Carolina Augusta Modena Heming MD, Presenter: Nothing to Disclose

Antonio Eiras-Araujo MD, Abstract Co-Author: Nothing to Disclose

Jaime Araujo Oliveira Neto MD, Abstract Co-Author: Nothing to Disclose

Rosana Souza Rodrigues MD, PhD, Abstract Co-Author: Nothing to Disclose

Daniella Braz Parente MD, Abstract Co-Author: Nothing to Disclose

1. Review pelvic floor normal anatomy and landmarks. 2. Describe how to perform, what to look for, and how to interpret MR defecography. 3. Illustrate the different pathologies of the pelvic floor (pictures and videos) and their grading system. 4. Discuss the common pitfalls and limitations, and the proper reporting method.

1. MRI Protocols: Anatomic Study (small FOV, 3mm slice thickness, adequate angulation) and Dynamic Study (Rest, Sphincter contraction, Valsalva maneuver, Evacuation) 2. Normal anatomy of the pelvic floor: bladder, urethra, uterus, vagina, anorectal junction, puborectal, pubococcigeal, and ileococcigeal muscles, external and internal anal sphincters, ligaments, fasciae, perineal body. 3. Important landmarks: pubococcygeal line, H line, M line, anorectal angle. 4. Examples of different pathologies: urethral hypermobility, cystocele, uterine prolapse, anterior rectocele, rectal prolapse, rectal and anal invagination, enterocele, peritoniocele, spastic pelvic floor syndrome, anal incontinence.

http://abstract.rsna.org/uploads/2014/14012876/14012876_a343.pdf

Heming, C, Eiras-Araujo, A, Oliveira Neto, J, Rodrigues, R, Parente, D, MR Defecography: A Comprehensive Review of the Pelvic Floor Anatomy — How To Do It and What to Look For!.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14012876.html