1111 Examination of the risk factors for pelvic floor descent in women using magnetic resonance images in the sitting posture

Abstract Background To assess the geometrical risk factors for meniscal injuries. Our hypothesis was that the narrowness of the intercondylar notch and the smaller tibial spine could increase the risk of meniscal injuries. Methods We retrospectively studied two hundred and seven patients examined for knee magnetic resonance images. The severity of meniscal injuries was evaluated by two experienced orthopedists. The notch width, bicondylar notch width, notch width index, condyle width of the femur, tibial spine height, and intercondylar angle were measured in magnetic resonance image slides by two blinded orthopedists. Results In all two hundred and seven patients, 112 patients with a meniscus injury and 95 patients were as healthy control. The NWI (P = 0.027) in patients with meniscus injuries was significantly different from the control group. A 1 SD (0.04 mm) increase in NWI was associated with a 0.4-fold increase in the risk of meniscal injury. A 1 SD (0.04 mm) increase in NWI was associated with a 0.64-fold increase in the risk of grade 3 meniscal injury. Furthermore, NWI and medial spine height are decreased significantly in grade 2 (P < 0.05) meniscal injury than in other grades. The medial spine height was significantly decreased in the meniscal injury group (P = 0.025), and the decrease of medial spine height would increase the risk of meniscal injury (OR = 0.77) and grade 3 meniscal injury (OR = 0.8). Conclusions The stenosis of the femoral intercondylar notch and small medial tibial spine are risk factors of meniscal injury. The decreased NWI and the decreased medial tibial spine height were also associated with the severity of the meniscal injury.

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Barium Defecating Proctography and Dynamic Magnetic Resonance Proctography: Their Role and Patient’s Perception

Journal of Clinical Imaging Science ◽

10.25259/jcis_56_2021 ◽

2021 ◽

Vol 11 ◽

pp. 31

Author(s):

Deepa Rebecca Korula ◽

Anuradha Chandramohan ◽

Reetu John ◽

Anu Eapen

Keyword(s):

Magnetic Resonance ◽

Pelvic Floor ◽

Patient Experience ◽

Pelvic Floor Disorders ◽

Rectal Intussusception ◽

Imaging Features ◽

Imaging Findings ◽

Dynamic Magnetic Resonance ◽

Pelvic Floor Descent ◽

Patient’S Perception

Objectives: The objectives of the study were to compare the imaging findings and patient’s perception of barium defecating proctography and dynamic magnetic resonance (MR) proctography in patients with pelvic floor disorders. Material and Methods: This is a prospective study conducted on patients with pelvic floor disorders who consented to undergo both barium proctography and dynamic MR proctography. Imaging findings of both the procedures were compared. Inter-observer agreement (IOA) for key imaging features was assessed. Patient’s perception of these procedures was assessed using a short questionnaire and a visual analog scale. Results: Forty patients (M: F =19:21) with a mean age of 43.65 years and range of 21–75 years were included for final analysis. Mean patient experience score was significantly better for MR imaging (MRI) (p < 0.001). However, patients perceived significantly higher difficulty in rectal evacuation during MRI studies (p = 0.003). While significantly higher number of rectoceles (p = 0.014) were diagnosed on MRI, a greater number of pelvic floor descent (p = 0.02) and intra-rectal intussusception (p = 0.011) were diagnosed on barium proctography. The IOA for barium proctography was substantial for identifying rectoceles, rectal prolapse and for determining M line, p < 0.001. There was excellent IOA for MRI interpretation of cystoceles, peritoneoceles, and uterine prolapse and substantial to excellent IOA for determining anal canal length and anorectal angle, p < 0.001. The mean study time for the barium and MRI study was 12 minutes and 15 minutes, respectively. Conclusion: Barium proctography was more sensitive than MRI for detecting pelvic floor descent and intrarectal intussusception. Although patients perceived better rectal emptying with barium proctography, the overall patient experience was better for dynamic MRI proctography.

