Geometric analysis of female pelvic floor muscles by using manual segmentation

Abstract

Magnetic Resonance Imaging (MRI) has been used in the diagnostic evaluation of the pelvic floor dysfunctions. MRI can contribute to generate 3D solids of pelvic floor muscles through manual segmentation. The aim of this study is to calculate the area and its moment of inertia of 8 female pelvic floor muscles by using manual segmentation technique. Based on CAD software manual segmentation was used. To build 3D reconstruction models, through of twenty consecutive images. The models were made through splines in each sketch, documenting changes in the pubovisceral muscle (a part from the pelvic floor muscles) from the pubis to coccyx. Two sketches were chosen and biomechanics properties like area and stiffness (moment of inertia) were acquired for each sketch used to generate the pubovisceral muscles. The moment of inertia of the pubovisceral muscle decreases following the order: anterior sketch and posterior sketch. Higher values for the moment of inertia can be encountered in anterior sketcher. This conclusion can lead to more stability in the anterior compartment of pelvic floor visceral.