Dynamic magnetic resonance imaging for grading pelvic organ prolapse according to the international continence society classification: Which line should be used?

Fauconnier, Arnaud; Zareski, Elise; Abichedid, Joseph; Bader, Georges; Falissard, Bruno; Fritel, Xavier

doi:10.1002/nau.20491

Cited by 60Pelvic floor disorders treatmentsUrinary Bladder and Prostate ResearchUterine Myomas and Treatments

Dynamic magnetic resonance imaging for grading pelvic organ prolapse according to the international continence society classification: Which line should be used?

Fauconnier, Arnaud, Zareski, Elise, Abichedid, Joseph, Bader, Georges, Falissard, Bruno, Fritel, Xavier·2008·Neurourology and Urodynamics

DOI 10.1002/nau.20491

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Abstract

Aims: To assess and compare the reliability of dynamic MRI to quantify pelvic organ prolapse (POP) according to the International Continence Society (ICS) using two different reference lines, and to determine which line gives the best concordance with clinical examination. Methods: Forty‐seven patients with genital prolapse underwent physical examination and dynamic MRI. Five nulliparous, symptom‐free female volunteers underwent dynamic MRI as control subjects. Two distinct observers performed the MRI measurements of POP according to the ICS using two distinct reference lines: the mid‐pubic line and a new one, the perineal line that provides a better match with the hymen plane. Measurements were repeated twice according to each line. The intra‐class coefficient was used to estimate intra‐observer and inter‐observer reliability; the Altman and Bland plot was used to assess the agreement between MRI and clinical measurements. Results: The intra‐observer and inter‐observer reliability of MRI measurements were in general excellent. Intra‐class coefficients were better for the mid‐pubic line than the perineal line. Although the MRI measurements correlate significantly with the physical measurements, the Altman and Bland plot shows an unacceptable magnitude of discrepancy between clinical and MRI examinations. Conclusions: Although dynamic MRI shows excellent inter‐ and intra‐observer reliability, its agreement with clinical examination is poor whatever the line used. Neurourol. Urodynam. 27:191–197, 2008. © 2007 Wiley‐Liss, Inc.

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Dynamic MRI has been used to assess prolapse through imaging, but studies suggest that when compared with physical examination there is good to moderate correlation only in the anterior compartment and imaging tends to overestimate the extent of the prolapse.
“Dynamic MRI has been used to assess prolapse through imaging, but studies suggest that when compared with physical examination there is good to moderate correlation only in the anterior compartment and imaging tends to overestimate the extent of the prolapse [32, 33, 34].”
From How Can We Improve the Assessment and Indifferent Outcomes From Pelvic Organ Prolapse Management From Conservative and Surgical Therapies? ICI‐RS 2025 (2026) · cites this paper as [33]

STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
Martin Bland, J., & Altman, D. (1986) · The Lancet · doi:10.1016/s0140-6736(86)90837-8 · Cited by 47,965 · see citing works
Akufo and Ibarapa
Beckett, A. H., Rowland, M., & TURNER, P. (1965) · The Lancet · doi:10.1016/s0140-6736(65)91037-8 · Cited by 16,917 · see citing works
Health Measurement Scales: A Practical Guide to Their Development and Use
Streiner, D. L., Norman, G. R., & Cairney, J. (1989) · Cited by 9,595 · see citing works
The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction
Bump, R. C., Mattiasson, A., Bø, K., Brubaker, L. P., DeLancey, J. O. L., Klarskov, P., Shull, B. L., & Smith, A. R. B. (1996) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(96)70243-0 · Cited by 4,275 · see citing works
Health Measurement Scales--A Practical Guide to Their Development and Use
Waclawski, E. (2010) · Occupational Medicine · doi:10.1093/occmed/kqp179 · Cited by 1,870 · see citing works
Correlation of symptoms with location and severity of pelvic organ prolapse
Ellerkmann, R. M., Cundiff, G. W., Melick, C. F., Nihira, M. A., Leffler, K. S., & Bent, A. E. (2001) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2001.119078 · Cited by 570 · see citing works
Pelvic floor descent in women: dynamic evaluation with fast MR imaging and cinematic display.
Yang, A. Z., Mostwin, J. L., Rosenshein, N. B., & Zerhouni, E. A. (1991) · Radiology · doi:10.1148/radiology.179.1.2006286 · Cited by 353 · see citing works
Progression and remission of pelvic organ prolapse: A longitudinal study of menopausal women
Handa, V. L., Garrett, E., Hendrix, S. L., Gold, E. B., & Robbins, J. A. (2004) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2003.07.017 · Cited by 353 · see citing works
Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society pelvic organ prolapse classification system
Hall, A. F., Theofrastous, J. P., Cundiff, G. W., Harris, R. L., Hamilton, L. F., Swift, S. E., & Bump, R. C. (1996) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(96)70091-1 · Cited by 349 · see citing works
Dynamic MR colpocystorectography assessing pelvic-floor descent
Lienemann, A., Anthuber, C. J., Baron, A., Kohz, P., & Reiser, M. F. (1997) · European Radiology · doi:10.1007/s003300050294 · Cited by 282 · see citing works
Grading pelvic prolapse and pelvic floor relaxation using dynamic magnetic resonance imaging
Comiter, C. V., Vasavada, S. P., Barbaric, Z. L., Gousse, A. E., & Raz, S. (1999) · Urology · doi:10.1016/s0090-4295(99)00165-x · Cited by 260 · see citing works
Two- and 3-dimensional MRI comparison of levator ani structure, volume, and integrity in women with stress incontinence and prolapse
Hoyte, L. P. J., Schierlitz, L., Zou, K. H., Flesh, G., & Fielding, J. R. (2001) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2001.116365 · Cited by 247 · see citing works
Dynamic MR Imaging of the Pelvic Floor Performed with Patient Sitting in an Open-Magnet Unit versus with Patient Supine in a Closed-Magnet Unit
Bertschinger, K. M., Hetzer, F. H., Roos, J. E., Treiber, K., Marinček, B., & Hilfiker, P. R. (2002) · Radiology · doi:10.1148/radiol.2232010665 · Cited by 228 · see citing works
Practical MR Imaging of Female Pelvic Floor Weakness
Fielding, J. R. (2002) · Radiographics · doi:10.1148/radiographics.22.2.g02mr25295 · Cited by 167 · see citing works
Posterior vaginal prolapse and bowel function
Weber, A. M., Walters, M. D., Ballard, L. A., Booher, D. L., & PIEDMONTE, M. R. (1998) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(98)70008-0 · Cited by 164 · see citing works
Assessment and grading of pelvic organ prolapse by use of dynamic magnetic resonance imaging
Singh, K., Reid, W. M. N., & Berger, L. A. (2001) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2001.113876 · Cited by 156 · see citing works
