Three-Dimensional Modeling of the Pelvic Floor Support Systems of Subjects with and without Pelvic Organ Prolapse.

The purpose of this study was to develop three-dimensional finite element models of the whole pelvic support systems of subjects with and without pelvic organ prolapse (POP) that can be used to simulate anterior and posterior wall prolapses. Magnetic resonance imaging was performed in one healthy fe...

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Publicado en:BioMed Research International Vol. 2015; pp. 1 - 10
Autores principales: Ren, Shuang, Xie, Bing, Wang, Jianliu, Rong, Qiguo
Formato: diagnostic images research tables/charts Journal Article
Publicado: Wiley-Blackwell 2/1/2015
Acceso en línea:Ver este registro en EBSCOhost
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        23146133
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      jtl: BioMed Research International
      issn: 23146133
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      dt: 2/1/2015
      vid: 2015
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2015/845985
        109274863
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        atl: Three-Dimensional Modeling of the Pelvic Floor Support Systems of Subjects with and without Pelvic Organ Prolapse.
      aug:
        au:
          Ren, Shuang
          Xie, Bing
          Wang, Jianliu
          Rong, Qiguo
        affil: College of Engineering, Peking University, Beijing 100871, China
      sug:
        subj:
          Pelvic Organ Prolapse Radiography
          Models, Anatomic
          Pelvic Floor Muscles
          Magnetic Resonance Imaging
          Imaging, Three-Dimensional
          Human
          Female
          Middle Age
          Body Mass Index
          Pelvis
          Funding Source
          Middle Aged: 45-64 years
          Female
      ab: The purpose of this study was to develop three-dimensional finite element models of the whole pelvic support systems of subjects with and without pelvic organ prolapse (POP) that can be used to simulate anterior and posterior wall prolapses. Magnetic resonance imaging was performed in one healthy female volunteer (55 years old, para 2) and one patient (56 years old, para 1) with anterior vaginal wall prolapse. Contours of the pelvic structures were traced by a trained gynecologist. Smoothing of the models was conducted and attachments among structures were established. Finite element models of the pelvic support system with anatomic details were established for both the healthy subject and the POP patient. The models include the uterus, vagina with cavity, cardinal and uterosacral ligaments, levator ani muscle, rectum, bladder, perineal body, pelvis, obturator internus, and coccygeal muscle. Major improvements were provided in the modeling of the supporting ligaments and the vagina with high anatomic precision. These anatomically accurate models can be expected to allow study of the mechanism of POP in more realistic physiological conditions. The resulting knowledge may provide theoretical help for clinical prevention and treatment of POP.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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