3d Prolapse
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3d Prolapse
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1 Leon H. Charney Division of Cardiology, New York University Langone Medical Center, New York, NY 10016, USA.
Ricardo Benenstein et al.
Curr Opin Cardiol .
2012 Sep .
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1 Leon H. Charney Division of Cardiology, New York University Langone Medical Center, New York, NY 10016, USA.
Biaggi P, Greutmann M, Crean A.
Biaggi P, et al.
J Am Soc Echocardiogr. 2010 Oct;23(10):1114.e1-4. doi: 10.1016/j.echo.2010.03.032. Epub 2010 May 8.
J Am Soc Echocardiogr. 2010.
PMID: 20452183
Izumo M, Shiota M, Kar S, Gurudevan SV, Tolstrup K, Siegel RJ, Shiota T.
Izumo M, et al.
Am J Cardiol. 2013 Feb 15;111(4):588-94. doi: 10.1016/j.amjcard.2012.10.045. Epub 2012 Dec 1.
Am J Cardiol. 2013.
PMID: 23206924
Gripari P, Mapelli M, Bellacosa I, Piazzese C, Milo M, Fusini L, Muratori M, Ali SG, Tamborini G, Pepi M.
Gripari P, et al.
Int J Cardiovasc Imaging. 2018 Jul;34(7):1099-1107. doi: 10.1007/s10554-018-1324-2. Epub 2018 Feb 26.
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PMID: 29484557
Qamruddin S, Naqvi TZ.
Qamruddin S, et al.
Expert Rev Cardiovasc Ther. 2011 Nov;9(11):1431-43. doi: 10.1586/erc.11.137.
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PMID: 22059792
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Purpose of review:
To review the utility and the latest developments in three-dimensional (3D) echocardiography of mitral valve prolapse.
Recent findings:
Although 3D echocardiography was invented in 1974, it did not gain wide clinical acceptance until the introduction of real-time 3D echocardiography in the first decade of the 21st century. Driven by improvements in probe technology and increases in computing power, 3D echocardiography now provides unprecedented images of mitral valve prolapse and its associated mitral regurgitation with no or minimal requirements for image post processing.
Summary:
3D echocardiography has become the echocardiographic modality of choice for establishing the diagnosis, describing the precise anatomy, and visualization of mitral regurgitant jets in mitral valve prolapse. 3D echocardiography is becoming indispensable in guiding surgical and percutaneous methods of mitral valve repair and replacement.
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Services - Paediatric Ultrasound
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- Non-invasive prenatal screening (Harmony blood test)
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When should I do pelvic floor muscle training ?
© 2014 Specialist Imaging Partners | All Rights Reserved
Pelvic floor imaging uses 3D ultrasound and multi-planer reconstruction software to obtain a comprehensive dynamic assessment of the pelvic floor muscle complex and associated organs.
What are the pelvic floor muscles ?
The pelvic floor is a muscular sling that supports the abdomino- pelvic organs, including the bladder in front, the uterus centrally and the lower bowel and rectum behind. Through the pelvic floor muscles,pass the tubular outlet structures of the urethra (the bladder outlet), the vagina (the front passage), and rectum(the back passage). Your pelvic floor muscles help you to control your bladder and bowel. They also help sexual function. It is vital to keep your pelvic floor muscles strong.
Women of all ages need to have strong pelvic floor muscles.
Pelvic floor muscles can be made weaker by:
That is women who wet themselves when they cough, sneeze or are active- will find pelvic floor muscle training can help in getting over this problem.
Pelvic Floor muscle training will help the body cope with the growing weight of the baby. Healthy, fit muscles before the baby is born will mend more easily after the birth.
You should begin pelvic floor muscle training as soon as you can. Always try to brace your pelvic floor muscles (squeeze up and hold) when you remember during the day and each time you lift your baby.
As women grow older, the pelvic floor muscles need to stay strong because hormone changes after menopause can affect bladder control. As well as this, the pelvic floor muscles change and get weak. A pelvic floor muscle training plan can help to lessen the effects of menopause on pelvic support and bladder control
3D/4D Pelvic floor ultrasound is a simple study that can obtain images comparable to a MRI ,with the advantage of watching the way the pelvic floor muscles are moving in real time.