Validation of a simplified technique for using the POPQ pelvic organ prolapse classification system
Swift, S., Morris, S., McKinnie, V., Freeman, R., Petri, E., Scotti, R. J., & Dwyer, P. (2006) · International Urogynecology Journal · doi:10.1007/s00192-006-0076-z · Cited by 133 · see citing works
DYNAMIC HALF FOURIER ACQUISITION, SINGLE SHOT TURBO SPIN-ECHO MAGNETIC RESONANCE IMAGING FOR EVALUATING THE FEMALE PELVIS
Gousse, A. E., Barbaric, Z. L., SAFIR, M. H., Madjar, S., Marumoto, A. K., & Raz, S. (2000) · The Journal of Urology · doi:10.1016/s0022-5347(05)67040-1 · Cited by 128 · see citing works
Interrater reliability and physical examination of the pubovisceral portion of the levator ani muscle, validity comparisons using MR imaging
Kearney, R., Miller, J. M., & DeLancey, J. O. L. (2005) · Neurourology and Urodynamics · doi:10.1002/nau.20181 · Cited by 122 · see citing works
Assessment of pelvic organ descent by use of functional cine‐MRI: Which reference line should be used?
Lienemann, A., Sprenger, D., Janßen, U., Grosch, E., Pellengahr, C. V. S., & Anthuber, C. J. (2003) · Neurourology and Urodynamics · doi:10.1002/nau.10170 · Cited by 98 · see citing works
Levator ani thickness variations in symptomatic and asymptomatic women using magnetic resonance-based 3-dimensional color mapping
Hoyte, L., Jakab, M., Warfield, S. K., Shott, S., Flesh, G., & Fielding, J. R. (2004) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.06.067 · Cited by 92 · see citing works
Use of the Pelvic Organ Prolapse staging system of the International Continence Society, American Urogynecologic Society, and Society of Gynecologic Surgeons in perimenopausal women
Bland, D. R., Earle, B. B., Vitolins, M. Z., & Burke, G. L. (1999) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(99)70371-6 · Cited by 91 · see citing works
Effect of patient position on clinical evaluation of pelvic organ prolapse
Barber, M. D. (2000) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(00)00859-0 · Cited by 78 · see citing works
Functional imaging of the pelvic floor
Lienemann, A., & Fischer, T. (2003) · European Journal of Radiology · doi:10.1016/s0720-048x(03)00164-5 · Cited by 57 · see citing works
Clinical Examination and Dynamic Magnetic Resonance Imaging in Vaginal Vault Prolapse
Cortes, E., Reid, W. M. N., Singh, K., & Berger, L. A. (2004) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000102704.29607.fc · Cited by 46 · see citing works
Triphasic MRI of pelvic organ descent: sources of measurement error
Morren, G. L., Balasingam, A., Wells, J. E., Hunter, A. M., Coates, R., & Perry, R. E. (2004) · European Journal of Radiology · doi:10.1016/j.ejrad.2004.05.009 · Cited by 40 · see citing works
Functional Cine Magnetic Resonance Imaging in Women After Abdominal Sacrocolpopexy
Lienemann, A., SPRENGER, D., ANTHUBER, C., BARON, A., & REISER, M. (2001) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(00)01102-9 · Cited by 32 · see citing works
The role of the MR-fluoroscopy in the diagnosis and staging of the pelvic organ prolapse
Etlik, Ö., Arslan, H., Odabaşı, O., Odabaşı, H., Harman, M., Çelebi, H., & Sakarya, M. E. (2004) · European Journal of Radiology · doi:10.1016/j.ejrad.2004.02.004 · Cited by 28 · see citing works
MRI of pelvic organ prolapse
Pannu, H. K. (2004) · European Radiology · doi:10.1007/s00330-004-2292-6 · Cited by 23 · see citing works
Value of express T2-weighted pelvic MRI in the preoperative evaluation of severe pelvic floor prolapse: a prospective study
Kester, R. R., Leboeuf, L., Amendola, M. A., Kim, S. S., Benoit, A., & Gousse, A. E. (2003) · Urology · doi:10.1016/s0090-4295(03)00038-4 · Cited by 17 · see citing works
[Static and dynamic magnetic resonance imaging of the pelvic floor].
Maubon, A., Martel, M. P. B., Juhan, V., Courtieu, C., Meny, R., Marès, P., & Jp, R. (2000) · PubMed · Cited by 14 · see citing works

