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Dynamic pelvic MRI

Intestinal Imaging Centre, Level 4V, St Mark's Hospital, Watford Road, Northwick Park, Harrow, Middlesex HA1 3UJ, UK

• MRI is increasingly being used to image global pelvic floor dynamics and may be a convenient and viable alternative to cystoproctography in some instances.
  
• Dynamic pelvic MRI is especially useful for imaging cystocoele and gynaecological prolapse, which can be simply and rapidly achieved.
  
• More detailed examinations are possible but there is a corresponding increase in complexity, for example, needing evacuation within the magnet bore.
  
• There seems little doubt that dynamic pelvic MRI has considerable diagnostic impact.
  
• Clinical results are promising but there is a clear and present need for surgical studies that explore both anatomical and functional outcomes.
  

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