MR Defecography 2013

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MR Defecography 2013

Post by Admin on Sun Sep 15, 2013 5:22 am

2013 2013 2013 <div dir="ltr" style="text-align: left;" trbidi="on"><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">This is one of the rarely performed procedure and Dr MGK Murthy has graciously shared this video and key points about the procedure.</span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><b><span style="font-family: Arial, Helvetica, sans-serif;">Teaching points</span></b></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><br /><ol style="text-align: left;"><li style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">Dynamic MR Defecography is &nbsp;accepted for study of pelvic floor disorders</span></li><li style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">Approximately 10 to 20 % of &nbsp;OPD patients (Females more than males) (Post surgery more than others) have &nbsp;these disorders. Supine Technique with &nbsp; endorectal filling of ultrasound jelly(120ml average) or mashed potatoes &nbsp;doped with Gadolinium (about1.5 ml) would simulate the normal process&nbsp;</span></li><li style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">At Rest /During &nbsp;maximum sphincter contraction, during Straining &nbsp;and during Defaectaion &nbsp;are &nbsp;studied &nbsp; in mid-sagittal plane multiphase T1 SPGR &nbsp;acquisitions &nbsp;as cine loop (15 mm thick planned on Axial localiser)</span></li><li style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">Anorectal angle (ARA)(between the post border of distal rectum and the central axis of anal canal ) and Pubcoccygeal line (PCL) (inferior &nbsp;pubic symphysis to last coccygeal joint) &nbsp;are the mainstay for study with normal ARA (posteriorly) &nbsp; at rest 90-100 degree, &nbsp;during straining 70-90 degree &nbsp; to &nbsp;during defecation 110-180 degrees.</span></li></ol><br /><div class="separator" style="clear: both; text-align: center;"><object width="320" height="266" class="BLOG_video_class" id="BLOG_video-84a96c4bb73718fa" classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0"><param name="movie" value="//www.youtube.com/get_player"><param name="bgcolor" value="#FFFFFF"><param name="allowfullscreen" value="true"><param name="flashvars" value="flvurl=http://redirector.googlevideo.com/videoplayback?id%3D84a96c4bb73718fa%26itag%3D5%26source%3Dblogger%26app%3Dblogger%26cmo%3Dsensitive_content%253Dyes%26ip%3D0.0.0.0%26ipbits%3D0%26expire%3D1381369948%26sparams%3Did,itag,source,ip,ipbits,expire%26signature%3D495F497B920C364F58630E37CABE29DFCC59F513.95BE823186A4D33C87AF79042129D0111C5EDE67%26key%3Dck2&amp;iurl=http://video.google.com/ThumbnailServer2?app%3Dblogger%26contentid%3D84a96c4bb73718fa%26offsetms%3D5000%26itag%3Dw160%26sigh%3DFF9S4dqZvyJytLcs_O4_F6xbu90&amp;autoplay=0&amp;ps=blogger"><embed src="//www.youtube.com/get_player" type="application/x-shockwave-flash" width="320" height="266" bgcolor="#FFFFFF" flashvars="flvurl=http://redirector.googlevideo.com/videoplayback?id%3D84a96c4bb73718fa%26itag%3D5%26source%3Dblogger%26app%3Dblogger%26cmo%3Dsensitive_content%253Dyes%26ip%3D0.0.0.0%26ipbits%3D0%26expire%3D1381369948%26sparams%3Did,itag,source,ip,ipbits,expire%26signature%3D495F497B920C364F58630E37CABE29DFCC59F513.95BE823186A4D33C87AF79042129D0111C5EDE67%26key%3Dck2&iurl=http://video.google.com/ThumbnailServer2?app%3Dblogger%26contentid%3D84a96c4bb73718fa%26offsetms%3D5000%26itag%3Dw160%26sigh%3DFF9S4dqZvyJytLcs_O4_F6xbu90&autoplay=0&ps=blogger" allowFullScreen="true" /></object></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><b><span style="font-family: Arial, Helvetica, sans-serif;">Disorders to study:</span></b></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">&nbsp;1) Rectoceles( significant if more than 2cms or retention of contrast or reproducibility of symptoms or need &nbsp;for evacuation help by pressing the post vaginal wall)</span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">2)Descending Perineum syndrome (bulging of perineum at rest instead of only at straining)</span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">3) Intussuception (Intra rectal &nbsp;is recto-rectal and extrarectal is clinical &nbsp;rectal prolapse)</span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">4) Spastic Pelvic Floor syndrome (puborectalis which &nbsp;normally &nbsp;maintains continence by pulling the anterior rectal margin, fails to relax during defecation leading to retention of faeces)</span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">5)Others including enteroceles/ inflammations etc</span></div></div><div class="blogger-post-footer">From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com</div><br> 2013 2013 2013 <br><div dir="ltr" style="text-align: left;" trbidi="on"><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">This is one of the rarely performed procedure and Dr MGK Murthy has graciously shared this video and key points about the procedure.