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Collins, S., & Lewicky‐Gaupp, C. (2022) · Gastroenterology Clinics of North America · doi:10.1016/j.gtc.2021.10.011 · Cited by 105 · see citing works
A systematic review of clinical studies on dynamic magnetic resonance imaging of pelvic organ prolapse: the use of reference lines and anatomical landmarks
Broekhuis, S. R., Fütterer, J. J., Barentsz, J. O., Vierhout, M. E., & Kluivers, K. B. (2009) · International Urogynecology Journal · doi:10.1007/s00192-009-0848-3 · Cited by 87 · see citing works
POP-Q, dynamic MR imaging, and perineal ultrasonography: do they agree in the quantification of female pelvic organ prolapse?
Broekhuis, S. R., Kluivers, K. B., Hendriks, J. C. M., Fütterer, J. J., Barentsz, J. O., & Vierhout, M. E. (2009) · International Urogynecology Journal · doi:10.1007/s00192-009-0821-1 · Cited by 66 · see citing works
Dynamic magnetic resonance imaging to quantify pelvic organ prolapse: reliability of assessment and correlation with clinical findings and pelvic floor symptoms
Lakeman, M. M. E., Zijta, F. M., Peringa, J., Nederveen, A. J., Stoker, J., & Roovers, J. P. W. R. (2012) · International Urogynecology Journal · doi:10.1007/s00192-012-1772-5 · Cited by 64 · see citing works
On pelvic reference lines and the MR evaluation of genital prolapse: a proposal for standardization using the Pelvic Inclination Correction System
Betschart, C., Chen, L., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2013) · International Urogynecology Journal · doi:10.1007/s00192-013-2100-4 · Cited by 63 · see citing works
International Urogynecological Consultation: clinical definition of pelvic organ prolapse
Collins, S., O’Shea, M. S., Dykes, N., Ramm, O., Edenfield, A. L., Shek, K. L., van Delft, K. W. M., Beestrum, M., & Kenton, K. S. (2021) · International Urogynecology Journal · doi:10.1007/s00192-021-04875-y · Cited by 65 · see citing works
Dynamic magnetic resonance imaging: reliability of anatomical landmarks and reference lines used to assess pelvic organ prolapse
Broekhuis, S. R., Kluivers, K. B., Hendriks, J. C. M., Vierhout, M. E., Barentsz, J. O., & Fütterer, J. J. (2008) · International Urogynecology Journal · doi:10.1007/s00192-008-0760-2 · Cited by 46 · see citing works
MR Imaging of the Pelvic Floor
Khatri, G., de Leon, A. D., & Lockhart, M. E. (2017) · Magnetic Resonance Imaging Clinics of North America · doi:10.1016/j.mric.2017.03.003 · Cited by 45 · see citing works
Underestimation of pelvic organ prolapse in the supine straining position, based on magnetic resonance imaging findings
Grob, A. T. M., Heuvel, J. O., Fütterer, J. J., Massop-Helmink, D. S., van Nieuwenhoven, A. L. V., Simonis, F. F. J., & van der Vaart, C. H. (2019) · International Urogynecology Journal · doi:10.1007/s00192-018-03862-0 · Cited by 43 · see citing works
Dynamic Magnetic Resonance Imaging and pelvic floor disorders: how and when?
Pizzoferrato, A., Timoh, K. N., Fritel, X., Zareski, É., Bader, G., & Fauconnier, A. (2014) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2014.07.025 · Cited by 34 · see citing works
Self-citation
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Reiner, C. S., Williamson, T., Winklehner, T., Lisse, S., Fink, D., DeLancey, J. O. L., & Betschart, C. (2017) · Computerized Medical Imaging and Graphics · doi:10.1016/j.compmedimag.2017.05.005 · Cited by 34 · see citing works
Clinical-decision taking in primary pelvic organ prolapse; the effects of diagnostic tests on treatment selection in comparison with a consensus meeting
Groenendijk, A. G., Birnie, E., Blok, S. D., Adriaanse, A. H., Ankum, W. M., Roovers, J., & Bonsel, G. J. (2009) · International Urogynecology Journal · doi:10.1007/s00192-009-0846-5 · Cited by 33 · see citing works
