The role of the MR-fluoroscopy in the diagnosis and staging of the pelvic organ prolapse
The role of the MR-fluoroscopy in the diagnosis and staging of the pelvic organ prolapse
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DOI：
10.1016/j.ejrad.2004.02.004
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发表时间：
2005-01-01
影响因子：
3.3
通讯作者：
Sakarya, ME
中科院分区：
文献类型：
--
作者：
Etlik, Ö;Arslan, H;Sakarya, ME
简介：本研究的目的是探讨磁共振透视在骨盆脱垂的诊断和分期中的效果。材料和方法：该研究由 46 名经阴道检查得知患有骨盆脱垂的患者组成。选择 30 名接受阴道检查且未显示骨盆脱垂的女性作为对照组。首先，在 0.3 T 开放式 MR 设备中获取所有女性的骨盆矢状 FSE T2 加权图像，然后在骨盆应变期间使用破坏的梯度回波序列获得矢状 MR 透视图像。比较了体格检查和 MR 透视检查结果。通过皮尔逊相关分析对两种方法建立的脱垂阶段之间的关系进行统计评估。结果：体格检查和MR检查结果对盆腔脱垂的诊断非常一致，两种方法在脱垂分期之间建立了统计学相关性（前、中体位P < 0.01，后体位P < 0.05）。结论：我们得出的结论是，MR 透视检查是一种无创、易于应用、无需造影剂的动态有用方法，可用于盆腔器官脱垂的诊断和分期。 (C) 2004 Elsevier Ireland Ltd. 保留所有权利。
Introduction: The aim of the study is to investigate the efficacy of the magnetic resonance fluoroscopy in the diagnosis and staging of the pelvic prolapse. Materials and methods: The study consisted of 46 patients who were known to have pelvic prolapses from their vaginal examination. Thirty women who underwent vaginal exam and shown not have pelvic prolapse were selected as a control group. Firstly, pelvic sagittal FSE T2 weighted images of all the women were acquired in 0.3 T open MR equipment than sagittal MR-fluoroscopic images using spoiled gradient echo sequences were obtained during pelvic strain. Physical examination and MR-fluoroscopic findings were compared. The relationship between the stages of prolapse established by both of the methods was evaluated statistically with Pearson's correlation analysis. Results: Physical examination and MR findings were very concordant in the diagnosis of pelvic prolapse and statistical correlations in the stages of prolapse were established between both of the methods (P < 0.01 for anterior and middle comportment, P < 0.05 for posterior comportment). Conclusion: We conclude that MR-fluoroscopy is a non-invasive, easily applied, dynamic useful method without contrast agent in the diagnosis and staging of pelvic organ prolapse. (C) 2004 Elsevier Ireland Ltd. All rights reserved.