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. 2022 Jun;62(6):523-534.
doi: 10.1007/s00117-022-01003-9. Epub 2022 May 20.

[Functional MRI of the pelvic floor]

[Article in German]
Céline D Alt  1
Affiliations

[Functional MRI of the pelvic floor]

[Article in German]
Céline D Alt. Radiologie (Heidelb). 2022 Jun.

Abstract
in English, German

Due to the complexity of pelvic floor dysfunctions and the frequent interdisciplinary findings, dynamic magnetic resonance imaging (MRI) can provide valuable (additional) information for the clinical examination in other disciplines through a comprehensive morphological and functional representation of the pelvic floor. It has therefore largely replaced conventional defecography under fluoroscopy in clinical practice. In order to increase the effectiveness and communication between radiology and the other specialist disciplines, recommendations for the standardized implementation and results of dynamic MRI were published by the European Society for Urogenital radiology (ESUR) in 2016 and based on these the Society for Abdominal Radiology (SAR) published simplified recommendations in 2019 for routine clinical use.

Aufgrund der Komplexität von Beckenbodendysfunktionen und der häufig fachübergreifenden Befunde kann die dynamische Magnetresonanztomographie (MRT) durch eine umfassende morphologische und funktionelle Darstellung des Beckenbodens wertvolle (Zusatz‑)Informationen zur klinischen Untersuchung anderer Fachdisziplinen liefern und hat damit die konventionelle Defäkographie unter Durchleuchtung weitgehend aus dem klinischen Alltag verdrängt. Zur Steigerung der Effektivität und der Kommunikation zwischen Radiologie und anderen Fachdisziplinen wurden 2016 Empfehlungen zur standardisierten Durchführung und Befundung der dynamischen MRT von der European Society of Urogenital Radiology (ESUR) herausgegeben, und die Society for Abdominal Radiology (SAR) hat 2019 auf dieser Grundlage vereinfachte Empfehlungen für den klinischen Alltag veröffentlicht.

Keywords: Abdominal radiology; Diagnostics; Dynamic magnetic resonance imaging; Magnetic resonance defecography; Pelvic floor dysfunction.

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