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Pelvic Floor Dysfunction DFP

DFP Profile


SAR Pelvic Floor Dysfunction DFP



The mission of the SAR’s Pelvic Floor Dysfunction Disease-focused Panel is to engage expert pelvic floor radiologists and clinicians in the fields of urology, urogynecology, gastroenterology, colorectal surgery, and physical medicine and rehabilitation to help bridge current gaps in understanding, and standardize indications, acquisition techniques, and reporting of pelvic floor imaging. 

The broad objectives of this DFP are to develop educational materials, joint recommendations, and scientific collaborations that will impact patient care and improve imaging of pelvic floor dysfunction.



Improvements in patient care

1. Diagnosis – Correlate physical examination (Pelvic Organ Prolapse Quantification criteria) and surgical findings with radiology findings on MRI, fluoroscopic defecography, and ultrasound.

2. Establish “normal” and abnormal MRI appearance of the pelvic floor in asymptomatic controls and symptomatic patients.

3. Evaluate and enhance imaging techniques in patients with implanted surgical material in the pelvis.

a. Urethral bulking agents
b. Urethral slings
c. Vaginal mesh

4. Correlate imaging findings on MRI with those on ultrasound in patients presenting with complications post pelvic floor repair with mesh, slings, and urethral bulking agents.

Improvements in radiology practice 

5. Assess current use of imaging for pelvic floor dysfunction across various radiology departments nationally and internationally.

6. Standardize radiological techniques and protocols for assessment of pelvic floor dysfunction.

a. Application of ACR appropriateness criteria

b. Standardized nomenclature and reporting criteria/templates

c. Improve reproducibility and consistency of study performance technique across institutions with focus on MRI, fluoroscopy, and ultrasound

d. Consider how different techniques affect threshold values and diagnostic accuracy

7. Develop strategies for education of and collaboration between radiologists, technologists, and referring physicians regarding the utility and application of imaging in pelvic floor dysfunction

SAR Pelvic Floor Dysfunction DFP Members:

1. Simin Bahrami, MD

2. Victoria Chernyak, MD

3. Rania Farouk El Sayed, MD, PhD

4. Julia R. Fielding, MD

5. Milana Flusberg, MD

6. Phyllis Glanc, MD

7. Marta Heilbrun, MD (liaison on oversight committee)

8. Kedar Jambhekar, MD

9. Amita Kamath, MD, MPH

10. Gaurav Khatri, MD

11. Neeraj Lalwani, MD

12. Susanna Lee, MD (liaison on oversight committee)

13. Sara Lewis, MD

14. Mark Lockhart, MD, MPH

15. Dean Maglinte, MD

16. Suzanne Palmer, MD

17. Harpeet Pannu, MD

18. Roopa Ram, MD

19. Ari Steiner, MD


Consultant Non-radiologists:

Larissa Rodriguez, MD, Primary

Philippe Zimmern, MD, Secondary


Leadership Team

Gaurav Khatri, MD and Kedar Jambhekar, MD, Co-Chairs


Active Projects:

1. Survey of national and international radiology departments

2. Development of standardized dictation templates for imaging of pelvic floor dysfunction

3. Collaboration with ESUR and other clinical societies



Member Resources

Information for patients:

RadiologyInfo MRI- Dynamic Pelvic Floor (web version)

American College of Radiology Appropriateness Criteria




Pelvic Floor Imaging Review Articles (Chronologic):


Total pelvic floor ultrasound for pelvic floor defaecatory dysfunction: a pictorial review. Br J Radiol. 2015

A review of functional pelvic floor imaging modalities and their effectiveness. Clin Imaging. 2015

MR imaging-based assessment of the female pelvic floor. Radiographics. 2014

Magnetic resonance imaging of pelvic floor disorders. Top Magn Reson Imaging. 2014

Role of conventional radiology and MRI defecography of pelvic floor hernias. BMC Surg. 2013

Magnetic resonance imaging of pelvic floor dysfunction. Radiol Clin North Am. 2013

The urogynecological side of pelvic floor MRI: the clinician's needs and the radiologist's role. Abdom Imaging. 2013

Pelvic floor ultrasound: a review. Am J Obstet Gynecol. 2010

MRI of pelvic floor dysfunction: review. AJR Am J Roentgenol. 2008



DFP Recommended Templates

MR Defecography Template




DFP Recommended Protocols

MR Defecography Protocol:

Chandana Lall
Email: | Phone: 713-965-0566
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