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| 1 | Magnetic resonance imaging in assessment of stress urinary incontinence in women: Parameters differentiating urethral hypermobility and intrinsic sphincter deficiency显示文摘AIM: To define the magnetic resonance imaging(MRI) parameters differentiating urethral hypermobility(UH) and intrinsic sphincter deficiency(ISD) in women with stress urinary incontinence(SUI).METHODS: The static and dynamic MR images of 21 patients with SUI were correlated to urodynamic(UD) findings and compared to those of 10 continent controls. For the assessment of the urethra and integrity of the urethral support structures, we applied the highresolution endocavitary MRI, such as intraurethral MRI, endovaginal or endorectal MRI. For the functional imaging of the urethral support, we performed dynamic MRI with the pelvic phased array coil. We assessed the following MRI parameters in both the patient and thevolunteer groups:(1) urethral angle;(2) bladder neck descent;(3) status of the periurethral ligaments,(4) vaginal shape;(5) urethral sphincter integrity, length and muscle thickness at mid urethra;(6) bladder neck funneling;(7) status of the puborectalis muscle;(8) pubo-vaginal distance. UDs parameters were assessed in the patient study group as follows:(1) urethral mobility angle on Q-tip test;(2) Valsalva leak point pressure(VLPP) measured at 250 cc bladder volume; and(3) maximum urethral closure pressure(MUCP). The UH type of SUI was defined with the Q-tip test angle over 30 degrees, and VLPP pressure over 60 cm H2 O. The ISD incontinence was defined with MUCP pressure below 20 cm H2 O, and VLPP pressure less or equal to 60 cm H2 O. We considered the associations between the MRI and clinical data and UDs using a variety of statistical tools to include linear regression, multivariate logistic regression and receiver operating characteristic(ROC) analysis. All statistical analyses were performed using STATA version 9.0(Stata Corp LP, College Station, TX).RESULTS: In the incontinent group, 52% have history of vaginal delivery trauma as compared to none in control group(P < 0.001). There was no difference between the continent volunteers and incontinent patients in body habitus as assessed by the body mass index. Pubovaginal distance and periurethral ligament disruption are significantly associated with incontinence; periurethral ligament symmetricity reduces the odds of incontinence by 87%. Bladder neck funneling and length of the suprapubic urethral sphincter are significantly associated with the type of incontinence on UDs; funneling reduced the odds of pure UH by almost 95%; increasing suprapubic urethral sphincter length at rest is highly associated with UH. Both MRI variables result in a predictive model for UDs diagnosis(area under the ROC = 0.944). CONCLUSION: MRI may play an important role in assessing the contribution of hypermobility and sphincteric dysfunction to the SUI in women when considering treatment options. | Katarzyna Jadwiga Macura Richard Eugene Thompson David Alan Bluemke Rene Genadry | 2015 | World Journal of Radiology2015,7,11: | 10 |
| 2 | 由磁共振成像评估的主动脉弓脉搏波传导速度是心血管事件的预测因子:多种族动脉粥样硬化研究显示文摘通过磁共振成像评估的主动脉弓脉搏波传导速度(pulse wave velocity,PWV)对心血管病事件的预测价值尚未完全确定。为了评估多种族动脉粥样硬化研究(multi-ethnic study of atherosclerosis,MESA)受试者中主动脉弓PWV与心血管病的关系,Ohyama等纳入3527例MESA受试者[基线时平均年龄为(62±10)岁,47%为男性], | 刘莉 叶鹏 Ohyama Y Ambale-Venkatesh B Noda C Kim JY Tanami Y Teixido-Tura G Chugh AR Redheuil A Liu CY Wu CO Hundley WG Bluemke DA Guallar E Lima JAC | 2017 | 中华高血压杂志2017,25,8: | 2 |