Dynamic pelvic floor imaging: MRI techniques and imaging parameters
Reiner, C. S., & Weishaupt, D. (2012) · Abdominal Imaging · doi:10.1007/s00261-012-9857-7 · Cited by 31 · see citing works
Interobserver agreement of multicompartment ultrasound in the assessment of pelvic floor anatomy
Lone, F. W., Sultan, A. H., Stankiewicz, A., & Thakar, R. (2016) · British Journal of Radiology · doi:10.1259/bjr.20150704 · Cited by 30 · see citing works
Prevalence of pelvic organ prolapse detected at dynamic MRI in women without history of pelvic floor dysfunction: Comparison of two reference lines
Rosenkrantz, A. B., Lewis, M. T., Yalamanchili, S. S., Lim, R., Wong, S., & Bennett, G. L. (2013) · Clinical Radiology · doi:10.1016/j.crad.2013.09.015 · Cited by 30 · see citing works
Perineal descent and patients’ symptoms of anorectal dysfunction, pelvic organ prolapse, and urinary incontinence
Broekhuis, S. R., Hendriks, J. C. M., Fütterer, J. J., Vierhout, M. E., Barentsz, J. O., & Kluivers, K. B. (2010) · International Urogynecology Journal · doi:10.1007/s00192-010-1099-z · Cited by 26 · see citing works
ACR Appropriateness Criteria Pelvic Floor Dysfunction
Pannu, H. K., Javitt, M. C., Glanc, P., Bhosale, P., Harisinghani, M. G., Khati, N. J., Mitchell, D. G., Nyberg, D. A., Pandharipande, P. V., SHIPP, T. D., et al. (2014) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2014.10.021 · Cited by 25 · see citing works
Study of dynamic magnetic resonance imaging in diagnosis of pelvic organ prolapse
Gupta, S., Sharma, J. B., Hari, S., Kumar, S., Roy, K. K., & Singh, N. (2012) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-012-2381-8 · Cited by 24 · see citing works
MRI Diagnosis of Pelvic Organ Prolapse Compared with Clinical Examination
Pannu, H. K., Scatarige, J. C., & Eng, J. (2011) · Academic Radiology · doi:10.1016/j.acra.2011.05.010 · Cited by 23 · see citing works
Psychosocial problems of women with stress urinary incontinence
Stadnicka, G., Łepecka–Klusek, C., Pilewska-Kozak, A. B., & Jakiel, G. (2015) · Annals of Agricultural and Environmental Medicine · doi:10.5604/12321966.1167723 · Cited by 23 · see citing works
Assessment of a semiautomated pelvic floor measurement model for evaluating pelvic organ prolapse on MRI
Onal, S., Lai-Yuen, S. K., Bao, P. G., Weitzenfeld, A., Greene, K. A., Kedar, R. P., & Hart, S. (2014) · International Urogynecology Journal · doi:10.1007/s00192-013-2287-4 · Cited by 19 · see citing works
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Abdulaziz, M., Kavanagh, A. G., Stothers, L. S., & Macnab, A. J. (2018) · Canadian Urological Association Journal · doi:10.5489/cuaj.5186 · Cited by 19 · see citing works
Use of Dynamic MRI of the Pelvic Floor in the Assessment of Anterior Compartment Disorders
Gupta, A. P., Pandya, P. R., Nguyen, M.-L., Fashokun, T., & Macura, K. J. (2018) · Current Urology Reports · doi:10.1007/s11934-018-0862-4 · Cited by 17 · see citing works
Static and dynamic evaluation of pelvic floor disorders with an open low-field tilting magnet
Fiaschetti, V., Pastorelli, D., Squillaci, E., Funel, V., Rascioni, M., Meschini, A., Salimbeni, C., Sileri, P., Franceschilli, L., & Simonetti, G. (2013) · Clinical Radiology · doi:10.1016/j.crad.2012.11.013 · Cited by 16 · see citing works
Posterior Compartment Prolapse
Richardson, M. L., Elliott, C. S., & Sokol, E. R. (2012) · Urologic Clinics of North America · doi:10.1016/j.ucl.2012.06.005 · Cited by 16 · see citing works
Diagnostic Value of Dynamic Magnetic Resonance Imaging (dMRI) of the Pelvic Floor in Genital Prolapses
