| Dynamic magnetic resonance imaging used in evaluation of female pelvic prolapse: experience from nine cases. | |
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MedLine Citation:
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PMID: 17525015 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Prolapse of pelvic organs in a female can be simple or complex. To make a definite diagnosis of pelvic prolapse preoperatively, dynamic magnetic resonance (MR) is an alternative to conventional fluoroscopic or sonographic examination, with the advantage of providing greater details, and thus helping the surgeon to have a good preoperative plan. Nine women suffering from pelvic prolapse with or without urinary stress incontinence underwent dynamic MR imaging examination (1.0T Magnex100/HP, Shimadzu, Kyoto, Japan) before surgery. All patients were examined in the supine position. A single-shot ultra-high speed scan (FE/8/3.02-20 degrees, 128, 100%-100% 1 NEX 1 slice 10 mm L1.0 second) was used to obtain midline sagittal images, with the patients at rest and during pelvic strain. MR images were then obtained every 4 seconds. Each examination was analyzed, based on specific measurements, to determine the presence and extent of prolapse of pelvic organs. The pubococcygeal, levator hiatus width and muscular pelvic floor relaxation lines, and the angle of the levator plate were identified. Based on these measurements, multicompartment involvement in the pelvic prolapse was confirmed in five patients (5/9). Four patients (4/9) had single compartment involvement. Seven patients underwent surgery. All patients reported significant improvement in their symptoms and signs after surgical intervention. Two patients had an almost complete recovery. MR demonstrated simple or complex organ descent in all pelvic compartments, and may become a standard preoperative examination for pelvic floor abnormalities. The MR images facilitated comprehensive planning by the surgeon; thus, they can increase the success rate and help to accurately predict the outcome of the surgical intervention. The surgeons also expressed high postsurgical satisfaction with the information provided by dynamic MR. |
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Authors:
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Tony Wing-Cheong Chi; Shin-Hong Chen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Kaohsiung journal of medical sciences Volume: 23 ISSN: 1607-551X ISO Abbreviation: Kaohsiung J. Med. Sci. Publication Date: 2007 Jun |
Date Detail:
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Created Date: 2007-05-25 Completed Date: 2007-09-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100960562 Medline TA: Kaohsiung J Med Sci Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 302-8 Citation Subset: IM |
Affiliation:
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Department of Radiology, Min-Sheng General Hospital, Taipei, Taiwan. tonychih@ms15.hinet.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Humans Magnetic Resonance Imaging / methods* Middle Aged Pelvic Floor / pathology* Perineum / pathology* Urinary Incontinence / etiology Uterine Prolapse / diagnosis* |
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