The images obtained are from a transperineal approach, meaning the ultrasound probe (transducer) is placed externally on the labia. The data obtained can then be manipulated to view the pelvic floor muscles and organs in three planes and in multiple slices similar to a CT scan.
Although prolapse is very often diagnosed clinically, pelvic floor ultrasound can help quantifiy the degree of prolapse of either the bladder, uterus or rectum. It is especially useful in differentiating between different forms of posterior compartment problems. For example, ultrasound can help differentiate a rectocele (descent of the rectum) from a enterocele (descent of the small bowel).
How it helps with symptoms of urinary incontinence ?
With ultrasound we can look at bladder neck mobility. Over-rotation often indicates stress incontinence. We can also look for funneling of the bladder neck which is often associated with leakage or urge incontinence.
How ultrasound can help tell you if you are doing your pelvic floor exercises correclty
Ultrasound can give you dynamic feedback on your pelvic floor muscle strength. By watching the monitor with a trained sonographer you will be able to see the pelvic floor muscles contracting and relaxing as you squeeze.
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University of Michigan Health System. "3D model to help researchers study pelvic floor disorder linked to childbirth." ScienceDaily. ScienceDaily, 8 July 2015. .
University of Michigan Health System. (2015, July 8). 3D model to help researchers study pelvic floor disorder linked to childbirth. ScienceDaily . Retrieved October 14, 2022 from www.sciencedaily.com/releases/2015/07/150708091055.htm
University of Michigan Health System. "3D model to help researchers study pelvic floor disorder linked to childbirth." ScienceDaily. www.sciencedaily.com/releases/2015/07/150708091055.htm (accessed October 14, 2022).
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3D model to help researchers study pelvic floor disorder linked to childbirth https://www.sciencedaily.com/releases/2015/07/150708091055.htm
Researchers have developed the first-ever 3D complete computer model to help study treatment for pelvic organ prolapse, a mysterious condition often linked to childbirth that causes distress and discomfort and requires surgery for more than 200,000 women a year.
It's a mysterious condition often linked to childbirth that causes distress and discomfort and requires surgery for more than 200,000 women a year -- but there's no good way to study it.
Now, researchers at the University of Michigan have developed the first-ever 3D complete computer model to help study treatment for pelvic organ prolapse, a weakening of muscles and ligaments that causes organs like the bladder to drop from their normal place. For many women, the condition causes urinary problems, painful intercourse and uncomfortable pressure.
The biomechanical model, created from a 3D MRI of a healthy 45-year-old woman, was featured in the Journal of Biomechanics. The model was used to evaluate the effects of changing individual aspects of the complex system to see how it affects the other organs; something that can't be done in women.
"What's revolutionary about using computer models is that for the first time in the OB/GYN field, biomechanics is being used to understand not only what happens during birth but how those injuries may evolve into bigger problems later in a woman's life," says senior author John O.L. DeLancey, M.D. director of Pelvic Floor Research and the Norman F. Miller Professor of Obstetrics and Gynecology at the U-M Medical School.
"This specific biomechanical model allows us to better understand the intricacies inside the pelvic floor, such as changes in muscle strength and ligament stiffness that occur with pelvic prolapse. The hope is that this computer model will help us understand why some operations to repair prolapse fail."
DeLancey says about 15-20 percent of repair procedures for pelvic prolapse don't work but the reasons are unclear.
While animal models can be used to study organs like kidneys, the pelvic floor in humans is vastly different in four-legged animals. Authors say computer stimulation will be a key piece of improving pelvic floor research and ultimately treatment for each individual patient.
While there are as many operations for pelvic floor disorders as there are for breast cancer and twice as many as there are for prostate cancer, authors note the condition is less talked about because of its sometimes embarrassing nature.
"Pelvic prolapse has been called a hidden epidemic because it's not discussed as openly and as often as other conditions but it's more prevalent than people realize," says lead author Jiajia Luo, Ph.D., researcher with the Pelvic Floor Research Group and Biomechanics Research Laboratory at the U-M Department of Mechanical Engineering.
"Pelvic prolapse can cause great discomfort for women but we are limited in tailoring treatment. We hope that the insight gained from this sophisticated pelvic model and associated research opens the door to personalizing interventions and improving outcomes for women with this painful condition."
Materials provided by University of Michigan Health System . Note: Content may be edited for style and length.
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