{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T01:33:11Z","timestamp":1793755991072,"version":"4.6.1"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T00:00:00Z","timestamp":1727481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T00:00:00Z","timestamp":1727481600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100009913","name":"Naval Medical Center San Diego","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100009913","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction and Hypothesis<\/jats:title>\n                <jats:p>Concurrent pelvic organ and rectal prolapse have an incidence of 38%. Dynamic pelvic magnetic resonance imaging (MRI) is the modality of choice for workup. We discuss dynamic pelvic MRI indications, interpretation, and clinical application to pelvic floor disorders.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The pubococcygeal line (PCL) extends from the pubic symphysis to the last coccygeal joint. The \u201cH line\u201d demonstrates the levator hiatus size, drawn from the inferior pubic symphysis to the posterior rectal wall at the anorectal junction. The \u201cM line\u201d represents vertical descent of the levator hiatus and extends perpendicularly from the PCL to the posterior aspect of the H line. With rectovaginal fascial defects, the small bowel, the peritoneum, and the sigmoid colon can prolapse. Posterior compartment abnormalities include rectocele, rectal prolapse, and descending perineal syndrome. Pelvic MRI can evaluate functional disorders such as anismus, where the anorectal angle is narrowed and associated with lack of pelvic floor descent and incomplete evacuation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Particularly for patients with concurrent urogynecological and colorectal complaints, previous pelvic reconstructive surgery, or when clinical symptomatology does not correlate with physical examination, dynamic pelvic MRI can impact management. It is critical for pelvic reconstructive surgeons to be familiar with this imaging modality to counsel patients and interpret radiographic findings.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00192-024-05935-9","type":"journal-article","created":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T09:01:37Z","timestamp":1727514097000},"page":"2223-2225","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The \u201cIns and Outs\u201d of Dynamic Magnetic Resonance Imaging for Female Pelvic Organ Prolapse"],"prefix":"10.1007","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5338-3733","authenticated-orcid":false,"given":"Eva K.","family":"Welch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Warren","family":"Ross","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine L.","family":"Dengler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel D.","family":"Gruber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon","family":"Lamb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,9,28]]},"reference":[{"issue":"4","key":"5935_CR1","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1016\/S0029-7844(97)00058-6","volume":"89","author":"AL Olsen","year":"1997","unstructured":"Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89(4):501\u20136. https:\/\/doi.org\/10.1016\/S0029-7844(97)00058-6.","journal-title":"Obstet Gynecol"},{"issue":"5","key":"5935_CR2","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1007\/s10151-020-02179-9","volume":"24","author":"C Cantiani","year":"2020","unstructured":"Cantiani C, Sgamma D, Grossi E, Sacc\u00e1 D, Meli OR, Lai Q, Gaj F. Posterior pelvic tilt is a risk factor for rectal prolapse: a propensity score matching analysis. Tech Coloproctol. 2020;24(5):463\u20139. https:\/\/doi.org\/10.1007\/s10151-020-02179-9.","journal-title":"Tech Coloproctol"},{"issue":"1","key":"5935_CR3","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1186\/s13244-019-0687-nn9","volume":"10","author":"JC Salvador","year":"2019","unstructured":"Salvador JC, Coutinho MP, Ven\u00e2ncio JM, Viamonte B. Dynamic magnetic resonance imaging of the female pelvic floor\u2014a pictorial review. Insights Imaging. 2019;10(1):4. https:\/\/doi.org\/10.1186\/s13244-019-0687-nn9.","journal-title":"Insights Imaging"},{"issue":"5","key":"5935_CR4","doi-asserted-by":"publisher","first-page":"1417","DOI":"10.1148\/rg.345140137","volume":"34","author":"L Garc\u00eda del Salto","year":"2014","unstructured":"Garc\u00eda del Salto L, de Miguel Criado J, Aguilera del Hoyo LF, Guti\u00e9rrez Velasco L, Fraga Rivas P, Manzano Paradela M, D\u00edez P\u00e9rez de las Vacas MI, Marco Sanz AG, Fraile Moreno E. MR imaging-based assessment of the female pelvic floor. Radiographics. 2014;34(5):1417\u201339. https:\/\/doi.org\/10.1148\/rg.345140137.","journal-title":"Radiographics"},{"issue":"5","key":"5935_CR5","doi-asserted-by":"publisher","first-page":"2067","DOI":"10.1007\/s00330-016-4471-7","volume":"27","author":"RF El Sayed","year":"2017","unstructured":"El Sayed RF, Alt CD, Maccioni F, Meissnitzer M, Masselli G, Manganaro L, Vinci V, Weishaupt D, ESUR and ESGAR Pelvic Floor Working Group. Magnetic resonance imaging of pelvic floor dysfunction\u2014joint recommendations of the ESUR and ESGAR Pelvic Floor Working Group. Eur Radiol. 2017;27(5):2067\u201385. https:\/\/doi.org\/10.1007\/s00330-016-4471-7.","journal-title":"Eur Radiol"},{"issue":"4","key":"5935_CR6","doi-asserted-by":"publisher","first-page":"800","DOI":"10.2214\/AJR.21.26488","volume":"217","author":"BH Gurland","year":"2021","unstructured":"Gurland BH, Khatri G, Ram R, Hull TL, Kocjancic E, Quiroz LH, Sayed RFE, Jambhekar KR, Chernyak V, Paspulati RM, Sheth VR, Steiner AM, Kamath A, Shobeiri SA, Weinstein MM, Bordeianou L, Members of the Expert Workgroup on Magnetic Resonance Imaging of Pelvic Floor Disorders. 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. AJR Am J Roentgenol. 2021;217(4):800\u201312. https:\/\/doi.org\/10.2214\/AJR.21.26488.","journal-title":"AJR Am J Roentgenol"},{"issue":"2","key":"5935_CR7","doi-asserted-by":"publisher","first-page":"e71","DOI":"10.1016\/j.crad.2013.09.015","volume":"69","author":"AB Rosenkrantz","year":"2014","unstructured":"Rosenkrantz AB, Lewis MT, Yalamanchili S, Lim RP, Wong S, Bennett GL. Prevalence of pelvic organ prolapse detected at dynamic MRI in women without history of pelvic floor dysfunction: comparison of two reference lines. Clin Radiol. 2014;69(2):e71\u20137. https:\/\/doi.org\/10.1016\/j.crad.2013.09.015.","journal-title":"Clin Radiol"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-024-05935-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-024-05935-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-024-05935-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T14:02:57Z","timestamp":1734012177000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-024-05935-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,28]]},"references-count":7,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["5935"],"URL":"https:\/\/doi.org\/10.1007\/s00192-024-05935-9","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,28]]},"assertion":[{"value":"16 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 August 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 September 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from the patient for publication of this video article and any accompanying images.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}},{"value":"The authors report no conflicts of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of Interest"}},{"value":"The opinions expressed in this presentation are those of the authors and do not represent the Department of Health and Human Services or the Department of Defense.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclaimer"}}]}}