El Sayed Rania Farouk
Cairo University MRI Pelvic Floor Center of Excellency and Research Lab Unit, Department of Radiology, Cairo University Hospitals, Kasr El Ainy Street, Cairo 11956, Egypt.
Radiol Clin North Am. 2020 Mar;58(2):291-303. doi: 10.1016/j.rcl.2019.11.005.
This article reviews different approaches for describing pelvic floor anatomy; "Classic 3-Compartment Approach", "Active and Passive Conceptual Approach" and "Multilayered System Approach". However, these approaches cannot explain pathogenesis of various dysfunctions. "Functional 3-Part Pelvic Supporting Systems Approach" a new, more function-based classification of the pelvic floor support system is introduced in which all structures that contribute to same function are grouped under 1 system. Indications for MR imaging of pelvic floor dysfunction, patients' preparation, static, dynamic and MR Defecography imaging protocols are detailed according to the concordance of experts in two recently published consensus papers.
本文回顾了描述盆底解剖结构的不同方法;“经典三腔室法”、“主动和被动概念法”以及“多层系统法”。然而,这些方法无法解释各种功能障碍的发病机制。本文引入了一种新的、基于功能的盆底支持系统分类方法——“功能性三部分盆底支持系统法”,该方法将具有相同功能的所有结构归为一个系统。根据最近发表的两篇共识论文中专家的意见,详细介绍了盆底功能障碍的磁共振成像(MR)检查适应症、患者准备、静态、动态及MR排粪造影成像方案。