</span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><b><span style="font-family: Arial, Helvetica, sans-serif;">Teaching points</span></b></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><br /><ol style="text-align: left;"><li style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">Dynamic MR Defecography is &nbsp;accepted for study of pelvic floor disorders</span></li><li style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">Approximately 10 to 20 % of &nbsp;OPD patients (Females more than males) (Post surgery more than others) have &nbsp;these disorders. Supine Technique with &nbsp; endorectal filling of ultrasound jelly(120ml average) or mashed potatoes &nbsp;doped with Gadolinium (about1.5 ml) would simulate the normal process&nbsp;</span></li><li style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">At Rest /During &nbsp;maximum sphincter contraction, during Straining &nbsp;and during Defaectaion &nbsp;are &nbsp;studied &nbsp; in mid-sagittal plane multiphase T1 SPGR &nbsp;acquisitions &nbsp;as cine loop (15 mm thick planned on Axial localiser)</span></li><li style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">Anorectal angle (ARA)(between the post border of distal rectum and the central axis of anal canal ) and Pubcoccygeal line (PCL) (inferior &nbsp;pubic symphysis to last coccygeal joint) &nbsp;are the mainstay for study with normal ARA (posteriorly) &nbsp; at rest 90-100 degree, &nbsp;during straining 70-90 degree &nbsp; to &nbsp;during defecation 110-180 degrees.</span></li></ol><br /><div class="separator" style="clear: both; text-align: center;"><object width="320" height="266" class="BLOG_video_class" id="BLOG_video-84a96c4bb73718fa" classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0"><param name="movie" value="//www.youtube.com/get_player"><param name="bgcolor" value="#FFFFFF"><param name="allowfullscreen" value="true"><param name="flashvars" value="flvurl=http://redirector.googlevideo.com/videoplayback?id%3D84a96c4bb73718fa%26itag%3D5%26source%3Dblogger%26app%3Dblogger%26cmo%3Dsensitive_content%253Dyes%26ip%3D0.0.0.0%26ipbits%3D0%26expire%3D1381369948%26sparams%3Did,itag,source,ip,ipbits,expire%26signature%3D495F497B920C364F58630E37CABE29DFCC59F513.95BE823186A4D33C87AF79042129D0111C5EDE67%26key%3Dck2&amp;iurl=http://video.google.com/ThumbnailServer2?app%3Dblogger%26contentid%3D84a96c4bb73718fa%26offsetms%3D5000%26itag%3Dw160%26sigh%3DFF9S4dqZvyJytLcs_O4_F6xbu90&amp;autoplay=0&amp;ps=blogger"><embed src="//www.youtube.com/get_player" type="application/x-shockwave-flash" width="320" height="266" bgcolor="#FFFFFF" flashvars="flvurl=http://redirector.googlevideo.com/videoplayback?id%3D84a96c4bb73718fa%26itag%3D5%26source%3Dblogger%26app%3Dblogger%26cmo%3Dsensitive_content%253Dyes%26ip%3D0.0.0.0%26ipbits%3D0%26expire%3D1381369948%26sparams%3Did,itag,source,ip,ipbits,expire%26signature%3D495F497B920C364F58630E37CABE29DFCC59F513.95BE823186A4D33C87AF79042129D0111C5EDE67%26key%3Dck2&iurl=http://video.google.com/ThumbnailServer2?app%3Dblogger%26contentid%3D84a96c4bb73718fa%26offsetms%3D5000%26itag%3Dw160%26sigh%3DFF9S4dqZvyJytLcs_O4_F6xbu90&autoplay=0&ps=blogger" allowFullScreen="true" /></object></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><b><span style="font-family: Arial, Helvetica, sans-serif;">Disorders to study:</span></b></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">&nbsp;1) Rectoceles( significant if more than 2cms or retention of contrast or reproducibility of symptoms or need &nbsp;for evacuation help by pressing the post vaginal wall)</span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">2)Descending Perineum syndrome (bulging of perineum at rest instead of only at straining)</span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">3) Intussuception (Intra rectal &nbsp;is recto-rectal and extrarectal is clinical &nbsp;rectal prolapse)</span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">4) Spastic Pelvic Floor syndrome (puborectalis which &nbsp;normally &nbsp;maintains continence by pulling the anterior rectal margin, fails to relax during defecation leading to retention of faeces)</span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div><div style="text-align: justify;"><span style="font-family: Arial, Helvetica, sans-serif;">5)Others including enteroceles/ inflammations etc</span></div></div><div class="blogger-post-footer">From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com</div><br>2013 2013 2013 <br> <a href="http://www.matrixar.com/" title="Matrix ">المصفوفة : أجمل الخلفيات والصور</a>

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