The Role of MRI in the Diagnosis of Pelvic Floor Disorders. [Review]
The Role of MRI in the Diagnosis of Pelvic Floor Disorders. [Review]
- 2020
PURPOSE OF REVIEW: This article provides an overview of MRI as a dynamic imaging modality as well as recent updates on the role of MRI in the evaluation of female pelvic floor disorders, including pelvic organ prolapse (POP), rectal prolapse, and defecatory dysfunction. RECENT FINDINGS: Pelvic floor disorders in women are common, and demand for treatment is high. Recently, multidisciplinary guidelines for dynamic MRI have been published to reflect this need. Despite criticisms that MRI is an expensive modality, cost-analysis studies are demonstrating utility for MRI in surgical decision-making trees for patients at risk for treatment failure after POP repairs. Novel measures such as anterior pelvic area and levator volumes are being used to predict and study patients with and at risk for POP. Recent standardized radiographic guidelines as reviewed in this paper will likely lead to improved reproducibility of dynamic MRI techniques across institutions, making complex pelvic floor assessment increasingly accessible to patients while creating opportunities for novel and collaborative research.
English
1527-2737
10.1007/s11934-020-00981-4 [doi] 10.1007/s11934-020-00981-4 [pii]
*Magnetic Resonance Imaging
*Pelvic Floor Disorders/dg [Diagnostic Imaging]
*Pelvic Organ Prolapse/dg [Diagnostic Imaging]
Defecation
Female
Humans
Magnetic Resonance Imaging/st [Standards]
Pelvic Floor Disorders/pp [Physiopathology]
Practice Guidelines as Topic
MedStar Washington Hospital Center
National Center for Advanced Pelvic Surgery
Obstetrics and Gynecology/Urogynecology
Journal Article
Review
PURPOSE OF REVIEW: This article provides an overview of MRI as a dynamic imaging modality as well as recent updates on the role of MRI in the evaluation of female pelvic floor disorders, including pelvic organ prolapse (POP), rectal prolapse, and defecatory dysfunction. RECENT FINDINGS: Pelvic floor disorders in women are common, and demand for treatment is high. Recently, multidisciplinary guidelines for dynamic MRI have been published to reflect this need. Despite criticisms that MRI is an expensive modality, cost-analysis studies are demonstrating utility for MRI in surgical decision-making trees for patients at risk for treatment failure after POP repairs. Novel measures such as anterior pelvic area and levator volumes are being used to predict and study patients with and at risk for POP. Recent standardized radiographic guidelines as reviewed in this paper will likely lead to improved reproducibility of dynamic MRI techniques across institutions, making complex pelvic floor assessment increasingly accessible to patients while creating opportunities for novel and collaborative research.
English
1527-2737
10.1007/s11934-020-00981-4 [doi] 10.1007/s11934-020-00981-4 [pii]
*Magnetic Resonance Imaging
*Pelvic Floor Disorders/dg [Diagnostic Imaging]
*Pelvic Organ Prolapse/dg [Diagnostic Imaging]
Defecation
Female
Humans
Magnetic Resonance Imaging/st [Standards]
Pelvic Floor Disorders/pp [Physiopathology]
Practice Guidelines as Topic
MedStar Washington Hospital Center
National Center for Advanced Pelvic Surgery
Obstetrics and Gynecology/Urogynecology
Journal Article
Review