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用于规范排便障碍报告的磁共振成像模板

Magnetic Resonance Imaging Template to Standardize Reporting of Evacuation Disorders.

作者信息

Piloni Vittorio, Manisco Tiziana, Fogante Marco

机构信息

Diagnostic Imaging Center "Diagnostica Marche" Osimo Stazione, 60027 Ancona, Italy.

Department of Radiology, Maternal-Child, Senological, Cardiological Radiology and Outpatient Ultrasound, University Hospital of Marche, 60126 Ancona, Italy.

出版信息

J Imaging. 2024 Nov 23;10(12):302. doi: 10.3390/jimaging10120302.

DOI:10.3390/jimaging10120302
PMID:39728199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11677394/
Abstract

Magnetic resonance (MR) defecography, including both static and dynamic phases, is frequently requested by gastroenterologists and colorectal surgeons for planning the treatment of obstructive defecation syndrome and pelvic organ prolapse. However, reports often lack key information needed to guide treatment strategies, making management challenging and, at times, controversial. It has been hypothesized that using structured radiology reports could reduce missing information. In this paper, we present a structured MR defecography template report that includes nine key descriptors of rectal evacuation. The effectiveness and acceptability of this template are currently being assessed in Italy through a national interdisciplinary study.

摘要

磁共振（MR）排粪造影，包括静态和动态阶段，胃肠病学家和结直肠外科医生在规划梗阻性排便综合征和盆腔器官脱垂的治疗时经常会要求进行此项检查。然而，报告往往缺乏指导治疗策略所需的关键信息，这使得管理具有挑战性，有时甚至存在争议。据推测，使用结构化的放射学报告可以减少信息缺失。在本文中，我们展示了一份结构化的MR排粪造影模板报告，其中包括直肠排空的九个关键描述符。目前，意大利正在通过一项全国性的跨学科研究评估该模板的有效性和可接受性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c5/11677394/b340c4f68f76/jimaging-10-00302-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c5/11677394/32b105e1c682/jimaging-10-00302-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c5/11677394/c4cecb35d2fa/jimaging-10-00302-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c5/11677394/7c9ca138449c/jimaging-10-00302-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c5/11677394/67ece15eb29b/jimaging-10-00302-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c5/11677394/a377303e9510/jimaging-10-00302-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c5/11677394/b340c4f68f76/jimaging-10-00302-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c5/11677394/32b105e1c682/jimaging-10-00302-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c5/11677394/c4cecb35d2fa/jimaging-10-00302-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c5/11677394/7c9ca138449c/jimaging-10-00302-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c5/11677394/67ece15eb29b/jimaging-10-00302-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c5/11677394/a377303e9510/jimaging-10-00302-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c5/11677394/b340c4f68f76/jimaging-10-00302-g006.jpg

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本文引用的文献

1
Consensus Definitions and Interpretation Templates for Magnetic Resonance Imaging of Defecatory Pelvic Floor Disorders: Proceedings of the Consensus Meeting of the Pelvic Floor Disorders Consortium of the American Society of Colon and Rectal Surgeons, the Society of Abdominal Radiology, the International Continence Society, the American Urogynecologic Society, the International Urogynecological Association, and the Society of Gynecologic Surgeons.排便盆底功能障碍性疾病磁共振成像共识定义和解读模板：美国结直肠外科医师学会盆底疾病协会、腹部放射学会、国际尿控协会、美国妇科泌尿协会、国际妇科泌尿协会和妇科外科学会共识会议报告
AJR Am J Roentgenol. 2021 Oct;217(4):800-812. doi: 10.2214/AJR.21.26488. Epub 2021 Sep 10.
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Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse.通过磁共振成像对患有盆腔器官脱垂的男性和女性肛提肌裂孔扩大进行量化分析。
J Vis Exp. 2019 Apr 17(146). doi: 10.3791/58534.
3
Comparison of changes in rectal area and volume during MR evacuation proctography in healthy and constipated adults.健康成年人和便秘成年人在磁共振排粪造影中直肠面积和体积变化的比较。
Neurogastroenterol Motil. 2019 Jul;31(7):e13608. doi: 10.1111/nmo.13608. Epub 2019 Apr 26.
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Magnetic resonance imaging of pelvic floor dysfunction - joint recommendations of the ESUR and ESGAR Pelvic Floor Working Group.盆底功能障碍的磁共振成像——欧洲泌尿生殖放射学会（ESUR）和欧洲胃肠道和腹部放射学会（ESGAR）盆底工作组联合推荐
Eur Radiol. 2017 May;27(5):2067-2085. doi: 10.1007/s00330-016-4471-7. Epub 2016 Aug 3.
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A systematic review of clinical studies on dynamic magnetic resonance imaging of pelvic organ prolapse: the use of reference lines and anatomical landmarks.盆腔器官脱垂动态磁共振成像临床研究的系统评价：参考线和解剖标志的应用
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jun;20(6):721-9. doi: 10.1007/s00192-009-0848-3. Epub 2009 Mar 7.
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Clinical examination and dynamic magnetic resonance imaging in vaginal vault prolapse.阴道穹窿脱垂的临床检查与动态磁共振成像
Obstet Gynecol. 2004 Jan;103(1):41-6. doi: 10.1097/01.AOG.0000102704.29607.FC.
7
Open-magnet MR defaecography compared with evacuation proctography in the diagnosis and management of patients with rectal intussusception.开放式磁共振排粪造影与排粪造影在直肠套叠患者诊断和治疗中的比较
Colorectal Dis. 2004 Jan;6(1):45-53. doi: 10.1111/j.1463-1318.2004.00577.x.
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The urethra and its supporting structures in women with stress urinary incontinence: MR imaging using an endovaginal coil.压力性尿失禁女性的尿道及其支持结构：使用阴道内线圈的磁共振成像
AJR Am J Roentgenol. 2003 Apr;180(4):1037-44. doi: 10.2214/ajr.180.4.1801037.
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Female urinary genuine stress incontinence: anatomic considerations at MR imaging of the paravaginal fascia and urethra initial observations.女性真性压力性尿失禁：阴道旁筋膜和尿道磁共振成像的解剖学考量——初步观察
Radiology. 2002 Nov;225(2):433-9. doi: 10.1148/radiol.2252011347.
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Experience of 4 years with open MR defecography: pictorial review of anorectal anatomy and disease.开放式磁共振排粪造影4年经验：肛肠解剖与疾病的影像回顾
Radiographics. 2002 Jul-Aug;22(4):817-32. doi: 10.1148/radiographics.22.4.g02jl02817.