Reliability of Superficial Male Pelvic Floor Structural Measurements Using Linear-Array Transperineal Sonography
This study evaluated reliability of measures for superficial structures of the male pelvic floor (PF) obtained via transperineal sonography. Two embalmed cadavers were dissected to identify positioning of muscles on and around the bulb of the penis and to confirm the PF protocol. Cross-sectional are...
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Published in | Ultrasound in medicine & biology Vol. 41; no. 2; pp. 610 - 617 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Elsevier Inc
01.02.2015
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Subjects | |
Online Access | Get full text |
ISSN | 0301-5629 1879-291X 1879-291X |
DOI | 10.1016/j.ultrasmedbio.2014.09.008 |
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Abstract | This study evaluated reliability of measures for superficial structures of the male pelvic floor (PF) obtained via transperineal sonography. Two embalmed cadavers were dissected to identify positioning of muscles on and around the bulb of the penis and to confirm the PF protocol. Cross-sectional area (CSA) and linear thickness of the bulb of the penis, urethra, bulbospongiosus (BS) muscles, and ischiocavernosus (IC) muscles were measured on 38 transverse images from 20 male patients by three raters with varied study knowledge and sonographic experience. Intra- and inter-rater reliability were calculated with two-way, mixed effects intra-class correlation coefficients. Measures of the bulb of the penis had the best reliability. CSA of all muscles and sagittal thickness of the BS near the central tendon had good reliability. Reliability varied for rater-identified thickest muscle region and measures of the urethra. Our study suggests that structures of the male PF can be reliably evaluated using a transperineal sonographic approach. |
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AbstractList | This study evaluated reliability of measures for superficial structures of the male pelvic floor (PF) obtained via transperineal sonography. Two embalmed cadavers were dissected to identify positioning of muscles on and around the bulb of the penis and to confirm the PF protocol. Cross-sectional area (CSA) and linear thickness of the bulb of the penis, urethra, bulbospongiosus (BS) muscles, and ischiocavernosus (IC) muscles were measured on 38 transverse images from 20 male subjects by three raters with varied study knowledge and sonographic experience. Intra- and interrater reliability were calculated with Two-way, mixed effects intra-class correlation coefficients. Measures of the bulb of the penis had the best reliability. CSA of all muscles and sagittal thickness of the BS near the central tendon had good reliability. Reliability varied for rater identified thickest muscle region and measures of the urethra. Our study suggests that structures of the male PF can be reliably evaluated using a transperineal sonographic approach. Abstract This study evaluated reliability of measures for superficial structures of the male pelvic floor (PF) obtained via transperineal sonography. Two embalmed cadavers were dissected to identify positioning of muscles on and around the bulb of the penis and to confirm the PF protocol. Cross-sectional area (CSA) and linear thickness of the bulb of the penis, urethra, bulbospongiosus (BS) muscles, and ischiocavernosus (IC) muscles were measured on 38 transverse images from 20 male patients by three raters with varied study knowledge and sonographic experience. Intra- and inter-rater reliability were calculated with two-way, mixed effects intra-class correlation coefficients. Measures of the bulb of the penis had the best reliability. CSA of all muscles and sagittal thickness of the BS near the central tendon had good reliability. Reliability varied for rater-identified thickest muscle region and measures of the urethra. Our study suggests that structures of the male PF can be reliably evaluated using a transperineal sonographic approach. This study evaluated reliability of measures for superficial structures of the male pelvic floor (PF) obtained via transperineal sonography. Two embalmed cadavers were dissected to identify positioning of muscles on and around the bulb of the penis and to confirm the PF protocol. Cross-sectional area (CSA) and linear thickness of the bulb of the penis, urethra, bulbospongiosus (BS) muscles, and ischiocavernosus (IC) muscles were measured on 38 transverse images from 20 male patients by three raters with varied study knowledge and sonographic experience. Intra- and inter-rater reliability were calculated with two-way, mixed effects intra-class correlation coefficients. Measures of the bulb of the penis had the best reliability. CSA of all muscles and sagittal thickness of the BS near the central tendon had good reliability. Reliability varied for rater-identified thickest muscle region and measures of the urethra. Our study suggests that structures of the male PF can be reliably evaluated using a transperineal sonographic