TY - JOUR
T1 - 3D ultrasound strain imaging of puborectal muscle with and without unilateral avulsion
AU - Das, Shreya
AU - Hendriks, Gijs A.G.M.
AU - van den Noort, Frieda
AU - Manzini, Claudia
AU - van der Vaart, C. H.
AU - de Korte, Chris L.
N1 - Funding Information:
This research is supported by Gynecological Imaging using 3D Ultrasound (GYNIUS, Project No. 15301) from the Netherlands Organization for Scientific Research (NWO).
Publisher Copyright:
© 2023, The Author(s).
PY - 2023/9
Y1 - 2023/9
N2 - Introduction and hypothesis: The puborectal muscle (PRM), one of the female pelvic floor (PF) muscles, can get damaged during vaginal delivery, leading to disorders such as pelvic organ prolapse. Current diagnosis involves ultrasound (US) imaging of the female PF muscles, but functional information is limited. Previously, we developed a method for strain imaging of the PRM from US images in order to obtain functional information. In this article, we hypothesize that strain in the PRM would differ from intact to the avulsed end. Methods: We calculated strain in PRMs at maximum contraction, along their muscle fiber direction, from US images of two groups of women, which consisted of women with intact (n1 = 8) and avulsed PRMs (unilateral) (n2 = 10). Normalized strain ratios between both ends of the PRM (avulsed or intact) and the mid region were calculated. Subsequently, the difference in ratio between the avulsed and intact PRMs was determined. Results: We observe from the obtained results that the contraction/strain pattern of intact and undamaged PRMs is different from PRMs with unilateral avulsion. Normalized strain ratios between avulsed and intact PRMs were statistically significant (p = 0.04). Conclusion: In this pilot study, we were able to show that US strain imaging of PRMs can show differences between intact PRMs and PRMs with unilateral avulsion.
AB - Introduction and hypothesis: The puborectal muscle (PRM), one of the female pelvic floor (PF) muscles, can get damaged during vaginal delivery, leading to disorders such as pelvic organ prolapse. Current diagnosis involves ultrasound (US) imaging of the female PF muscles, but functional information is limited. Previously, we developed a method for strain imaging of the PRM from US images in order to obtain functional information. In this article, we hypothesize that strain in the PRM would differ from intact to the avulsed end. Methods: We calculated strain in PRMs at maximum contraction, along their muscle fiber direction, from US images of two groups of women, which consisted of women with intact (n1 = 8) and avulsed PRMs (unilateral) (n2 = 10). Normalized strain ratios between both ends of the PRM (avulsed or intact) and the mid region were calculated. Subsequently, the difference in ratio between the avulsed and intact PRMs was determined. Results: We observe from the obtained results that the contraction/strain pattern of intact and undamaged PRMs is different from PRMs with unilateral avulsion. Normalized strain ratios between avulsed and intact PRMs were statistically significant (p = 0.04). Conclusion: In this pilot study, we were able to show that US strain imaging of PRMs can show differences between intact PRMs and PRMs with unilateral avulsion.
KW - UT-Hybrid-D
KW - Ultrasound
KW - Unilateral avulsion
KW - Puborectal muscle
UR - http://www.scopus.com/inward/record.url?scp=85152704048&partnerID=8YFLogxK
U2 - 10.1007/s00192-023-05498-1
DO - 10.1007/s00192-023-05498-1
M3 - Article
C2 - 37058159
AN - SCOPUS:85152704048
SN - 0937-3462
VL - 34
SP - 2225
EP - 2233
JO - International Urogynecology Journal
JF - International Urogynecology Journal
IS - 9
ER -