MR Imaging in Diagnosis of Pelvic Floor Descent: Supine versus Sitting Position
Introduction. Functional disorders of the pelvic floor represent have a significant impact on the quality of life. The advent of open-configuration systems allowed for the evaluation of defecation with MR imaging in sitting position. The purpose of the present study is to compare the results of stat...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/6594152 |
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| author | Francesca Iacobellis Antonio Brillantino Adolfo Renzi Luigi Monaco Nicola Serra Beatrice Feragalli Aniello Iacomino Luca Brunese Salvatore Cappabianca |
| author_facet | Francesca Iacobellis Antonio Brillantino Adolfo Renzi Luigi Monaco Nicola Serra Beatrice Feragalli Aniello Iacomino Luca Brunese Salvatore Cappabianca |
| author_sort | Francesca Iacobellis |
| collection | DOAJ |
| description | Introduction. Functional disorders of the pelvic floor represent have a significant impact on the quality of life. The advent of open-configuration systems allowed for the evaluation of defecation with MR imaging in sitting position. The purpose of the present study is to compare the results of static and dynamic pelvic MR performed in supine position versus sitting position, using a new MR prototype machine, in the diagnosis of pelvic floor descent. Materials and Methods. Thirty-one patients with pelvic floor disorders were enrolled, and underwent MR Defecography in supine position with 1.5 T closed magnet (MAGNETOM Symphony, Siemens, Germany) and in sitting position with a 0.25-Tesla open magnet system (G-Scan ESAOTE, Italy). Results. In rest and squeezing phases, positions of bladder, vagina, and ARJ were significantly different when the patient was imaged in supine versus sitting position. In the defecation phase, a significant difference for the bladder and vagina position was detected between the two exams whereas a significant difference for the ARJ was not found. A statistically significant difference exists when the pelvic floor descent is evaluated in sitting versus supine position. Conclusion. Our results show that MR Defecography in sitting position may represent a useful tool to correctly diagnose and grade the pelvic organ descent. |
| format | Article |
| id | doaj-art-b98c7f14e3b24daba25792dde3f7778a |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-b98c7f14e3b24daba25792dde3f7778a2025-02-03T01:32:54ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/65941526594152MR Imaging in Diagnosis of Pelvic Floor Descent: Supine versus Sitting PositionFrancesca Iacobellis0Antonio Brillantino1Adolfo Renzi2Luigi Monaco3Nicola Serra4Beatrice Feragalli5Aniello Iacomino6Luca Brunese7Salvatore Cappabianca8Department of Radiology, Second University of Naples, Piazza Miraglia 2, 80138 Napoli, Italy“Villa delle Querce” Hospital, Via Battistello Caracciolo 48, 80136 Napoli, Italy“Villa delle Querce” Hospital, Via Battistello Caracciolo 48, 80136 Napoli, Italy“Villa Esther” Hospital, Via Due Principati 169, 83100 Avellino, ItalyDepartment of Radiology, Second University of Naples, Piazza Miraglia 2, 80138 Napoli, ItalyDepartment of Medical, Oral and Biotechnological Sciences, “G. D’Annunzio” University, Via dei Vestini, 66013 Chieti, ItalyDepartment of Radiology, Second University of Naples, Piazza Miraglia 2, 80138 Napoli, ItalyDepartment of Health Science, University of Molise, Viale Giovanni Paolo II 1, 86100 Campobasso, ItalyDepartment of Radiology, Second University of Naples, Piazza Miraglia 2, 80138 Napoli, ItalyIntroduction. Functional disorders of the pelvic floor represent have a significant impact on the quality of life. The advent of open-configuration systems allowed for the evaluation of defecation with MR imaging in sitting position. The purpose of the present study is to compare the results of static and dynamic pelvic MR performed in supine position versus sitting position, using a new MR prototype machine, in the diagnosis of pelvic floor descent. Materials and Methods. Thirty-one patients with pelvic floor disorders were enrolled, and underwent MR Defecography in supine position with 1.5 T closed magnet (MAGNETOM Symphony, Siemens, Germany) and in sitting position with a 0.25-Tesla open magnet system (G-Scan ESAOTE, Italy). Results. In rest and squeezing phases, positions of bladder, vagina, and ARJ were significantly different when the patient was imaged in supine versus sitting position. In the defecation phase, a significant difference for the bladder and vagina position was detected between the two exams whereas a significant difference for the ARJ was not found. A statistically significant difference exists when the pelvic floor descent is evaluated in sitting versus supine position. Conclusion. Our results show that MR Defecography in sitting position may represent a useful tool to correctly diagnose and grade the pelvic organ descent.http://dx.doi.org/10.1155/2016/6594152 |
| spellingShingle | Francesca Iacobellis Antonio Brillantino Adolfo Renzi Luigi Monaco Nicola Serra Beatrice Feragalli Aniello Iacomino Luca Brunese Salvatore Cappabianca MR Imaging in Diagnosis of Pelvic Floor Descent: Supine versus Sitting Position Gastroenterology Research and Practice |
| title | MR Imaging in Diagnosis of Pelvic Floor Descent: Supine versus Sitting Position |
| title_full | MR Imaging in Diagnosis of Pelvic Floor Descent: Supine versus Sitting Position |
| title_fullStr | MR Imaging in Diagnosis of Pelvic Floor Descent: Supine versus Sitting Position |
| title_full_unstemmed | MR Imaging in Diagnosis of Pelvic Floor Descent: Supine versus Sitting Position |
| title_short | MR Imaging in Diagnosis of Pelvic Floor Descent: Supine versus Sitting Position |
| title_sort | mr imaging in diagnosis of pelvic floor descent supine versus sitting position |
| url | http://dx.doi.org/10.1155/2016/6594152 |
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