Table 5.
Specialty-based MRI reporting scheme
| Urologic patients |
| Report of pathologies if present |
| During dynamic sequences |
| Loss of urine through the urethra at maximum straining |
| Hypermobility of the urethra |
| Kinking of the vesicourethral junction |
| Uretherocele |
| Cystocele; type (distension or displacement), size (cm), grade |
| On static images |
| Damage of the supporting urethral ligaments |
| Avulsion or defect of the puborectal muscle |
| Measurements |
| Pelvic organ mobility |
| Pelvic floor relaxation |
| Iliococcygeus angle |
| Hiatal dimensions |
| Further evaluation |
| Additional findings regarding the pelvic organs* |
| Coexistent middle and posterior compartment disorders |
| (Uro)gynecologic patients |
| Report of pathologies, if present: |
| During dynamic sequences |
| Cystocele; type (distension or displacement), size (cm), grade |
| Uterine prolapse: partial or total |
| Enterocele: type (content of the peritoneal sac), size (cm), grade |
| On static images |
| Avulsion or defect of the puborectal muscle |
| Measurements |
| Pelvic organ mobility |
| Pelvic floor relaxation |
| Iliococcygeus angle |
| Hiatal dimensions |
| Further evaluation |
| Additional findings regarding the pelvic organs* |
| Coexistent anterior and posterior compartment disorders |
| Proctologic patients |
| Report of pathologies, if present: |
| During dynamic sequences |
| Rectocele: type (anterior or rarely posterior) size (cm), grade |
| Rectal mucosal invagination or prolapse: differentiation, extent, grade |
| Rectal descent: distance to PCL (cm), grade |
| Enterocele: type (content of the peritoneal sac), size (cm), grade |
| Lack of changes of ARA |
| Insufficient opening of the anal canal with inadequate rectal emptying during evacuation |
| Rectal intussusception |
| Measurements |
| Rectocele |
| Rectal decent |
| ARA |
| Pelvic organ mobility |
| Pelvic floor relaxation |
| Further evaluation |
| Additional findings regarding the pelvic organs* |
| Coexistent anterior and middle compartment disorders |
ARA anorectal angle, PCL pubococcygeal line, PFD pelvic floor disorder.
* e.g. adnexal lesions, uterine diseases, urethral and bladder diverticula, diverticulosis, diverticulitis