Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Abdominal Radiology
Erschienen in: Abdominal Radiology 2/2019

08.09.2018 | Pictorial essay

Magnetic resonance imaging of the placenta and gravid uterus: a pictorial essay

verfasst von: Daniel C. Oppenheimer, Parisa Mazaheri, David H. Ballard, Motoyo Yano, Kathryn J. Fowler

Erschienen in: Abdominal Radiology | Ausgabe 2/2019

Einloggen, um Zugang zu erhalten

Abstract

The placenta is commonly overlooked on magnetic resonance imaging of the pregnant patient, which is frequently performed for alternative reasons such as to characterize fetal or uterine anomalies or to investigate the etiology of acute pelvic pain in pregnancy. Placental disorders have potential for significant maternal and fetal morbidity and peripartum complications if not recognized and treated in a timely manner. The radiologist must be familiar with normal placental variants and the spectrum of benign to life-threatening conditions affecting the placenta so that the Obstetrician can be promptly notified and patient management altered, if necessary. In this pictorial essay, we will describe our MR protocol for placental imaging, provide an image-rich review of the normal placenta, placental variants, and a variety of pathological conditions affecting the placenta and gravid uterus.
Literatur
1.
Hertzberg B, Middleton W, Middleton W (2015) Ultrasound: the requisites. Philadelphia: Elsevier
2.
3.
Kanal E, Barkovich AJ, Bell C, et al. (2013) ACR guidance document on MR safe practices: 2013. J Magn Reson Imaging 37(3):501–530PubMedCrossRef
4.
Ray JG, Vermeulen MJ, Bharatha A, Montanera WJ, Park AL (2016) Association between MRI exposure during pregnancy and fetal and childhood outcomes. JAMA 316:952–961PubMedCrossRef
5.
Hand JW, Li Y, Thomas EL, Rutherford MA, Hajnal JV (2006) Prediction of specific absorption rate in mother and fetus associated with MRI examinations during pregnancy. Magn Reson Med 55(4):883–893PubMedCrossRef
6.
7.
Doyle S, Messiou C, Rutherford JM, Dineen RA (2009) Cancer presenting during pregnancy: radiological perspectives. Clin Radiol 64(9):857–871PubMedCrossRef
8.
Raptis CA, Mellnick VM, Raptis DA, et al. (2014) Imaging of trauma in the pregnant patient. Radiographics 34(3):748–763PubMedCrossRef
9.
Shaaban AM, Rezvani M, Haroun RR, et al. (2017) Gestational trophoblastic disease: clinical and imaging features. RadioGraphics 37(2):681–700PubMedCrossRef
10.
Prayer D, Brugger PC, Prayer L (2004) Fetal MRI: techniques and protocols. Pediatr Radiol 34:685–693PubMedCrossRef
11.
Leyendecker JR, DuBose M, Hosseinzadeh K, et al. (2012) MRI of pregnancy-related issues: abnormal placentation. AJR Am J Roentgenol 198(2):311–320PubMedCrossRef
12.
Palacios Jaraquemada JM, Bruno C (2000) Gadolinium enhanced MR imaging in the differential diagnosis of placenta accreta and placenta percreta. Radiology 216:610–611PubMedCrossRef
13.
Tanaka YO, Sohda S, Shigemitsu S, Niitsu M, Itai Y (2001) High temporal resolution dynamic contrast MRI in a high risk group for placenta accreta. Magn Reson Imaging 19:635–642PubMedCrossRef
14.
Millischer AE, Deloison B, Silvera S, et al. (2017) Dynamic contrast enhanced MRI of the placenta: a tool for prenatal diagnosis of placenta accreta? Placenta 53:40–47PubMedCrossRef
15.
Siauve N, Chalouhi GE, Deloison B, et al. (2015) Functional imaging of the human placenta with magnetic resonance. Am J Obstet Gynecol 213(4 Suppl):S103–S114PubMedCrossRef
16.
Elsayes KM, Trout AT, Friedkin AM, et al. (2009) Imaging of the placenta: a multimodality pictorial review. Radiographics 29(5):1371–1391PubMedCrossRef
17.
Benirschke K, Kaufmann P (2000) Pathology of the human placenta. New York: Springer VerlagCrossRef
18.
Lee YM, Cleary-Goldman J, Thaker HM, Simpson LL (2006) Antenatal sonographic prediction of twin chorionicity. Am J Obstet Gynecol 195(3):863–867PubMedCrossRef
19.
20.
