases involving multiple compartments. Magnetic resonance imaging (MRI) allows noninvasive, radiation-free, high soft-tissue resolution evaluation of all three pelvic compartments, and has proved a reliable technique for accurate diagnosis of pelvic floor dysfunction. MR defecography with steady-state sequences allows detailed anatomic and functional evaluation of the pelvic floor. This article provides an overview of normal anatomy and function of the pelvic floor and discusses a practical approach to the evaluation of imaging findings of pelvic floor relaxation, pelvic organ prolapse, fecal incontinence, and obstructed defecation. Level of Evidence: 5. Technical Efficacy: Stage 2. J. Magn. Reson. Imaging 2018;47:1155–1170.
KW - evaluation of imaging finding
KW - fecal incontinence
KW - pelvic floor dysfunction
KW - pelvic organ prolapse
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U2 - 10.1002/jmri.25998
DO - 10.1002/jmri.25998
M3 - Article
C2 - 29575371
AN - SCOPUS:85044383194
SN - 1053-1807
VL - 47
SP - 1155
EP - 1170
JO - Journal of Magnetic Resonance Imaging
JF - Journal of Magnetic Resonance Imaging
IS - 5
ER -