Gilyadova, A., Ищенко, А. И., Puchkova, E. N., Mershina, E. A., Petrovichev, V. S., & Reshetov, I. V. (2023) · Biomedicines · doi:10.3390/biomedicines11102849 · Cited by 14 · see citing works
POP-Q Versus Upright MRI Distance Measurements: A Prospective Study in Patients with POP
van der Steen, A., Jochem, K. Y., Consten, E. C. J., Simonis, F. F. J., & Grob, A. T. M. (2024) · International Urogynecology Journal · doi:10.1007/s00192-024-05802-7 · Cited by 13 · see citing works
Supine magnetic resonance defecography for evaluation of anterior compartment prolapse: Comparison with upright voiding cystourethrogram
Kumar, N. M., Khatri, G., Christie, A. L., Sims, R. D., Pedrosa, I., & Zimmern, P. E. (2019) · European Journal of Radiology · doi:10.1016/j.ejrad.2019.05.018 · Cited by 12 · see citing works
Prevalence of dynamic magnetic resonance imaging-identified pelvic organ prolapse in pre- and postmenopausal women without clinically evident pelvic organ descent
Çimşit, C., Yoldemir, T., & Akpınar, İ. (2015) · Acta Radiologica · doi:10.1177/0284185115589123 · Cited by 12 · see citing works
Quantification of Pelvic Mobility on Dynamic Magnetic Resonance Images: Using Mechanical Insight to Help Diagnose Pelvic Pathologies
Lecomte‐Grosbras, P., Witz, J., Brieu, M., Faye, N., Cosson, M., & Rubod, C. (2015) · Strain · doi:10.1111/str.12141 · Cited by 11 · see citing works
Magnetic resonance imaging to evaluate anterior pelvic prolapse: H line is the key
Sierra, K. R., Sánchez-Ballester, F., García‐Ibáñez, J., Duarte, P. P., Flores‐DelaTorre, M., Cataluña, A. M., & López‐Alcina, E. (2021) · Neurourology and Urodynamics · doi:10.1002/nau.24665 · Cited by 11 · see citing works
International Urogynecological Consultation Chapter 2.2: Imaging in the Diagnosis of Pelvic Organ Prolapse
Lipetskaia, L., Gupta, A., Cheung, R. Y. K., Khullar, V., Ismail, S. I. M. F., Bradley, M. S., Karmakar, R., Clifton, S. C., Doo, J., & Quiroz, L. H. (2025) · International Urogynecology Journal · doi:10.1007/s00192-024-05948-4 · Cited by 10 · see citing works
Comparison of magnetic resonance defecography with pelvic floor ultrasound and vaginal inspection in the urogynecological diagnosis of pelvic floor dysfunction
Barakat, B., Afzal, A., Schweda, D., & Laali, A. (2020) · Urology Annals · doi:10.4103/ua.ua_78_19 · Cited by 10 · see citing works
Évaluation de deux systèmes de cotation des prolapsus pelviens en IRM dynamique
Novellas, S., Mondot, L., Bafghi, A. F., Fournol, M., Baudin, G., Coco, L., Bongain, A., & Chevallier, P. (2009) · Journal de Radiologie · doi:10.1016/s0221-0363(09)73270-6 · Cited by 10 · see citing works
Dynamic magnetic resonance imaging; reliability of assessment and correlation with clinical findings of pelvic organ prolapse
Azab, I. M., Nasef, M. A., & Ibrahim, A. (2014) · The Egyptian Journal of Radiology and Nuclear Medicine · doi:10.1016/j.ejrnm.2014.03.011 · Cited by 9 · see citing works
Quantitative assessment of new MRI-based measurements to differentiate low and high stages of pelvic organ prolapse using support vector machines
Onal, S., Lai-Yuen, S. K., Bao, P., Weitzenfeld, A., Hogue, D., & Hart, S. (2014) · International Urogynecology Journal · doi:10.1007/s00192-014-2582-8 · Cited by 8 · see citing works
Assessment of pelvic organ prolapse with the Pelvic Inclination Correction System: defining the normal range and threshold to pathology
Ghafoor, S., Skawran, S., Betschart, C., Winklehner, T., & Reiner, C. S. (2024) · Abdominal Radiology · doi:10.1007/s00261-024-04222-x · Cited by 7 · see citing works
Midpubic Line to Stage Pelvic Organ Prolapse by MRI Defecography As Compared to POP-Q
Schachar, J. S. (2014) · Obstetrics & Gynecology International Journal · doi:10.15406/ogij.2014.01.00011 · Cited by 5 · see citing works