Nair M, Kumar G (2009) Uncomplicated monochorionic diamniotic twin pregnancy. J Obstet Gynaecol 29(2):90–93PubMedCrossRef
21.
Dias T, Mahsud-dornan S, Bhide A, et al. (2010) Cord entanglement and perinatal outcome in monoamniotic twin pregnancies. Ultrasound Obstet Gynecol 35(2):201–204PubMedCrossRef
22.
Gardner CS, Jaffe TA, Hertzberg BS, Javan R, Ho LM (2013) The incarcerated uterus: a review of MRI and ultrasound imaging appearances. AJR Am J Roentgenol 201(1):223–229PubMedCrossRef
23.
van Beekhuizen HJ, Bodewes HW, Tepe EM, et al. (2003) Role of magnetic resonance imaging in the diagnosis of incarceration of the gravid uterus. Obstet Gynecol 102:1134–1137PubMed
24.
Fernandes DD, Sadow CA, Economy KE, Benson CB (2012) Sonographic and magnetic resonance imaging findings in uterine incarceration. J Ultrasound Med 31:645–650PubMedCrossRef
25.
Gottschalk EM, Siedentopf JP, Schoenborn I, et al. (2008) Prenatal sonographic and MRI findings in a pregnancy complicated by uterine sacculation: case report and review of the literature. Ultrasound Obstet Gynecol 32:582–586PubMedCrossRef
26.
Plauche W, VonAlmen W, Muller R (1984) Catastrophic uterine rupture. Obstet Gynecol. 64:792–793PubMed
27.
Claydon CS, Pernoll ML (2003) Third-trimester vaginal bleeding. In: DeCherney AH, Nathan L (eds) Current obstetric and gynaecologic diagnosis and treatment, 9th edn. New York: Lange/McGraw Hill, pp 354–368
28.
Bedi DG, Solomon A, Winsett MZ, Fagan CJ, Kumar R (1986) Ruptured uterus: sonographic diagnosis. J Clin Ultrasound 14:529–533PubMedCrossRef
29.
Trop I, Levine D (2001) Hemorrhage during pregnancy: sonography and MR imaging. AJR Am J Roentgenol 176(3):607–615PubMedCrossRef
30.
Masselli G, Brunelli R, Di Tola M, Anceschi M, Gualdi G (2011) MR imaging in the evaluation of placental abruption: correlation with sonographic findings. Radiology 259(1):222–230PubMedCrossRef
31.
32.
Ananth CV, Berkowitz GS, Savitz DA, Lapinski RH (1999) Placental abruption and adverse perinatal outcomes. JAMA 282(17):1646–1651PubMedCrossRef
33.
Glantz C, Purnell L (2002) Clinical utility of sonography in the diagnosis and treatment of placental abruption. J Ultrasound Med 21(8):837–840PubMedCrossRef
34.
35.
Reddy UM, Abuhamad AZ, Levine D, Saade GR, Fetal Imaging Workshop Invited Participants (2014) Fetal imaging: executive summary of a Joint Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal-Fetal Medicine, American Institute of Ultrasound in Medicine, American College of Obstetricians and Gynecologists, American College of Radiology, Society for Pediatric Radiology, and Society of Radiologists in Ultrasound Fetal Imaging Workshop. Am J Obstet Gynecol. 210(5):387–397PubMedCrossRef
36.
Dashe JS, Mcintire DD, Ramus RM, et al. (2002) Persistence of placenta previa according to gestational age at ultrasound detection. Obstet Gynecol 99:692–697PubMed
37.
Catanzarite V, Maida C, Thomas W, et al. (2001) Prenatal sonographic diagnosis of vasa previa: ultrasound findings and obstetric outcomes in ten cases. Ultrasound Obstet Gynecol 17:109–115CrossRef
38.
Kulkarni A, Powel J, Aziz M, et al. (2018) Vasa previa: prenatal diagnosis and outcomes: thirty-five cases from a single maternal-fetal medicine practice. J Ultrasound Med 37:1017–1024PubMedCrossRef
39.
Oyelese Y, Jha RC, Moxley MD, Collea JV, Queenan JT (2003) Magnetic resonance imaging of vasa praevia. BJOG. 110(12):1127–1128PubMedCrossRef
40.
ACOG Committee on Obstetric Practice (2002) ACOG Committee opinion. Number 266, January 2002: placenta accreta. Obstet Gynecol 99(1):169–170CrossRef
41.
Tantbirojn P, Crum CP, Parast MM (2008) Pathophysiology of placenta acreta: the role of decidua and extravillous trophoblast. Placenta 29:639–645PubMedCrossRef
42.
Hull AD, Moore TR (2011) Multiple repeat cesareans and the threat of placenta accreta: incidence, diagnosis, management. Clin Perinatol 38:285–296PubMedCrossRef
43.
Wu S, Kocherginsky M, Hibbard JU (2005) Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol 192:1458–1461PubMedCrossRef
