POP-Q, dynamic MR imaging, and perineal ultrasonography: do they agree in the quantification of female pelvic organ prolapse?

被引：46
作者：
Broekhuis, Suzan R. [1 ]
Kluivers, Kirsten B. [1 ]
Hendriks, Jan C. M. [2 ]
Futterer, Jurgen J. [3 ]
Barentsz, Jelle O. [3 ]
Vierhout, Mark E. [1 ]
机构：
[1] Radboud Univ Nijmegen, Med Ctr, Dept Obstet & Gynecol 791, NL-6500 HB Nijmegen, Netherlands
[2] Radboud Univ Nijmegen, Med Ctr, Dept Epidemiol, NL-6500 HB Nijmegen, Netherlands
[3] Radboud Univ Nijmegen, Med Ctr, Dept Radiol, NL-6500 HB Nijmegen, Netherlands
来源：
INTERNATIONAL UROGYNECOLOGY JOURNAL | 2009年 / 20卷 / 05期
关键词：
Agreement; Magnetic resonance imaging; Pelvic organ prolapse; Perineal ultrasonography; Physical examination; POP-Q; ULTRASOUND; FLOOR; RELIABILITY; DESCENT;
D O I：
10.1007/s00192-009-0821-1
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
This study evaluates the agreement in prolapse staging between clinical examination, dynamic magnetic resonance (MR), imaging and perineal ultrasonography. Anatomical landmarks in the anterior, central, and posterior compartment were assessed in relation to three reference lines on dynamic MR imaging and one reference line on dynamic ultrasonography. These measurements were compared to the according POP-Q measurements. Agreement between the three methods was analyzed with Spearman's rank correlation coefficient (r (s)) and Bland and Altman plots. Correlations were good to moderate in the anterior compartment (r (s) range = 0.49; 0.70) and moderate to poor (r (s) range = -0.03; 0.49) in the central and posterior compartment. This finding was independent of the staging method and reference lines used. Pelvic organ prolapse staging with the use of POP-Q, dynamic MR imaging, and perineal ultrasonography only correlates in the anterior compartment.
引用
收藏
页码：541 / 549
页数：9
相关论文
共 18 条
[1]   Assessment of posterior vaginal wall prolapse:: comparison of physical findings to cystodefecoperitoneography [J].
Altman, D ;
López, A ;
Kierkegaard, J ;
Zetterström, J ;
Falconer, C ;
Pollack, J ;
Mellgren, A .
INTERNATIONAL UROGYNECOLOGY JOURNAL, 2005, 16 (02) :96-103
[2]   4-CONTRAST DEFECOGRAPHY - PELVIC FLOOR-OSCOPY [J].
ALTRINGER, WE ;
SACLARIDES, TJ ;
DOMINGUEZ, JM ;
BRUBAKER, LT ;
SMITH, CS .
DISEASES OF THE COLON & RECTUM, 1995, 38 (07) :695-699
[3]  
Barbaric Z L, 2001, Top Magn Reson Imaging, V12, P83, DOI 10.1097/00002142-200104000-00002
[4]   STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT [J].
BLAND, JM ;
ALTMAN, DG .
LANCET, 1986, 1 (8476) :307-310
[5]   Test-retest and intra-observer repeatability of two-, three- and four-dimensional perineal ultrasound of pelvic floor muscle anatomy and function [J].
Braekken, Ingeborg Hoff ;
Majida, Memona ;
Ellstrom-Engh, Marie ;
Dietz, Hans Peter ;
Umek, Wolfgang ;
Bo, Kari .
INTERNATIONAL UROGYNECOLOGY JOURNAL, 2008, 19 (02) :227-235
[6]   Dynamic magnetic resonance imaging: reliability of anatomical landmarks and reference lines used to assess pelvic organ prolapse [J].
Broekhuis, Suzan R. ;
Kluivers, Kirsten B. ;
Hendriks, Jan C. M. ;
Vierhout, Mark E. ;
Barentsz, Jelle O. ;
Fuetterer, Jurgen J. .
INTERNATIONAL UROGYNECOLOGY JOURNAL, 2009, 20 (02) :141-148
[7]   The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction [J].
Bump, RC ;
Mattiasson, A ;
Bo, K ;
Brubaker, LP ;
DeLancey, JOL ;
Klarskov, P ;
Shull, BL ;
Smith, ARB .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1996, 175 (01) :10-17
[8]   Clinical examination and dynamic magnetic resonance imaging in vaginal vault prolapse [J].
Cortes, E ;
Reid, WMN ;
Singh, K ;
Berger, L .
OBSTETRICS AND GYNECOLOGY, 2004, 103 (01) :41-46
[9]   Ultrasound imaging of the pelvic floor. Part II: three-dimensional or volume imaging [J].
Dietz, HP .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2004, 23 (06) :615-625
[10]   Ultrasound in the quantification of female pelvic organ prolapse [J].
Dietz, HP ;
Haylen, BT ;
Broome, J .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2001, 18 (05) :511-514
12