Three-dimensional volume rendering of pelvic models and paraurethral masses based on MRI cross-sectional images

• Published in: International Urogynecology Journal 2017-10, Vol.28 (10), p.1579-1587
• Main Authors: Doumouchtsis, Stergios K., Nazarian, Daron A., Gauthaman, Nivedita, Durnea, Constantin M., Munneke, Graham
• Format: Article
• Language: English
• Subjects: Adult; Female; Gynecology; Humans; Imaging, Three-Dimensional; Investigations; Magnetic Resonance Imaging; Medicine; Medicine & Public Health; NMR; Nuclear magnetic resonance; Original Article; Pelvis - diagnostic imaging; Urethral Diseases - diagnostic imaging; Urology
• ISSN: 0937-3462; 1433-3023
• DOI: 10.1007/s00192-017-3317-4

Aims Our aim was to assess the feasibility of rendering 3D pelvic models using magnetic resonance imaging (MRI) scans of patients with vaginal, urethral and paraurethral lesions and obtain additional information previously unavailable through 2D imaging modalities. Methods A purposive sample of five female patients 26-40 years old undergoing investigations for vaginal or paraurethral mass was obtained in a tertiary teaching hospital. 3D volume renderings of the bladder, urethra and paraurethral masses were constructed using 3D-Slicer v.3.4.0. Spatial dimensions were determined and compared with findings from clinical, MRI, surgical and histopathological reports. The quality of information regarding size and location of paraurethral masses obtained from 3D models was compared with information from cross-sectional MRI and review of clinical, surgical and histopathological findings. Results The analysis of rendered 3D models yielded detailed anatomical dimensions and provided information that was in agreement and in higher detail than information based on clinical examination, cross-sectional 2D MRI analysis and histopathological reports. High-quality pelvic 3D models were rendered with the characteristics and resolution to allow identification and detailed viewing of the spatial relationship between anatomical structures. Conclusions To our knowledge, this is the first preliminary study to evaluate the role of MRI-based 3D pelvic models for investigating paraurethral masses. This is a feasible technique and may prove a useful addition to conventional 2D MRI. Further prospective studies are required to evaluate this modality for investigating such lesions and planning appropriate management.