POP-Q, dynamic MR imaging, and perineal ultrasonography: do they agree in the quantification of female pelvic organ prolapse?

Autor: Suzan Broekhuis, Kirsten Kluivers, Jan Hendriks, Jurgen Fütterer, Jelle Barentsz, Mark Vierhout
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Zdroj: International Urogynecology Journal; May2009, Vol. 20 Issue 5, p541-549, 9p
Abstrakt: Abstract Introduction and hypothesis  This study evaluates the agreement in prolapse staging between clinical examination, dynamic magnetic resonance (MR), imaging and perineal ultrasonography. Methods  Anatomical landmarks in the anterior, central, and posterior compartment were assessed in relation to three reference lines on dynamic MR imaging and one reference line on dynamic ultrasonography. These measurements were compared to the according POP-Q measurements. Agreement between the three methods was analyzed with Spearman’s rank correlation coefficient (r s) and Bland and Altman plots. Results  Correlations were good to moderate in the anterior compartment (r s range = 0.49; 0.70) and moderate to poor (r s range = −0.03; 0.49) in the central and posterior compartment. This finding was independent of the staging method and reference lines used. Conclusion  Pelvic organ prolapse staging with the use of POP-Q, dynamic MR imaging, and perineal ultrasonography only correlates in the anterior compartment. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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