ABSTRACT
The Pelvic Floor Disorders Consortium (PFDC) is a multidisciplinary organization of colorectal surgeons, urogynecologists, urologists, gynecologists, gastroenterologists, radiologists, physiotherapists, and other advanced care practitioners. Specialists from these fields are all dedicated to the diagnosis and management of patients with pelvic floor conditions, but they approach, evaluate, and treat such patients with their own unique perspectives given the differences in their respective training. The PFDC was formed to bridge gaps and enable collaboration between these specialties. The goal of the PFDC is to develop and evaluate educational programs, create clinical guidelines and algorithms, and promote high quality of care in this unique patient population. The recommendations included in this article represent the work of the PFDC Working Group on Magnetic Resonance Imaging of Pelvic Floor Disorders (members listed alphabetically in Table 1). The objective was to generate inclusive, rather than prescriptive, guidance for all practitioners, irrespective of discipline, involved in the evaluation and treatment of patients with pelvic floor disorders.
Subject(s)
Magnetic Resonance Imaging , Pelvic Floor Disorders/diagnostic imaging , Algorithms , Anatomic Landmarks , Contrast Media , Defecation , Humans , Interdisciplinary Communication , Magnetic Resonance Imaging/methods , Patient Education as Topic , Pelvic Floor Disorders/physiopathologySubject(s)
Colorectal Surgery/methods , Magnetic Resonance Imaging/methods , Pelvic Floor Disorders/diagnostic imaging , Societies, Scientific/organization & administration , Surgeons/organization & administration , Adult , Aged , Anatomic Landmarks/diagnostic imaging , Consensus , Defecation/physiology , Defecography/instrumentation , Female , Humans , Male , Middle Aged , Pelvic Floor Disorders/physiopathology , United States/epidemiologySubject(s)
Pelvic Floor Disorders , Radiology , Surgeons , Colon , Consensus , Female , Humans , Magnetic Resonance Imaging , Pelvic Floor Disorders/diagnostic imaging , United StatesABSTRACT
Crohn's disease (CD) is a chronic inflammatory bowel disease that often requires frequent imaging of patients in order to detect active disease and other complications related to disease activity. While endoscopy is the gold standard for diagnosis, it may be contraindicated in some patients and has a limited role in detecting deep submucosal/mesenteric diseases and intra abdominal complications. In recent years, magnetic resonance enterography (MRE) has evolved as a noninvasive, radiation free imaging modality in the evaluation of patients with CD. This review article will focus on role of MRE in imaging patients with CD with emphasis on technical considerations, systematic image interpretation, differential diagnoses, and the role of imaging in deciding treatment options for patients.
ABSTRACT
Sinus histiocytosis with massive lymphadenopathy (SHML) or Rosai-Dorfman disease is a non-neoplastic condition which typically presents as massive, bilateral cervical lymphadenopathy and can involve multiple extranodal organ systems such as skin, eyes, and upper respiratory tract in about 28% cases. Bone lesions in association with nodal disease are seen in less than 10% cases. Isolated bone involvement as the only manifestation of SHML is extremely rare, with less than 50 cases reported in the literature. We report a very uncommon case of Rosai-Dorfman disease with isolated multifocal osseous involvement as the only presenting feature, involving about 10 different sites with no lymphadenopathy or other organ system involvement.