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THE INFLUENCE OF PELVIC ORGAN PROLAPSE ON THE PASSIVE BIOMECHANICAL PROPERTIES OF PELVIC FLOOR MUSCLES

Journal of Mechanics in Medicine and Biology ◽

10.1142/s0219519417500907 ◽

2017 ◽

Vol 17 (06) ◽

pp. 1750090 ◽

Cited By ~ 1

Author(s):

M. E. T. SILVA ◽

S. BRANDÃO ◽

M. P. L. PARENTE ◽

T. MASCARENHAS ◽

R. M. NATAL JORGE

Keyword(s):

Finite Element ◽

Pelvic Organ Prolapse ◽

Magnetic Resonance ◽

Constitutive Model ◽

Pelvic Floor ◽

Constitutive Models ◽

Biomechanical Properties ◽

Pelvic Organ ◽

Magnetic Resonance Images ◽

Pelvic Floor Muscles

The biomechanical properties of the female pelvic floor tissues, such as muscles, fascia or ligaments are relevant when explaining pelvic disorders, since these may result from changes in the properties of those tissues. The aim of this study is to understand the influence of pelvic organ prolapse (POP) on the passive biomechanical properties of the pelvic floor muscles. For this purpose, magnetic resonance images at Valsalva maneuver were used, and an inverse finite element analysis technique was applied. The numerical models of the pubovisceralis muscle and pelvic bones were built from axial magnetic resonance images acquired at rest. The numerical simulation was based on the finite element method (FEM), by which the material constants were determined for three different constitutive models (Neo-Hookean, Mooney–Rivlin and Yeoh). The ratio between the values of the material constants for women with and without prolapse was approximately 43% for the parameter [Formula: see text] in the Neo-Hookean constitutive model, 57% and 24% for [Formula: see text] and [Formula: see text] in the Mooney–Rivlin constitutive model, and 35%, 21% and 14% for [Formula: see text], [Formula: see text] and [Formula: see text] in the Yeoh constitutive model. For the three constitutive models, the mean values of the material properties related with stiffness were higher for the muscles of women with POP. These increases in stiffness are in line with other experimental works involving vaginal tissue, which showing that the elasticity module is significantly higher in the prolapsed tissue when compared with normal tissue. The present work presents a noninvasive methodology based on the application of the FEM, which allows the establishment of a relationship between the stiffness of the pelvic floor muscles of women with POP and without this pathology.

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An emerging technology: Nuclear magnetic resonance microscopy

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s042482010010706x ◽

1988 ◽

Vol 46 ◽

pp. 1000-1001

Author(s):

M.J. Hennessy ◽

E. Kwok

Keyword(s):

Nuclear Magnetic Resonance ◽

Magnetic Resonance ◽

Relaxation Times ◽

Basic Research ◽

Local Environment ◽

Magnetic Resonance Images ◽

Nmr Microscopy ◽

Mri Scans ◽

Temperature Relaxation ◽

Nuclear Magnetic

Much progress in nuclear magnetic resonance microscope has been made in the last few years as a result of improved instrumentation and techniques being made available through basic research in magnetic resonance imaging (MRI) technologies for medicine. Nuclear magnetic resonance (NMR) was first observed in the hydrogen nucleus in water by Bloch, Purcell and Pound over 40 years ago. Today, in medicine, virtually all commercial MRI scans are made of water bound in tissue. This is also true for NMR microscopy, which has focussed mainly on biological applications. The reason water is the favored molecule for NMR is because water is,the most abundant molecule in biology. It is also the most NMR sensitive having the largest nuclear magnetic moment and having reasonable room temperature relaxation times (from 10 ms to 3 sec). The contrast seen in magnetic resonance images is due mostly to distribution of water relaxation times in sample which are extremely sensitive to the local environment.

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Functional information from magnetic resonance imaging

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100136799 ◽

1995 ◽

Vol 53 ◽

pp. 84-85

Author(s):

Alan P. Koretsky ◽

Afonso Costa e Silva ◽

Yi-Jen Lin

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

High Resolution ◽

Cancer Biology ◽

Imaging Modality ◽

Magnetic Resonance Images ◽

Great Success ◽

Functional Information ◽

Resonance Imaging ◽

High Resolution Mri

Magnetic resonance imaging (MRI) has become established as an important imaging modality for the clinical management of disease. This is primarily due to the great tissue contrast inherent in magnetic resonance images of normal and diseased organs. Due to the wide availability of high field magnets and the ability to generate large and rapidly switched magnetic field gradients there is growing interest in applying high resolution MRI to obtain microscopic information. This symposium on MRI microscopy highlights new developments that are leading to increased resolution. The application of high resolution MRI to significant problems in developmental biology and cancer biology will illustrate the potential of these techniques.In combination with a growing interest in obtaining high resolution MRI there is also a growing interest in obtaining functional information from MRI. The great success of MRI in clinical applications is due to the inherent contrast obtained from different tissues leading to anatomical information.

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