Can 3D power Doppler identify levator ani vascularization at its pubic insertion?
| Autor: | L. Quintas Marques, A. Badia Carrasco, A. Pessarrodona Isern, E. Lopez Quesada, M. Rodriguez Carballeira, J. Cassadó Garriga |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Urology Pilot Projects symbols.namesake Power doppler Imaging Three-Dimensional Reference Values medicine Humans Pelvic floor business.industry Obstetrics and Gynecology Reproducibility of Results Ultrasonography Doppler 3d power doppler Pubovisceralis Pelvic Floor Parity medicine.anatomical_structure Levator ani Premenopause symbols Female Radiology Doppler ultrasound Translabial ultrasound business Doppler effect |
| Zdroj: | International urogynecology journal. 26(9) |
| ISSN: | 1433-3023 |
| Popis: | The levator ani is the most important muscle in the pelvic floor. This pilot study using 3D power Doppler aimed to identify normal vascularization of the puborectalis/pubovisceralis muscle at its insertion in nulliparous and premenopausal women.Forty nulliparous and premenopausal women were evaluated at the Gynecological Unit of a tertiary hospital. All women underwent a translabial ultrasound (US) with 3D power Doppler. Pubic insertion of the puborectalis/pubovisceralis muscle was assessed in the axial plane, and vascularization index (VI), flow index (FI), and vascularization-flow index (VFI) were calculated bilaterally. Volumes were analyzed offline by two independent observers, and interobserver agreement and correlation between variables was calculated.A high, statistically significant, correlation was found between the three US indices on each side (p 0.005). No correlation was found between the US index and either of the demographic parameters of body mass index [(BMI), p 0.241], or age (p 0.398). The degree of correlation between the same index on the different sides was not statistically significant.Puborectalis/pubovisceralis muscle vascularization at its insertion can be identified using 3D Doppler US, but values differ substantially from those of the contralateral side. |
| Databáze: | OpenAIRE |
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