Meeting Banner
Abstract #4122

Placental MR Imaging in Fetuses with Placental Insufficiency

Yoshimitsu Ohgiya1, Hiroshi Nobusawa2, Noritaka Seino1, Makoto Saiki1, Yui Onoda1, Jumpei Suyama1, Masanori Hirose1, Takehiko Gokan1

1Department of Radiology, Showa University School of Medicine, Tokyo, Japan; 2Department of Radiology, Kawasaki saiwai hospital, Kawasaki-shi, Kanagawa-ken, Japan

The purpose of this study was to evaluate morphologic and signal intensity changes of placental insufficiency on MR imaging and to assess value of morphologic changes and decreased flow voids (FVs) on T2-weight RARE MR imaging for diagnosing placental insufficiency. The use of decreased FVs in addition to globular appearances increased sensitivity for the detection of placental insufficiency from 76.0% to 88.0%, increased accuracy from 78.0% to 82.0%, and preserved specificity at 76.0%. Evaluating FVs on T2-weighted RARE images can be useful for detecting placental insufficiency, particularly in placentas without globular appearances on MR imaging.

Keywords

abnormal accuracy acquisition addition additional alterations altered amniotic appearance appearances array arrow arrows artifact assess audience available body categorized cause central clear contained decrease decreased density despite detecting detection development diagnosed diagnosing dysfunctional edges enhancement equivocal evaluate evaluating examination fact fast fetal fetus fetuses fifty finding findings five flow fluid focal functional gestation globular gross growth gynecology half helps human hypothesized identify included increasingly insertion insufficiency intensity intrauterine invasive japan lancet largest leading length longitudinal loss mapping materials maximal measuring mechanism medicine morphologic morphological none note obstetric obstetrics particularly percentile placenta placental placentas plus positive pregnancies pregnant preserved properties radiologists radiology rapid rare reduced reduction reflected reflection relation restriction reviewed scanner school selected sensitivity series shot significance signs singleton slice specificity story studies substantially supply surface table taken tapering target thickened thicknesses thought tissue tool transverse twenty umbilical underwent useful uterus verify voids volume volumes weeks whole whose woman women year