Purpose of Review

This article provides an overview of MRI as a dynamic imaging modality as well as recent updates on the role of MRI in the evaluation of female pelvic floor disorders, including pelvic organ prolapse (POP), rectal prolapse, and defecatory dysfunction.

Recent Findings

Pelvic floor disorders in women are common, and demand for treatment is high. Recently, multidisciplinary guidelines for dynamic MRI have been published to reflect this need. Despite criticisms that MRI is an expensive modality, cost-analysis studies are demonstrating utility for MRI in surgical decision-making trees for patients at risk for treatment failure after POP repairs. Novel measures such as anterior pelvic area and levator volumes are being used to predict and study patients with and at risk for POP.

Summary

Recent standardized radiographic guidelines as reviewed in this paper will likely lead to improved reproducibility of dynamic MRI techniques across institutions, making complex pelvic floor assessment increasingly accessible to patients while creating opportunities for novel and collaborative research.

中文翻译：

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MRI在骨盆底疾病诊断中的作用。

审查目的

本文概述了MRI作为一种动态成像方式，以及MRI在评估女性盆底疾病（包括盆腔器官脱垂（POP），直肠脱垂和排便障碍）中的作用的最新进展。

最近的发现

妇女的盆底疾病很常见，对治疗的需求很高。最近，动态MRI的多学科指南已经发布，以反映这种需求。尽管有人批评MRI是一种昂贵的治疗手段，但成本分析研究表明MRI在POP修复后有治疗失败风险的患者的手术决策树中的实用性。诸如前骨盆区域和提肌体积之类的新措施已被用于预测和研究患有POP并有POP风险的患者。

概要

如本文所述，最近的标准化放射学指南可能会改善机构间动态MRI技术的可重复性，使患者越来越容易获得复杂的骨盆底评估，同时也为新颖和合作的研究创造了机会。