Perineal Ultrasound Versus Magnetic Resonance Imaging (MRI) Detection for Evaluation of Pelvic Diaphragm in Resting State

Wang, Xudong; Ren, Min; Liu, Yujie; Zhang, Tiecheng; Tian, Jiawei

doi:10.12659/msm.906648

Cited by 4 publications

(6 citation statements)

References 21 publications

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“…[20] It was also used to observe the morphology and function of the pelvic floor muscles and the changes in the pelvic floor structure of women with pelvic floor dysfunction. [21][22][23] Despite of these studies on the structure and function of pelvic floor, the investigation on correlating the pelvic floor parameters with FPFD upon treatment is sparse. Particularly, the effect of acupuncture treatment on the structure of pelvic floor has not been explored through ultrasonic imaging to the best knowledge of the authors.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of acupuncture treatments of postpartum female pelvic floor dysfunction by four-dimensional transperineal pelvic floor ultrasound

Yao¹,

Li²,

Wang³

et al. 2021

Medicine

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Introduction: In the present investigation, a systematic evaluation of the clinical treatment performance of diagnosed with pelvic floor dysfunction is explored. By comparing the 4Dtransperineal pelvic floor ultrasound images with the acupuncture treatment performance of the patients, an evaluation system with various parameters is established to provide critical information to guide the clinical treatment fpostpartum female pelvic floor dysfunction (FPFD). Methods: Eighty patients diagnosed with FPFD are divided into 2 groups. After the designated treatment to the patients, they are carefully examined using transperineal pelvic floor ultrasound. The shape and activity of bladder neck, cervix and rectum anal canal under resting, anal sphincter and Valsalva movements are observed and recorded. The morphology and continuous shape of levator ani muscle in different states after 4D image reconstruction are obtained. Results: After the acupuncture treatment, the bladder neck descent is decreased by 3.8 cm and the anal levator muscle area is decreased by 3.4 cm 2 comparing with the control group. The anal levator muscle hole diameter is decreased by 0.3 cm, while the anterior and posterior diameter is reduced by 0.5 cm. Reduced possibility of cystocele and uterine prolapse is demonstrated by X 2 test. These changes upon acupuncture therapy are in line with the improved conditions of the patients, indicating these parameters can help evaluate the therapy performance. Conclusion: 4D pelvic floor ultrasound imaging provides objective and quantified information for the clinical diagnosis and treatment of FPFD and the assessment of therapy efficacy, making it a promising novel method in practical applications.

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Section: Discussionmentioning

confidence: 99%

Evaluation of acupuncture treatments of postpartum female pelvic floor dysfunction by four-dimensional transperineal pelvic floor ultrasound

Yao¹,

Li²,

Wang³

et al. 2021

Medicine

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“…for the investigation of other pelvic floor pathologies, such as pelvic organ prolapse and levator ani defects, showing moderate‐to‐excellent correlation between the two modalities 25–28 . However no study to date has compared the correlation of these two methods in the evaluation of suburethral masses.…”

Section: Discussionmentioning

confidence: 99%

“…Figures 3 and 4 demonstrate the ability of 2D-TPUS and 3D-EVUS to produce images consistent with and comparable to MRI. Other studies have compared 3D-US to MRI for the investigation of other pelvic floor pathologies, such as pelvic organ prolapse and levator ani defects, showing moderate-to-excellent correlation between the two modalities [25][26][27][28] . However no study to date has compared the correlation of these two methods in the evaluation of suburethral masses.…”

Section: Ultrasoundmentioning

confidence: 99%

Transperineal and endovaginal ultrasound for evaluating suburethral masses: comparison with magnetic resonance imaging

Okeahialam

Taithongchai

Sultan

et al. 2021

Ultrasound in Obstet & Gyne

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The agreement between pelvic floor ultrasound (US) and magnetic resonance imaging (MRI) for detecting a suburethral mass was 85%. MRI had good-to-excellent agreement with both two-dimensional transperineal US and three-dimensional endovaginal US for the measurement of the distance between the suburethral mass and the bladder neck and the largest diameter of the mass. What are the clinical implications of this work?Pelvic floor US could become an important imaging modality for the diagnosis and assessment of suburethral masses, and for surgical planning and counseling of patients.

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“…It should be stressed that by evaluating the pelvic diaphragm in patients with pelvic organ prolapse in the resting state, it was preliminarily confirmed that the consistency of ultrasound and MRI was only moderate. The comparison of these 2 diagnostic methods under the dynamic muscle contraction state needs to be further explored [ 46 ]. Our research, however, draws attention to the importance of the measurement of sEMG, and thus it fills a gap in the functional diagnosis of muscles in this area.…”

Section: Discussionmentioning

confidence: 99%

Six-Week Pelvic Floor Muscle Activity (sEMG) Training in Pregnant Women as Prevention of Stress Urinary Incontinence

et al. 2018

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BackgroundPelvic floor muscle exercises are a widely used and well-established form of stress incontinence treatment, with success rates varying from 21% to 84%, although with a better subjective than objective outcome.Material/Methods“Incontinence Impact Questionnaire” (IIQ), PFM EMG assessment was done at the beginning and after the 6-week training program.ResultsStatistically significant differences appeared in the BASE and R values. In the symptomatic group (with SUI symptoms), the value of BASE was 3.26 μV, and after training it was 3.95 μV. The R values before and after training were 4.55 μV and 4.25 μV. In the symptomatic group (without SUI symptoms), the value of BASE was 2.88 μV and 3.52 μV and R values were 7.16 μV and 3.92 μV. In the control group, BASE was 3.05 μV and 4.11 μV and R was 7.82 μV and 4.39 μV.ConclusionsThe results indicate that a 6-week training process influences PFM EMG activity in pregnant women. During Q, the value of PFM activity after a training session tended to increase in the symptomatic and control groups, but in the symptomatic group it remains practically unchanged. Our results show the probable process of decreasing control of PFM activity during long-lasting contractions in symptomatic and control women. The comparison of BASE before and after training averaged the values of R after five 10-s contractions and showed an increase in the Base and decrease in the R.

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Perineal Ultrasound Versus Magnetic Resonance Imaging (MRI) Detection for Evaluation of Pelvic Diaphragm in Resting State

Cited by 4 publications

References 21 publications

Evaluation of acupuncture treatments of postpartum female pelvic floor dysfunction by four-dimensional transperineal pelvic floor ultrasound

Evaluation of acupuncture treatments of postpartum female pelvic floor dysfunction by four-dimensional transperineal pelvic floor ultrasound

Transperineal and endovaginal ultrasound for evaluating suburethral masses: comparison with magnetic resonance imaging

Six-Week Pelvic Floor Muscle Activity (sEMG) Training in Pregnant Women as Prevention of Stress Urinary Incontinence

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