Comparison of measurement systems for posterior vaginal wall prolapse on magnetic resonance imaging
Xie, B., Chen, L., Xue, Z., English, E., Fenner, D. E., Gaetke‐Udager, K., Kolenic, G. E., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2019) · International Urogynecology Journal · doi:10.1007/s00192-019-03939-4 · Cited by 5 · see citing works
Possible role of perineal ultrasound in the diagnosis of cystocele
Schettino, M. T., Dato, E., Rossi, C., Panariello, A., Vascone, C., Coppola, G., Iervolino, S., D’Assisi, D., Mainini, G., & Torella, M. (2015) · Clinical and Experimental Obstetrics & Gynecology · doi:10.12891/ceog2016.2015 · Cited by 4 · see citing works
Effects of Posture and Gravity on Pelvic Organ Prolapse
Abdulaziz, M., Stothers, L. S., & Macnab, A. J. (2018) · InTech eBooks · doi:10.5772/intechopen.77040 · Cited by 4 · see citing works
Motion estimation in ultrasound imaging applied to the diagnostic of pelvic floor disorders
Basarab, A., Vidal, F., Abbal, R., Delachartre, P., Vayssière, C., Lèguevaque, P., & Kouamé, D. (2011) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/iembs.2011.6091987 · Cited by 3 · see citing works
Pubococcygeal Line Versus H-line as MR Defecography Reference for Bladder Descent
Chill, H. H., Martin, L. C., Chang, C., Abramowitch, S. D., & Rostaminia, G. (2024) · International Urogynecology Journal · doi:10.1007/s00192-023-05707-x · Cited by 2 · see citing works
Evacuation Proctography and Dynamic Cystoproctography
Taylor, S. A., & Halligan, S. (2008) · Medical radiology · doi:10.1007/978-3-540-71968-7_4 · Cited by 2 · see citing works
Effect of a speculum blade on dynamic MRI evaluation of pelvic organ prolapse
DELANEY, S., FERNANDEZ, P., Nguyen, A. Q., Salomon, L., Carbonne, B., Laissy, J., & Ansquer, Y. (2009) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1080/00016340902883166 · Cited by 2 · see citing works
Prolapsus des organes pelviens. Du symptôme à la prise en charge thérapeutique
Bader, G., & Koskas, M. (2008) · EMC - Traité de médecine AKOS · doi:10.1016/s1634-6939(08)49797-1 · Cited by 2 · see citing works
Self-citation
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Authors: Fauconnier, A., Zareski, E., Abichedid, J., Bader, G., Falissard, B., & Fritel, X.
Affiliations: Centre Hospitalier Intercommunal de Poissy (FR)
Inserm (FR)
Corresponding author: Fauconnier, Arnaud
ORCID: Fauconnier, Arnaud
Falissard, Bruno
Fritel, Xavier
Venue: Neurourology and Urodynamics
Publisher: Wiley
Published: 2008-03
Volume: 27
Issue: 3
Pages: 191-197
ISSN: 0733-2467 (ISSN-L)
1520-6777
DOI: 10.1002/nau.20491
OpenAlex: W2046569025
Cited by: 60
References: 31
Citations by year: 2026: 4 · 2025: 1 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 5 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 7 · 2013: 5 · 2012: 4
FWCI: 2.51
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Neurourology and Urodynamics (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
Keywords: pelvic organ prolapse, dynamic MRI, reference lines, measurement reliability, observer agreement, clinical examination comparison
MeSH terms: Aged, Female, Humans, Image Interpretation, Computer-Assisted, Magnetic Resonance Imaging, Middle Aged, Pelvis, Severity of Illness Index, Urinary Incontinence, Uterine Prolapse, Valsalva Maneuver, Reproducibility of Results, Observer Variation

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Dynamic magnetic resonance imaging for grading pelvic organ prolapse according to the international continence society classification: Which line should be used?

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