| Magnetic resonance imaging of pelvic organ prolapse: comparing pubococcygeal and midpubic lines with clinical staging. | |
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MedLine Citation:
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PMID: 19434386 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION AND HYPOTHESIS: The aim of the study was to determine which magnetic resonance imaging (MRI) reference line for staging pelvic organ prolapse, the pubococcygeal line (PCL) vs. the midpubic line (MPL), has the highest agreement with clinical staging. METHODS: A retrospective study of women with pelvic floor complaints who underwent dynamic pelvic MRI from January 2004 to April 2007 was conducted. Two radiologists staged descent on MRI for each pelvic compartment (anterior, apical, posterior) by consensus, using PCL and MPL reference lines. Agreement between MRI and clinical staging was estimated using weighted kappas. RESULTS: Twenty women were included. Agreement between clinical and PCL staging was fair in the anterior (kappa = 0.29) and poor in the apical (kappa = 0.03) and posterior (kappa = 0.08) compartments. Agreement between clinical and MPL staging was fair in the anterior (kappa = 0.37), apical (kappa = 0.31), and posterior (kappa = 0.25) compartments. CONCLUSIONS: The MPL has higher agreement with clinical staging than the PCL. However, neither reference line has good agreement with clinical staging. |
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Authors:
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Courtney A Woodfield; Brittany Star Hampton; Vivian Sung; Jeffrey M Brody |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-03-25 |
Journal Detail:
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Title: International urogynecology journal and pelvic floor dysfunction Volume: 20 ISSN: - ISO Abbreviation: Int Urogynecol J Pelvic Floor Dysfunct Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-05-12 Completed Date: 2009-08-11 Revised Date: 2011-08-18 |
Medline Journal Info:
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Nlm Unique ID: 9514583 Medline TA: Int Urogynecol J Pelvic Floor Dysfunct Country: England |
Other Details:
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Languages: eng Pagination: 695-701 Citation Subset: IM |
Affiliation:
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The Warren Alpert Medical School of Brown University, Providence, RI, USA. cwoodfield@lifespan.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Female Humans Magnetic Resonance Imaging Middle Aged Pelvis / pathology* Retrospective Studies Uterine Prolapse / pathology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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