By Mario Pescatori, Francisco Sérgio Pinheiro Regadas, Sthela Maria Murad Regadas, Andrew P. Zbar, Clive I. Bartram, Robert D. Madoff
The target of this atlas, edited and authored by means of the world over revered specialists within the box, is to obviously and accurately current symptoms, recommendations, barriers, resources of mistakes, and pitfalls of numerous imaging modalities. The textual content describes the considerable, top of the range photographs that convey the traditional anorectal anatomy in addition to the pathological visual appeal of the all-too-common large-bowel and pelvic flooring sensible ailments. using radiopaque markers in diagnosing colonic inertia; defecography, 3D US, and MRI in investigating obstructed defecation; 3D US and MRI in differentiating among benign and malignant anorectal neoplasms; CT and MRI in assessing pelviperineal anatomy and opting for pelvic tumors and inflammatory strategies; and 2D-3D US in picking out applicable therapy for fecal incontinence are mentioned intensive. This atlas demonstrates the worth of a staff process among colorectal surgeons and radiologists for fixing advanced medical problems of the anorectum and PF.
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Additional resources for Imaging Atlas of the Pelvic Floor and Anorectal Diseases
This muscle is the continuation of the circular muscular layer of the muscularis propria of the rectum. The following layer is the relatively hyperintense fat-containing layer that represents the surgical intersphincteric space. Through this space courses the relatively hypointense longitudinal layer, which is a continuation of the longitudinal layer of the muscularis propria . The outermost layer is the relatively hypointense striated muscle of the EAS and the puborectalis muscle, which are separable (Fig.
This chapter discusses the conceptual anatomic constructs essential for understanding pelviperineal anatomy. Selected CT scan and MRI of normal anatomy are presented, highlighting the important osseous and myofascial landmarks. Pelviperineal anatomy can confound surgical students as well as masters. It represents a unique challenge to surgical educators and medical illustrators. In its present state of the art, surgical anatomy is represented in two-dimensional media. Medical illustration of the complex three-dimensional human pelviperineal anatomy is challenging.
In the study by Briel and colleagues assessing comparative sphincter histology, EAMRI demonstrated accuracy in evaluating EAS atrophy in 93% (14/15) cases . The reproducibility of EAMRI for determining EAS atrophy is somewhat dependent upon experience; the reported interobserver agreement is moderate and the intraobserver agreement is moderate to very good . Endoanal Magnetic Resonance Imaging versus Endoanal Ultrasonography EAUS has limitations in identifying EAS atrophy, as already indicated.
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