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2D and 3D MRI features of classic bladder exstrophy
A Tekes1, G Ertan1, M Solaiyappan2
1Division of Pediatric Radiology, Baltimore, MD, USA.
Clinical Radiology
|March 4, 2014
Summary
Magnetic resonance imaging (MRI) aids in surgical planning for classic bladder exstrophy (CBE), a rare congenital anomaly. This review details 2D and 3D MRI findings of CBE, focusing on pelvic floor anatomy.
Area of Science:
- Pediatric Surgery
- Medical Imaging
- Congenital Anomalies
Background:
- Bladder exstrophy-epispadias complex (EEC) is a spectrum of rare congenital anomalies.
- Classic bladder exstrophy (CBE) is the most common type, involving defects of the bladder, abdominal wall, pelvic floor, and bony pelvis.
- MRI is increasingly used in preoperative and postoperative management of CBE due to concerns about radiation in children.
Purpose of the Study:
- To review the 2D and 3D MRI features of classic bladder exstrophy (CBE).
- To provide a detailed analytical description of pelvic floor anatomy in patients with CBE.
- To highlight the utility of MRI in surgical planning and evaluation for CBE.
Main Methods:
- Review of existing literature on MRI in bladder exstrophy-epispadias complex.
- Analysis of 2D and 3D MRI scans of patients with classic bladder exstrophy.
- Detailed anatomical description of the pelvic floor in affected individuals.
Main Results:
- MRI provides valuable preoperative and postoperative information for CBE management.
- Specific 2D and 3D MRI features characteristic of CBE have been identified.
- Detailed anatomical variations of the pelvic floor in CBE patients are described.
Conclusions:
- MRI is a crucial tool for surgical planning and follow-up in classic bladder exstrophy.
- Understanding the detailed MRI anatomy of the pelvic floor is essential for optimal surgical outcomes in CBE.
- This review offers a comprehensive guide to MRI features for clinicians managing CBE.
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