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ECR 2018 / C-0529
Is MRI the gold standard imaging technique to diagnose levator ani muscle avulsion?
Congress: ECR 2018
Poster No.: C-0529
Type: Scientific Exhibit
Keywords: Genital / Reproductive system female, Anatomy, Obstetrics (Pregnancy / birth / postnatal period), MR, Ultrasound, Computer Applications-3D, Imaging sequences, Obstetrics, Pelvic floor dysfunction
Authors: I. van Gruting1, A. Stankiewicz2, A. Sultan1, R. Thakar1; 1London/UK, 2Lublin/PL



This is the first prospective study to investigate the accuracy of three imaging techniques for LAM avulsion in the same patient. Ultrasound is a good diagnostic tool for the assessment of major LAM avulsion (high sensitivity), but poor for detecting minor avulsions (low sensitivity). LAM avulsion seen on EVUS correlates better with expected symptoms than MRI and TPUS. It therefore appears that EVUS is better in diagnosing symptomatic LAM avulsion and could substitute MRI as a reference standard. Using EVUS instead of MRI enables widespread postnatal screening and early identification of women at higher risk of developing PFD. Timely motivation and early implementation of physical therapy and lifestyle changes might reduce future PFD.


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