Value of Multimode Sonography for Assessment of Pelvic Lipomatosis Compared With Computed Tomography

Abstract

This preliminary study has shown that the application of a multimode sonographic technique (ie, 2D, 3D, and transrectal sonography) can provide unique evidence and imaging features of pelvic lipomatosis, which are comparable with CT for making a suggestive diagnosis of pelvic lipomatosis. Thus, multimode sonography may be the modality of choice for assessment of patients with a suspicion of lipomatosis.

Urodynamic characteristics of pelvic lipomatosis with glandular cystitis patients correlate with morphologic alterations of the urinary system and disease severity

“…Previous studies concerning bladder indexes and multimode sonographic techniques substantiated the superior advantages of imaging examinations for PL diagnosis. It is proposed that quantitative measurement of volume of pelvic fat could increase sensitivity to detect PL, especially in the patients with early stage.…”

“…The remaining 39 patients whose images lacked median sagittal planes (essential for bladder index measurement) were not included. The bladder indexes were recorded as previously described (Supplementary Fig. 2): (1) bladder shape; (2) ratio between superoinferior and anteroposterior length of bladder (SI/AP), angle between anterior and posterior wall (AAP), relative length of posterior urethra (rLPU), and angle between bladder and seminal vesicle (ABS); (3) maximal thickness of bladder trigone; and (4) hydronephrosis condition (in combination with the ultrasound inforamtion).…”

“…The imaging work‐up plays an indispensable role in PL diagnosis . In 2012, we updated the PL diagnosis references by adding the concept of bladder index alterations by imaging examination .…”

“…7,8 The imaging work-up plays an indispensable role in PL diagnosis. 3,9 In 2012, we updated the PL diagnosis references by adding the concept of bladder index alterations by imaging examination. 3 However, traditional imaging findings failed to evaluate the condition of the lower urinary tract and micturition function.…”

Surgical treatment for pelvic lipomatosis using a bladder-sparing technique

“…[10] Our center also reported comparable diagnostic efficacy of a multimodal sonographic technique. [11]…”