44.
Baughman WC, Corteville JE, Shah RR (2008) Placenta accreta: spectrum of US and MR imaging findings. Radiographics 28(7):1905–1916PubMedCrossRef
45.
Benson CB, Genest DR, Bernstein MR, et al. (2000) Sonographic appearance of first trimester complete hydatidiform moles. Ultrasound Obstet Gynecol 16(2):188–191PubMedCrossRef
46.
Barton JW, McCarthy SM, Kohorn EI, Scoutt LM, Lange RC (1993) Pelvic MR imaging findings in gestational trophoblastic disease, incomplete abortion, and ectopic pregnancy: are they specific? Radiology 186(1):163–168PubMedCrossRef
47.
Kamaya A, Petrovitch I, Chen B, Frederick CE, Jeffrey RB (2009) Retained products of conception: spectrum of color Doppler findings. J Ultrasound Med 28(8):1031–1041PubMedCrossRef
48.
Noonan JB, Coakley FV, Qayyum A, et al. (2003) MR imaging of retained products of conception. AJR Am J Roentgenol 181(2):435–439PubMedCrossRef
49.
Nagayama M, Watanabe Y, Okumura A, et al. (2002) Fast MR imaging in obstetrics. Radiographics 22(3):563–580 (discussion 580–582)PubMedCrossRef
50.
Fox HF, Sebire N (2007) Pathology of the placenta. Philadelphia: Elsevier
51.
Callen PW (2008) Ultrasonography in obstetrics and gynecology. Philadelphia: Elsevier
52.
Yagel S, Anteby EY, Shen O, et al. (1999) Placental blood flow measured by simultaneous multigate spectral Doppler imaging in pregnancies complicated by placental vascular abnormalities. Ultrasound Obstet Gynecol 14:262–266PubMedCrossRef
53.
Malian V, Lee JH (2001) MR imaging and MR angiography of an abdominal pregnancy with placental infarction. AJR Am J Roentgenol 177(6):1305–1306PubMedCrossRef
54.
Brown DL, DiSalvo DN, Frates MC, Davidson KM, Genest DR (2002) Placental surface cysts detected on sonography: histologic and clinical correlation. J Ultrasound Med 21(6):641–646PubMedCrossRef
55.
Kung FT, Chen WJ, Hsu PH, et al. (1997) Large chorioangioma: antenatal color-flow Doppler ultrasonic imaging and its correlation with postpartum pathology, experience of 2 cases. Acta Obstet Gynecol Scand 76:277–279PubMed
56.
Kawamoto S, Ogawa F, Tanaka J, Ban S, Heshiki A (2000) Chorioangioma: antenatal diagnosis with fast MR imaging. Magn Reson Imaging 18(7):911–914CrossRef
57.
Dildy GA, Moise KJ, Carpenter RJ, Klima T (1989) Maternal malignancy metastatic to the products of conception: a review. Obstet Gynecol Surv 44(7):535–540PubMedCrossRef
Metadaten
Titel
Magnetic resonance imaging of the placenta and gravid uterus: a pictorial essay
verfasst von
Daniel C. Oppenheimer
Parisa Mazaheri
David H. Ballard
Motoyo Yano
Kathryn J. Fowler
Publikationsdatum
08.09.2018
Verlag
Springer US
Erschienen in
Abdominal Radiology / Ausgabe 2/2019
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-018-1755-1

Weitere Artikel der Ausgabe 2/2019

Abdominal Radiology 2/2019 Zur Ausgabe

Pictorial essay

Approach to pediatric renal tumors: an imaging review

OriginalPaper

Corpus luteum with ovarian stromal edema is associated with pelvic pain and confusion for ovarian torsion

Pictorial essay

CT imaging of inflatable penile prosthesis complications: a pictorial essay

OriginalPaper

Textural analysis on contrast-enhanced CT in pancreatic neuroendocrine neoplasms: association with WHO grade

OriginalPaper

Virtual monoenergetic reconstruction of contrast-enhanced CT scans of the abdomen and pelvis at 40 keV improves the detection of peritoneal metastatic deposits

OriginalPaper

Adnexal lesions detected on CT in postmenopausal females with non-ovarian malignancy: do simple cysts need follow-up?

Neu im Fachgebiet Radiologie

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

13.04.2024 Klinik aktuell Kongressbericht

Die Teilnehmer eines Forums beim DGIM-Kongress waren sich einig: Fehler in der Medizin sind häufig in ungeeigneten Prozessen und mangelnder Kommunikation begründet. Gespräche mit Patienten und im Team können helfen.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise