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Abstract #3691

Upright MR imaging of daily variations in pelvic organ position for assessment of pelvic organ prolapse

Lisan M. Morsinkhof1, Anique T.M. Grob2, Angelique L. Veenstra van Nieuwenhoven3, and Frank F.J. Simonis1
1Magnetic Detection & Imaging, TechMed Centre, University of Twente, Enschede, Netherlands, 2Multi-Modality Medical Imaging, TechMed Centre, University of Twente, Enschede, Netherlands, 3Department of Gynecology, Ziekenhuisgroep Twente, Almelo/Hengelo, Netherlands

The choice of treatment for pelvic organ prolapse (POP) depends on determining its maximal extent but this might be subject to daily variations. This study uses upright MRI to determine if pelvic organs descend during the day and to make a comparison between women with and without symptomatic POP. For now, only women without POP were scanned three times during one day in supine and upright position. On average the cervix descended during the day and this effect was larger in upright position. A similar effect is expected in patients making the time of staging POP clinically relevant.

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