| 3 | Surgical segmental anatomy of the liver: demonstration with spiral CT during arterial portography and multiplannar reconstruction显示文摘 | Bluemke DA Bliss DF | 1994 | AJR1994,13,1: | 1 |
| 4 | Diagnostic architectural and dynamic features at breast MR imaging: multicenter study显示文摘 | Schnall MD Blume J Bluemke DA | 2006 | Radiology2006,238,: | 1 |
| 5 | MRI of avascular necrosis of bone显示文摘 | Bluemke DA Zerhouni EA | 1996 | Top Magn Reson Imaging1996,8,: | 1 |
| 6 | Accuracy of contrast-enhanced magnetic resonance imaging in predicting improvement of regional myocardial function in patient after acute myocardial infarction显示文摘 | Gerber B L Garot J Bluemke D A | 2002 | Circulation2002,106,: | 1 |
| 7 | Coronary artery calci-fication compared with carotid intima-media thicknessin the prediction of cardiovascular disease incidence:the Multi-Ethnic Study of Atherosclerosis (MESA)显示文摘 | Folsom A R Kronmal R A Detrano R C O'Leary DH Bild D E Bluemke D A | 2008 | Arch Intern Med2008,168,: | 1 |
| 8 | ACCF/ACR/AHA/NASCI/SCMR 2010 Expert Consensus Document on Cardiovascular Magnetic Resonance显示文摘 | W. Gregory Hundley David A. Bluemke J. Paul Finn Scott D. Flamm Mark A. Fogel Matthias G. Friedrich Vincent B. Ho Michael Jerosch-Herold Christopher M. Kramer Warren J. Manning Manesh Patel Gerald M. Pohost Arthur E. Stillman Richard D. White Pamela K. Wo | 2010 | Journal of the American College of Cardiology2010,,23: | 1 |
| 9 | Sex hormones are associated with right ventricular structure and function: The MESA-right ventricle study显示文摘 | Ventetuolo C E Ouyang P Bluemke D A | 2011 | Am J Respir Crit Care Med2011,183,5: | 1 |
| 10 | Identification of the aberrant hepatic artery with axial spiral CT显示文摘 | Chambers TP Fishman EK Bluemke DA | 1995 | J Vase Inter Radiol1995,6,4: | 1 |
| 11 | Potentially respectable pancreatic adenocarcinoma: spiral CT assessment with surgical and pathologic correlation 显示文摘 | Bluemke D A Cameron J L Hruban R H | 1995 | Radiology1995,197,2: | 1 |
| 12 | Magnetic resonance assessment of the substrate for inducible ventricular tachycardia in non-ischemic cardiomyopathy显示文摘 | Nazarian S Bluemke DA Lardo AC | 2005 | Circulation2005,112,18: | 1 |
| 13 | MR Imaging of intrahepatic cholangiocarcinomas显示文摘 | Bluemke OA Sibert A | 1995 | Abdom Imaging1995,20,2: | 1 |
| 14 | Biotechnologieal production of 2-phenylethanol 显示文摘 | ETSCHMANN M M W BLUEMKE W SELL D | 2002 | Applied Microbiology and Biotechnology2002,59,1: | 1 |
| 15 | Portalphase contrast-enhanced helical CT for the detection of malignant hepatic tumors:Sensitivity based on comparison with intraoperative and pathologic findings显示文摘 | KUSZYK B S BLUEMKE D A URBAN B A | 1996 | Am J Rcentgenol1996,166,1: | 1 |
| 16 | Intrahepatic cholangiocarcinoma:findings on spiral CT during arterial portography显示文摘 | Soyer P Bluemke DA Hruban RH | 2007 | Eur J Radiol2007,19,2: | 1 |
| 17 | Magnitude and time course of microvascular obstruction and tissue injury after acute myocardial infarction显示文摘 | Rochitte C E Lima J A Bluemke D A | 1998 | Circulation1998,98,10: | 1 |
| 18 | Diagnostic architec- tural and dynamic features at breast MR imaging:multicenter study显示文摘 | Schnall MD Blume J Bluemke DA | 2006 | Radiology2006,238,: | 1 |
| 19 | Quantification and time course of microvascular obstruction by contrast-enhanced echocardiography and magnetic resonance imaging following acute myocardialinfarction and reperfusion显示文摘 | Wu K C Kim R J Bluemke D A | 1998 | J Am Coil Cardiol1998,32,6: | 1 |
| 20 | Magnetic reso- nance assessment of the substrate for inducible ventricular tachycardia in nonischemic cardiomyopathy 显示文摘 | Nazarian S Bluemke DA Lardo AC | 2005 | Circulation2005,112,: | 1 |