Evidence map›Paper›PMID 30160176›Full record

ArticleThe British journal of radiology2018

Dynamic MRI of the pelvic floor: comparison of performance in supine vs left lateral body position.

Khoschy Schawkat, Bettina Pfister, Helen Parker, Henriette Heinrich, Borna K Barth, Dominik Weishaupt, Mark Fox, Caecilia S Reiner

Abstract readComparative Study
In one paragraph

Article in The British journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Khoschy Schawkat1 Institute of Diagnostic and Interventional Radiology, University Hospital Zurich , Zurich , Switzerland.
Bettina Pfister1 Institute of Diagnostic and Interventional Radiology, University Hospital Zurich , Zurich , Switzerland.
Helen Parker2 University Zurich , Zurich , Switzerland.
Henriette Heinrich3 Department of Gastroenterology and Hepatology, University Hospital Zurich , Zurich , Switzerland.
Borna K Barth1 Institute of Diagnostic and Interventional Radiology, University Hospital Zurich , Zurich , Switzerland.
Dominik Weishaupt6 Department of Radiology, Stadtspital Triemli , Zurich , Switzerland.
Mark Fox3 Department of Gastroenterology and Hepatology, University Hospital Zurich , Zurich , Switzerland.
Caecilia S Reiner1 Institute of Diagnostic and Interventional Radiology, University Hospital Zurich , Zurich , Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objective: To investigate the performance of MR-defecography (MRD) in lateral body position as an alternative to supine position.

methods: 22 consecutive patients (16 females; mean age 51 ± 19.4) with obstructed defecation and 20 healthy volunteers (11 females; mean age 33.4 ± 11.5) underwent MRD in a closed-configuration 3T-MRI in supine and lateral position. MRD included T

results: In patients grades of middle and posterior compartment descent were similar in both body positions (p > 0.05). Grades of anterior compartment descent were significantly higher in lateral position (21/22 vs 17/22 patients with normal or small descent, p < 0.034). In volunteers grades of descent were similar for all compartments in supine and lateral position (p > 0.05). When attempting to defecate in supine position 6/22 (27%) patients showed no evacuation, while in lateral position only 3/22 (14%) were not able to evacuate. IQ in patients was equal at rest (4.4 ± 0.5 and 4.7 ± 0.6, p > 0.05) and slightly better in supine compared to the lateral position during defecation (4.5 ± 0.4 vs 3.9 ± 0.9, p < 0.017). IQ in volunteers was equal in supine and lateral position (p > 0.05).

conclusion: In lateral position, more patients were able to evacuate with similar grades of pelvic floor descent compared to supine position. MRD in lateral position may be a valuable alternative for patients unable to defecate in supine position. ADVANCES IN KNOWLEDGE:: In lateral position, more patients were able to evacuate during MRD. MRD in lateral position may be an alternative for patients unable to defecate in supine position.

Indexed as

PostureAdultConstipationDefecationDefecographyFemaleHumansMagnetic Resonance ImagingMalePatient SatisfactionPelvic FloorProspective StudiesSupine Position

Identifiers

PMID30160176
PMCPMC6319839

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.