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05.08.2019 | Special Section: Pelvic floor

MR defecography technique: recommendations of the society of abdominal radiology’s disease-focused panel on pelvic floor imaging

verfasst von: Neeraj Lalwani, Gaurav Khatri, Rania Farouk EL Sayed, Roopa Ram, Kedar Jambhekar, Victoria Chernyak, Amita Kamath, Sara Lewis, Milana Flusberg, Francis Scholz, Hina Arif-Tiwari, Suzanne L. Palmer, Mark E. Lockhart, Julia R. Fielding

Erschienen in: Abdominal Radiology | Ausgabe 4/2021

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Abstract

Purpose

To develop recommendations for magnetic resonance (MR) defecography technique based on consensus of expert radiologists on the disease-focused panel of the Society of Abdominal Radiology (SAR).

Methods

An extensive questionnaire was sent to a group of 20 experts from the disease-focused panel of the SAR. The questionnaire encompassed details of technique and MRI protocol used for evaluating pelvic floor disorders. 75% agreement on questionnaire responses was defined as consensus.

Results

The expert panel reached consensus for 70% of the items and provided the basis of these recommendations for MR defecography technique. There was unanimous agreement that patients should receive coaching and explanation of commands used during MR defecography, the rectum should be distended with contrast agent, and that sagittal T2-weighted images should include the entire pelvis within the field of view. The panel also agreed unanimously that IV contrast should not be used for MR defecography. Additional areas of consensus ranged in agreement from 75 to 92%.

Conclusion

We provide a set of consensus recommendations for MR defecography technique based on a survey of expert radiologists in the SAR pelvic floor dysfunction disease-focused panel. These recommendations can be used to develop a standardized imaging protocol.

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Titel: MR defecography technique: recommendations of the society of abdominal radiology’s disease-focused panel on pelvic floor imaging
verfasst von: Neeraj Lalwani
Gaurav Khatri
Rania Farouk EL Sayed
Roopa Ram
Kedar Jambhekar
Victoria Chernyak
Amita Kamath
Sara Lewis
Milana Flusberg
Francis Scholz
Hina Arif-Tiwari
Suzanne L. Palmer
Mark E. Lockhart
Julia R. Fielding
Publikationsdatum: 05.08.2019
Verlag: Springer US
Erschienen in: Abdominal Radiology / Ausgabe 4/2021
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-019-02160-7

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MR defecography technique: recommendations of the society of abdominal radiology’s disease-focused panel on pelvic floor imaging

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Purpose

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Results

Conclusion

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Purpose

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Conclusion

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