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Pelvic Floor Dysfunction DFP

DFP Profile

DFP NAME:

SAR Pelvic Floor Dysfunction DFP

 

MISSION:

The mission of the SAR’s Pelvic Floor Dysfunction Disease-focused Panel is to engage expert pelvic floor radiologists and clinicians in the fields of urology, urogynecology, gastroenterology, colorectal surgery, and physical medicine and rehabilitation to help bridge current gaps in understanding, and standardize indications, acquisition techniques, and reporting of pelvic floor imaging. 

The broad objectives of this DFP are to develop educational materials, joint recommendations, and scientific collaborations that will impact patient care and improve imaging of pelvic floor dysfunction.

 

DFP GOALS:

Improvements in patient care

1. Diagnosis – Correlate physical examination (Pelvic Organ Prolapse Quantification criteria) and surgical findings with radiology findings on MRI, fluoroscopic defecography, and ultrasound.

2. Establish “normal” and abnormal MRI appearance of the pelvic floor in asymptomatic controls and symptomatic patients.

3. Evaluate and enhance imaging techniques in patients with implanted surgical material in the pelvis.

a. Urethral bulking agents
b. Urethral slings
c. Vaginal mesh

4. Correlate imaging findings on MRI with those on ultrasound in patients presenting with complications post pelvic floor repair with mesh, slings, and urethral bulking agents.

Improvements in radiology practice 

5. Assess current use of imaging for pelvic floor dysfunction across various radiology departments nationally and internationally.

6. Standardize radiological techniques and protocols for assessment of pelvic floor dysfunction.

a. Application of ACR appropriateness criteria

b. Standardized nomenclature and reporting criteria/templates

c. Improve reproducibility and consistency of study performance technique across institutions with focus on MRI, fluoroscopy, and ultrasound

d. Consider how different techniques affect threshold values and diagnostic accuracy

7. Develop strategies for education of and collaboration between radiologists, technologists, and referring physicians regarding the utility and application of imaging in pelvic floor dysfunction


SAR Pelvic Floor Dysfunction DFP Members:

1. Simin Bahrami, MD

2. Victoria Chernyak, MD

3. Rania Farouk El Sayed, MD, PhD

4. Julia R. Fielding, MD

5. Milana Flusberg, MD

6. Phyllis Glanc, MD

7. Marta Heilbrun, MD (liaison on oversight committee)

8. Kedar Jambhekar, MD

9. Gaurav Khatri, MD

10. Neeraj Lalwani, MD

11. Susanna Lee, MD (liaison on oversight committee)

12. Mark Lockhart, MD, MPH

13. Dean Maglinte, MD

14. Suzanne Palmer, MD

15. Harpeet Pannu, MD

16. Roopa Ram, MD

17. Ari Steiner, MD

 

Consultant Non-radiologists:

Larissa Rodriguez, MD, Primary

Philippe Zimmern, MD, Secondary

 

Leadership Team

Gaurav Khatri, MD and Kedar Jambhekar, MD, Co-Chairs

 

Active Projects:

1. Survey of national and international radiology departments

2. Development of standardized dictation templates for imaging of pelvic floor dysfunction

3. Collaboration with ESUR and other clinical societies

 


 

Member Resources

Information for patients:


RadiologyInfo MRI- Dynamic Pelvic Floor (web version)
http://www.radiologyinfo.org/en/info.cfm?pg=dynamic-pelvic-floor-mri


American College of Radiology Appropriateness Criteria
https://acsearch.acr.org/docs/3083064/Narrative/

 

 

 

Pelvic Floor Imaging Review Articles (Chronologic):

 

Total pelvic floor ultrasound for pelvic floor defaecatory dysfunction: a pictorial review. Br J Radiol. 2015
http://www.ncbi.nlm.nih.gov/pubmed/26388109

A review of functional pelvic floor imaging modalities and their effectiveness. Clin Imaging. 2015
http://www.ncbi.nlm.nih.gov/pubmed/25770903

MR imaging-based assessment of the female pelvic floor. Radiographics. 2014
http://www.ncbi.nlm.nih.gov/pubmed/25208288

Magnetic resonance imaging of pelvic floor disorders. Top Magn Reson Imaging. 2014
http://www.ncbi.nlm.nih.gov/pubmed/25099563

Role of conventional radiology and MRI defecography of pelvic floor hernias. BMC Surg. 2013
http://www.ncbi.nlm.nih.gov/pubmed/24267789

Magnetic resonance imaging of pelvic floor dysfunction. Radiol Clin North Am. 2013
http://www.ncbi.nlm.nih.gov/pubmed/24210448

The urogynecological side of pelvic floor MRI: the clinician's needs and the radiologist's role. Abdom Imaging. 2013
http://www.ncbi.nlm.nih.gov/pubmed/22653053

Pelvic floor ultrasound: a review. Am J Obstet Gynecol. 2010
http://www.ncbi.nlm.nih.gov/pubmed/20350640

MRI of pelvic floor dysfunction: review. AJR Am J Roentgenol. 2008
http://www.ncbi.nlm.nih.gov/pubmed/19018049

 

 

DFP Recommended Templates

MR Defecography Template

PDF: http://www.abdominalradiology.org/resource/resmgr/education_dfp/PelvicFloor/MRdeftemplate7.2017(P).pdf

Word: http://www.abdominalradiology.org/resource/resmgr/education_dfp/PelvicFloor/MRdeftemplate7.2017(W).docx

 

 


Chandana Lall
Email: admin@abdominalradiology.org | Phone: 713-965-0566
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