Role of static and dynamic MR imaging in surgical pelvic floor dysfunction.
Radiographics
; 28(4): 949-67, 2008.
Article
em En
| MEDLINE
| ID: mdl-18635623
ABSTRACT
Pelvic floor dysfunction (PFD) is a hidden women's health epidemic in the United States, with over 10% of women having a lifetime risk for undergoing a surgical repair for this problem. Given the paucity of understanding of PFD pathophysiology and the high rate of recurrence and repeat surgery, imaging plays a major role in its clinical management, especially for the preoperative assessment of patients with multicompartment defects and failed surgical repairs. The recent development of fast magnetic resonance (MR) imaging sequences allows noninvasive, radiation-free, rapid, high-resolution evaluation of the entire pelvis in one examination. The H line, M line, organ prolapse (HMO) classification system, which is applied to dynamic MR images, allows consistent standardization and grading of various forms of PFD. In addition, the HMO system clearly defines and differentiates between the two main components of PFD pelvic floor relaxation and pelvic organ prolapse. In addition to serving as an objective diagnostic tool in patients with surgical PFD, MR imaging has tremendous potential to be used as a research tool in trying to understand the pathophysiology of these complex disorders.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Pélvicas
/
Doenças Urológicas
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Imageamento por Ressonância Magnética
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Prolapso Uterino
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Diafragma da Pelve
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Cirurgia Assistida por Computador
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Radiographics
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Estados Unidos