approach. This study evaluated reliability of measures for superficial structures of the male pelvic floor (PF) obtained via transperineal sonography. Two embalmed cadavers were dissected to identify positioning of muscles on and around the bulb of the penis and to confirm the PF protocol. Cross-sectional area (CSA) and linear thickness of the bulb of the penis, urethra, bulbospongiosus (BS) muscles, and ischiocavernosus (IC) muscles were measured on 38 transverse images from 20 male patients by three raters with varied study knowledge and sonographic experience. Intra- and inter-rater reliability were calculated with two-way, mixed effects intra-class correlation coefficients. Measures of the bulb of the penis had the best reliability. CSA of all muscles and sagittal thickness of the BS near the central tendon had good reliability. Reliability varied for rater-identified thickest muscle region and measures of the urethra. Our study suggests that structures of the male PF can be reliably evaluated using a transperineal sonographic approach.This study evaluated reliability of measures for superficial structures of the male pelvic floor (PF) obtained via transperineal sonography. Two embalmed cadavers were dissected to identify positioning of muscles on and around the bulb of the penis and to confirm the PF protocol. Cross-sectional area (CSA) and linear thickness of the bulb of the penis, urethra, bulbospongiosus (BS) muscles, and ischiocavernosus (IC) muscles were measured on 38 transverse images from 20 male patients by three raters with varied study knowledge and sonographic experience. Intra- and inter-rater reliability were calculated with two-way, mixed effects intra-class correlation coefficients. Measures of the bulb of the penis had the best reliability. CSA of all muscles and sagittal thickness of the BS near the central tendon had good reliability. Reliability varied for rater-identified thickest muscle region and measures of the urethra. Our study suggests that structures of the male PF can be reliably evaluated using a transperineal sonographic approach. |
Author | Kutch, Jason J. Rana, Manku Sigward, Susan M. Kirages, Daniel J. Roll, Shawn C. Yani, Moheb S. |
AuthorAffiliation | Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angles, California |
AuthorAffiliation_xml | – name: Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California – name: Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angles, California |
Author_xml | – sequence: 1 givenname: Shawn C. surname: Roll fullname: Roll, Shawn C. email: sroll@usc.edu organization: Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA – sequence: 2 givenname: Manku surname: Rana fullname: Rana, Manku organization: Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA – sequence: 3 givenname: Susan M. surname: Sigward fullname: Sigward, Susan M. organization: Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA – sequence: 4 givenname: Moheb S. surname: Yani fullname: Yani, Moheb S. organization: Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA – sequence: 5 givenname: Daniel J. surname: Kirages fullname: Kirages, Daniel J. organization: Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA – sequence: 6 givenname: Jason J. surname: Kutch fullname: Kutch, Jason J. organization: Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25444690$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1016/j.rcl.2012.08.007 10.1016/j.urology.2007.04.008 10.1016/j.ucl.2013.07.006 10.1002/uog.8829 10.1016/j.eururo.2004.12.014 10.1016/j.jclinepi.2010.03.002 10.1002/nau.20162 10.1146/annurev.med.57.011205.135654 10.2519/jospt.2007.2548 10.1007/s00345-007-0195-2 10.1016/j.urology.2012.11.034 10.1002/nau.21069 10.1177/8756479312472394 10.1038/nrurol.2010.227 10.1016/j.urology.2012.05.026 |
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Copyright | 2015 World Federation for Ultrasound in Medicine & Biology World Federation for Ultrasound in Medicine & Biology Copyright © 2015 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved. 2014 World Federation for Ultrasound in Medicine amp; Biology. All rights reserved. 2014 |
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Keywords | Pelvis Musculoskeletal imaging Chronic pain |
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Snippet | This study evaluated reliability of measures for superficial structures of the male pelvic floor (PF) obtained via transperineal sonography. Two embalmed... Abstract This study evaluated reliability of measures for superficial structures of the male pelvic floor (PF) obtained via transperineal sonography. Two... |
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SubjectTerms | Cadaver Chronic pain Humans Male Muscle, Skeletal - diagnostic imaging Musculoskeletal imaging Observer Variation Pelvic Floor - diagnostic imaging Pelvis Prospective Studies Radiology Reproducibility of Results Ultrasonography |
Title | Reliability of Superficial Male Pelvic Floor Structural Measurements Using Linear-Array Transperineal Sonography |
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