AI Article Synopsis

  • The study used statistical shape modeling (SSM) to analyze the shape and size of the levator hiatus (LH) in women of different reproductive states, aiming to uncover significant variations in LH characteristics.
  • A total of 63 pelvic MRIs were examined, focusing on various dimensions of the LH, including cross-sectional area and diameters, with novel variables identified to provide greater insight into LH shape differences.
  • The findings suggested that while traditional measurements align with SSM results, new measurements for anterior and posterior transverse diameters are more sensitive and could enhance diagnostic accuracy regarding LH variations.

Article Abstract

Purpose: The measures that traditionally describe the levator hiatus (LH) are straightforward and reliable; however, they were not specifically designed to capture significant differences. Statistical shape modeling (SSM) was used to quantify LH shape variation across reproductive-age women and identify novel variables associated with LH size and shape.

Approach: A retrospective study of pelvic MRIs from 19 nulliparous, 32 parous, and 12 pregnant women was performed. The LH was segmented in the plane of minimal LH dimensions. SSM was implemented. LH size was defined by the cross-sectional area, maximal transverse diameter, and anterior-posterior (A-P) diameter. Novel SSM-guided variables were defined by regions of greatest variation. Multivariate analysis of variance (MANOVA) evaluated group differences, and correlations determined relationships between size and shape variables.

Results: Overall shape ( ), SSM mode 2 (oval to -shape, ), mode 3 (rounder to broader anterior shape, ), and maximal transverse diameter ( ) significantly differed between groups. Novel anterior and posterior transverse diameters were identified at 14% and 79% of the A-P length. Anterior transverse diameter and maximal transverse diameter were strongly correlated ( , ), while posterior transverse diameter and maximal transverse diameter were weakly correlated ( , ).

Conclusions: The traditional maximal transverse diameter generally corresponded with SSM findings but cannot describe anterior and posterior variation independently. The novel anterior and posterior transverse diameters represent both size and shape variation, can be easily calculated alongside traditional measures, and are more sensitive to subtle and local LH variation. Thus, they have a greater ability to serve as predictive and diagnostic parameters.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11316399PMC
http://dx.doi.org/10.1117/1.JMI.11.4.045001DOI Listing

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