A Prospective Dual-Modality Tool for Monitoring Uterine Peristalsis: Integrating Dynamic MRI and Electrohysterography

Bustos Vivas M, Tripathy S, Hutter J (2026)


Publication Type: Conference contribution

Publication year: 2026

Journal

Publisher: Springer Science and Business Media Deutschland GmbH

Book Volume: 16149 LNCS

Pages Range: 125-136

Conference Proceedings Title: Lecture Notes in Computer Science

Event location: Daejeon, KOR

ISBN: 9783032058249

DOI: 10.1007/978-3-032-05825-6_12

Abstract

This paper presents a first step towards a novel approach that combines simultaneous transabdominal electromyography (EMG) with dynamic echo-planar imaging multi-echo gradient-echo (EPI-MEGE) magnetic resonance imaging (MRI) for monitoring uterine peristaltic motion. Uterine peristalsis (UP) influences crucial processes such as menstruation, sperm transport, and embryo implantation. Current monitoring methods focus only on mechanical or electrical activity, making comparing and extrapolating results between different modalities difficult. The proposed protocol combines dynamic EPI-MEGE MRI and transabdominal EMG to capture the anatomical and electrophysiological features of UP simultaneously. Electrohysterographic (EHG) signals obtained from recorded EMG supported the spatiotemporal information of MRI by integrating the synchronized electrical activity of uterine muscles. Safety testing in a phantom confirmed that the electrode temperature during EPI-MEGE MRI acquisition remained within acceptable limits for human application. Three healthy volunteers underwent EPI-MEGE MRI acquisition with simultaneous transabdominal EMG. Electrode placement strategies proved to be reproducible and anatomically consistent. MRI frames enabled the visualization of the uterus anatomy and contractions, while bowel gas affected the spatial resolution, and the bladder filling influenced the uterus positioning over time. Results showed the feasibility of a non-invasive and simultaneous method for assessing uterine contractility, combining dynamic MRI scans with synchronized EHG.

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How to cite

APA:

Bustos Vivas, M., Tripathy, S., & Hutter, J. (2026). A Prospective Dual-Modality Tool for Monitoring Uterine Peristalsis: Integrating Dynamic MRI and Electrohysterography. In M. Emre Celebi, Johanna Paula Müller, Catarina Barata, Allan Halpern, Philipp Tschandl, Marc Combalia, Yuan Liu, Kumar Abhishek, Joanna Jaworek-Korjakowska, Moi Hoon Yap, Katharina Breininger, Maximilian Lindholz, Jana Hutter, Richard Ruppel, Smiti Tripathy, Franziska Mathis-Ullrich, Stefanie Burghaus, Matthias May (Eds.), Lecture Notes in Computer Science (pp. 125-136). Daejeon, KOR: Springer Science and Business Media Deutschland GmbH.

MLA:

Bustos Vivas, Maria, Smiti Tripathy, and Jana Hutter. "A Prospective Dual-Modality Tool for Monitoring Uterine Peristalsis: Integrating Dynamic MRI and Electrohysterography." Proceedings of the 10th International Workshop on Skin Image Analysis, ISIC 2025 and 1st International Workshop on Computer-Aided Pelvic Imaging for Female Health, CAPI 2025, Held in Conjunction with 28th International Conference on Medical Imaging and Computer Assisted Intervention, MICCAI 2025, Daejeon, KOR Ed. M. Emre Celebi, Johanna Paula Müller, Catarina Barata, Allan Halpern, Philipp Tschandl, Marc Combalia, Yuan Liu, Kumar Abhishek, Joanna Jaworek-Korjakowska, Moi Hoon Yap, Katharina Breininger, Maximilian Lindholz, Jana Hutter, Richard Ruppel, Smiti Tripathy, Franziska Mathis-Ullrich, Stefanie Burghaus, Matthias May, Springer Science and Business Media Deutschland GmbH, 2026. 125-136.

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