Sangam: A Confluence of Knowledge Streams

Measurement of the pubic portion of the levator ani muscle in women with unilateral defects in 3â D models from MR images

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dc.contributor Department of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, USA
dc.contributor Division of Gynecology, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, Michigan, USA
dc.creator Chen, L.
dc.creator Hsu, Y.
dc.creator Ashton‐miller, J.a.
dc.creator DeLancey, J.O.L.
dc.date 2017-01-10T19:02:56Z
dc.date 2017-01-10T19:02:56Z
dc.date 2006-03
dc.date.accessioned 2022-05-19T10:35:06Z
dc.date.available 2022-05-19T10:35:06Z
dc.identifier Chen, L.; Hsu, Y.; Ashton‐miller, J.a. ; DeLancey, J.O.L. (2006). "Measurement of the pubic portion of the levator ani muscle in women with unilateral defects in 3â D models from MR images." International Journal of Gynecology & Obstetrics 92(3): 234-241.
dc.identifier 0020-7292
dc.identifier 1879-3479
dc.identifier https://hdl.handle.net/2027.42/135155
dc.identifier 10.1016/j.ijgo.2005.12.001
dc.identifier International Journal of Gynecology & Obstetrics
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dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/100308
dc.description ObjectiveDevelop a method to quantify the crossâ sectional area of the pubic portion of the levator ani muscle, validate the method in women with unilateral muscle defects, and report preliminary findings in those women.MethodMultiâ planar proton density magnetic resonance images of 12 women with a unilateral defect in the pubic portion of their levator ani were selected from a larger study of levator ani muscle anatomy in women with and without genital prolapse. Threeâ dimensional bilateral models of the levator ani were reconstructed (using 3â D Slicer, version 2.1b1) and divided into iliococcygeal and pubic portions. Muscle crossâ sectional areas were calculated at four equally spaced locations perpendicular to a line drawn from the pubic origin to the visceral insertion using the Iâ DEAS® computer modeling software.ResultsThe crossâ sectional area of the muscle on the side with the defect was smaller than the normal side at all the four locations. The average bilateral difference was up to 81% at location 1 (nearest pubic origin). Almost all of the volume difference (13.7%, P = 0.0004) was attributable to a reduction in the pubic portion (24.6%, P < 0.0001), not the iliococcygeal portion (P = 0.64), of the muscle.ConclusionsA method was developed to quantify crossâ sectional area of the pubic portion of the levator ani perpendicular to the intact muscle direction. Significant bilateral crossâ sectional area differences were found between intact and defective muscles in women with a unilateral defect.
dc.description Peer Reviewed
dc.description http://deepblue.lib.umich.edu/bitstream/2027.42/135155/1/ijgo234.pdf
dc.format application/pdf
dc.publisher Wiley Periodicals, Inc.
dc.rights IndexNoFollow
dc.subject Crossâ sectional area
dc.subject MR image
dc.subject 3â D reconstruction
dc.subject Injury
dc.subject Muscle
dc.subject Levator ani
dc.subject Obstetrics and Gynecology
dc.subject Health Sciences
dc.title Measurement of the pubic portion of the levator ani muscle in women with unilateral defects in 3â D models from MR images
dc.type Article


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