| Pelvic floor descent: dynamic MR imaging using a half-Fourier RARE sequence. | |
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MedLine Citation:
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PMID: 10194706 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Dynamic magnetic resonance imaging (MRI) using a single shot fast spin-echo technique was evaluated as a noninvasive alternative to cystourethography or colpocystorectography in patients with pelvic organ prolapse and/or urinary incontinence. Thirty-two patients were included in this prospective study. Colpocystorectography was performed in 10 patients who previously had undergone hysterectomy and in 2 patients without history of hysterectomy with clinical suspicion of rectoceles. Bead-chain cystourethrography was performed in 20 patients without hysterectomy. For dynamic MRI, a single-slice half-Fourier RARE sequence (imaging time 2 seconds) was used to depict the pelvic organs at different levels of pelvic strain. The results obtained with dynamic MRI were correlated with the x-ray findings. All 17 cystoceles, 10 rectoceles, 2 enteroceles, and 7 vaginal prolapses could be demonstrated on MRI. Diagnostic information gained from these images was equivalent to that obtained with colpocystorectography and superior to that obtained with cystourethrography; with the latter, important findings were missed (four rectoceles). We conclude that dynamic MRI of the pelvic floor with a half-Fourier RARE sequence can reliably detect descents of all three pelvic compartments, that it requires no contrast agent, and that no radiation exposure is involved. |
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Authors:
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H Gufler; J Laubenberger; G DeGregorio; S Dohnicht; M Langer |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: Journal of magnetic resonance imaging : JMRI Volume: 9 ISSN: 1053-1807 ISO Abbreviation: J Magn Reson Imaging Publication Date: 1999 Mar |
Date Detail:
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Created Date: 1999-05-27 Completed Date: 1999-05-27 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9105850 Medline TA: J Magn Reson Imaging Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 378-83 Citation Subset: IM |
Affiliation:
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Radiology Department, Albert-Ludwigs-Universität, Freiburg, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Female Fourier Analysis* Humans Image Enhancement / methods* Magnetic Resonance Imaging / methods* Middle Aged Pelvic Floor / pathology Rectal Prolapse / diagnosis*, radiography Sensitivity and Specificity Urinary Bladder Diseases / diagnosis* Urinary Incontinence / etiology* Uterine Prolapse / complications, diagnosis*, radiography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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