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Updated: Jul 14, 2026

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
Published on: April 17, 2019
Mechanical devices to help in PennHIP examination.
M M D Ginja1, Maria P Llorens-Pena, J M Gonzalo-Orden
1Department of Veterinary Science-CETAV, University of Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal. mginja@utad.pt
A modified PennHIP procedure (MPP) reduces the number of essential individuals in the X-ray room compared to the standard PennHIP method (SPM). This innovation enhances radiation safety for veterinary personnel during canine hip evaluations.
Area of Science:
- Veterinary Radiology
- Canine Orthopedics
- Radiation Safety
Background:
- The PennHIP method is a radiographic technique for assessing canine hip joint laxity.
- Minimizing radiation exposure for veterinary staff is crucial, aligning with the ALARA principle.
- Standard PennHIP procedures may require multiple personnel in the X-ray room.
Purpose of the Study:
- To compare the technical effectiveness of a modified PennHIP procedure (MPP) against the standard PennHIP method (SPM).
- To evaluate the reduction in the mean number of essential individuals within the X-ray room (EIXRR) using MPP versus SPM.
- To assess compliance with radiation protection guidelines.
Main Methods:
- A modified PennHIP procedure (MPP) utilizing specific mechanical holding devices was performed on 70 dogs.
- The standard PennHIP method (SPM) was performed on 39 dogs for comparison.
- Technical effectiveness was assessed using the Chi-squared test, and EIXRR was analyzed using a two-sample unpaired t-test.
Main Results:
- No significant difference was found in technical effectiveness between MPP and SPM (P > 0.05).
- The mean number of essential individuals within the X-ray room (EIXRR) was significantly lower for MPP (3.4 +/- 0.7) compared to SPM (5.7 +/- 1.2) (P < 0.001).
- MPP demonstrated a reduction in personnel exposure during radiographic procedures.
Conclusions:
- The modified PennHIP procedure (MPP) is technically equivalent to the standard PennHIP method (SPM).
- MPP significantly reduces the number of essential individuals required in the X-ray room.
- MPP aligns with and supports the ALARA (as-low-as-reasonably-achievable) principle for radiation protection in veterinary radiography.
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