Volumetric segmentation analysis of the levator ani muscle using magnetic resonance imaging in pelvic floor function assessment

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dc.authorid0000-0002-0202-8555
dc.authorid0000-0003-1324-2810
dc.authorid0000-0003-4739-189X
dc.contributor.authorYaşar, Ayşenur Buz
dc.contributor.authorYüzok, Rüveyde Begüm
dc.contributor.authorDağıstan, Emine
dc.date.accessioned2024-09-25T19:59:58Z
dc.date.available2024-09-25T19:59:58Z
dc.date.issued2024
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü en_US
dc.description.abstractPURPOSE In this case-control study, we aimed to evaluate how muscle volume affects pelvic floor function by analyzing the levator ani muscle (LAM) using volumetric segmentation in addition to standard magnetic resonance (MR) defecography assessments. METHODS We enrolled 85 patients with varying degrees of pelvic floor dysfunction (PFD) and 85 age- and gender-matched controls in this retrospective study. All patients had MR defecography images, while all controls had pelvic MR images obtained for other reasons. Group comparisons were performed using independent samples t-tests and Mann-Whitney U tests. The receiver operating curve (ROC) was constructed to establish a cut-off value for a normal LAM volume. Interrater reliability was assessed by calculating the intraclass correlation coefficient. A P value of less than 0.05 was considered statistically significant. RESULTS Volumetric measurements revealed that the control group had higher LAM volumes, and the ROC curve analysis indicated a cut-off value of 38934.3 mm 3 with a sensitivity of 0.812 and specificity of 0.8 for PFD assessment using LAM volumetric measurement. Gender did not significantly affect LAM volume in the control group. CONCLUSION Alongside the useful structural and functional information acquired from MR defecography images, volumetric analysis, and three-dimensional reconstructions of LAM may help to improve the accuracy of the diagnosis.en_US
dc.identifier.doi10.4274/dir.2024.232586
dc.identifier.endpage227en_US
dc.identifier.issn1305-3612
dc.identifier.issue4en_US
dc.identifier.pmid38375767en_US
dc.identifier.scopus2-s2.0-85192787085en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage220en_US
dc.identifier.urihttps://doi.org/10.4274/dir.2024.232586
dc.identifier.urihttps://hdl.handle.net/20.500.12491/14005
dc.identifier.volume30en_US
dc.identifier.wosWOS:001274047800002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorYüzok, Rüveyde Begüm
dc.institutionauthorYaşar, Ayşenur Buz
dc.institutionauthorDağıstan, Emine
dc.institutionauthorid0000-0002-0202-8555
dc.institutionauthorid0000-0003-1324-2810
dc.institutionauthorid0000-0003-4739-189X
dc.language.isoenen_US
dc.publisherTurkish Soc Radiologyen_US
dc.relation.ispartofDiagnostic and Interventional Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzYK_20240925en_US
dc.subjectSegmentation Levator Anı Muscleen_US
dc.subjectPelvic Floor Dysfunctionen_US
dc.subjectMagnetic Resonance Defecographyen_US
dc.subjectVol-Umetric Measurementen_US
dc.subjectDefecography Images
dc.subjectMann-Whitney U Tests
dc.titleVolumetric segmentation analysis of the levator ani muscle using magnetic resonance imaging in pelvic floor function assessmenten_US
dc.typeArticleen_US

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