Keywords:
Performed at one institution, Observational, Not applicable, Pelvic floor dysfunction, Structured reporting, Defecography, MR, Pelvis, Genital / Reproductive system female, GI Tract
Authors:
A. Molinari1, G. Buonomenna2, A. Romani3, D. Schettini3, N. GANDOLFO3; 1Sanremo/IT, 2Avellino/IT, 3Genova/IT
DOI:
10.26044/ecr2020/C-13223
Conclusion
Radiologists can perform MRI as the best modality to evaluate pelvic floor functional abnormalities.
Our report confirms that the evacuation phase is the most sensitive and the in the identification of pelvic organ prolapses. Notably we observed that posterior compartment descent is the most common disorder. We highlighted the increasing severity between rest and evacuation sequence and the association with other compartments abnormalities.
The usual presentation with multi compartments prolapse, such as both cystocele and rectocele is related to the physiological connection among the various support structures of the pelvic floor. [6]
Moreover, the assessment through a structured report can provide the referring physician with a road map for tailored therapy thanks to the clarity of structured reporting.
ESR itself affirms that standardized language and structured templates minimize ambiguity and ensures radiology completeness and comparability of reports and it is beneficial if applied to radiology residents to focus since the beginning on the most relevant anatomic landmarks. [7]