Author of 1 Presentation
SE-138 - Role of Dynamic MR Defecography in Pelvic floor disorders
Abstract
Purpose
Aim and Objectives
1) To calculate the diagnostic accuracy of supine MR defaecography in pelvic dysfunction with fluoroscopic defaecography as reference and to compare the level of agreement between the two modalities.
2) Additional findings picked by MR defecography with its superior soft tissue resolution.
Material and methods
A one year prospective study was conducted on 30 patients referred from the Departments of Urology and Surgical Gastroenterology presenting with complaints /clinical suspicion of pelvic floor dysfunction. Patients belonging to both sexes in the age group of 20-70 yrs were included. All patients underwent supine MR defaecography on a whole-body scanner in static and dynamic phase followed by fluoroscopic defaecography within 3 days.
Patients with colorectal organic diseases such as malignancy were excluded.
Results
The sensitivity and accuracy of supine MR defaecography for detection of abnormal pelvic floor descent was 76.2% and 83.3% respectively which increased to 93.3% and 95.8% respectively when patients with mild grade descent were excluded.
The sensitivity of supine MR defaecography with respect to fluoroscopy for normal finding, spastic floor syndrome, cystocele, funnelling, rectocele, intussusception and uterine prolapse were 100%, 100%, 77.8%, 50%, 60%, 33.3% and 75% respectively. The level of agreement between two techniques was moderate (k=0.498).
Additionally MR defaecography also revealed puborectalis muscle, pubourethral and periurethral ligament abnormality in 23.3%, 20% and 6.7% of cases respectively
Conclusion
Supine MR defaecography with high sensitivity and accuracy has a promising role in the future for evaluation of patients with pelvic floor dysfunction
Presenter of 1 Presentation
SE-138 - Role of Dynamic MR Defecography in Pelvic floor disorders
Abstract
Purpose
Aim and Objectives
1) To calculate the diagnostic accuracy of supine MR defaecography in pelvic dysfunction with fluoroscopic defaecography as reference and to compare the level of agreement between the two modalities.
2) Additional findings picked by MR defecography with its superior soft tissue resolution.
Material and methods
A one year prospective study was conducted on 30 patients referred from the Departments of Urology and Surgical Gastroenterology presenting with complaints /clinical suspicion of pelvic floor dysfunction. Patients belonging to both sexes in the age group of 20-70 yrs were included. All patients underwent supine MR defaecography on a whole-body scanner in static and dynamic phase followed by fluoroscopic defaecography within 3 days.
Patients with colorectal organic diseases such as malignancy were excluded.
Results
The sensitivity and accuracy of supine MR defaecography for detection of abnormal pelvic floor descent was 76.2% and 83.3% respectively which increased to 93.3% and 95.8% respectively when patients with mild grade descent were excluded.
The sensitivity of supine MR defaecography with respect to fluoroscopy for normal finding, spastic floor syndrome, cystocele, funnelling, rectocele, intussusception and uterine prolapse were 100%, 100%, 77.8%, 50%, 60%, 33.3% and 75% respectively. The level of agreement between two techniques was moderate (k=0.498).
Additionally MR defaecography also revealed puborectalis muscle, pubourethral and periurethral ligament abnormality in 23.3%, 20% and 6.7% of cases respectively
Conclusion
Supine MR defaecography with high sensitivity and accuracy has a promising role in the future for evaluation of patients with pelvic floor dysfunction