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International Urogynecology Journal

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Open Access 01-11-2012 | Original Article

Dynamic magnetic resonance imaging to quantify pelvic organ prolapse: reliability of assessment and correlation with clinical findings and pelvic floor symptoms

Authors: Mariëlle M. E. Lakeman, F. M. Zijta, J. Peringa, A. J. Nederveen, J. Stoker, J. P. W. R. Roovers

Published in: International Urogynecology Journal | Issue 11/2012

Abstract

Introduction and hypothesis

The aim of this study was to assess the interobserver agreement of magnetic resonance imaging (MRI)-based staging of pelvic organ prolapse (POP) and to quantify associations between MRI-based POP staging, findings at pelvic examination, and pelvic floor symptoms.

Methods

This was a cross-sectional study of ten symptomatic POP patients, ten symptomatic patients without POP, and ten nulliparous asymptomatic women. Three different observers performed MRI-based POP staging using the pubococcygeal line (PCL), midpubic line (MPL), perineal line, and H line as references.

Results

The interobserver agreement of MRI-based staging of the anterior and middle compartment was good to excellent. In symptomatic women without prolapse, MRI-based and pelvic-examination-based POP staging were poorly correlated. In none of the women were MRI-based POP Quantification (POP-Q) staging and pelvic floor symptoms strongly associated.

Conclusion

The interobserver agreement of MRI-based POP staging is excellent, but the added clinical value of such staging is questionable due to poor association with clinical findings and pelvic floor symptoms.

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Title: Dynamic magnetic resonance imaging to quantify pelvic organ prolapse: reliability of assessment and correlation with clinical findings and pelvic floor symptoms
Authors: Mariëlle M. E. Lakeman
F. M. Zijta
J. Peringa
A. J. Nederveen
J. Stoker
J. P. W. R. Roovers
Publication date: 01-11-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 11/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1772-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Dynamic magnetic resonance imaging to quantify pelvic organ prolapse: reliability of assessment and correlation with clinical findings and pelvic floor symptoms

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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