MRI of Placenta Accreta, Placenta Increta, and Placenta Percreta: Pearls and Pitfalls

被引:97
作者
Kilcoyne, Aoife [1 ]
Shenoy-Bhangle, Anuradha S. [2 ]
Roberts, Drucilla J. [3 ]
Sisodia, Rachel Clark [4 ]
Gervais, Debra A. [1 ]
Lee, Susanna I. [1 ]
机构
[1] Harvard Med Sch, Massachusetts Gen Hosp, Dept Radiol, 55 Fruit St, Boston, MA 02114 USA
[2] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Dept Radiol, Boston, MA USA
[3] Harvard Med Sch, Massachusetts Gen Hosp, Dept Pathol, Boston, MA USA
[4] Harvard Med Sch, Massachusetts Gen Hosp, Gillette Ctr Gynecol Oncol, Boston, MA USA
关键词
abnormal placentation; MRI; placenta accreta; placenta increta; placenta percreta; PERIPARTUM HYSTERECTOMY; GESTATIONAL-AGE; RISK-FACTORS; DIAGNOSIS; PREVIA; PREGNANCY; SAFETY; US;
D O I
10.2214/AJR.16.16281
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. The purpose of this article is to provide a primer for radiologists performing MRI for suspected placenta accreta, illustrating normal and abnormal findings and diagnostic pitfalls. Appropriate examination indications and recommendations for optimizing image acquisition and interpretation are summarized. CONCLUSION. MRI increases the accuracy of the workup of high-risk patients and aids in multidisciplinary delivery planning to improve maternal outcome. Reader accuracy and confidence require adherence to examination performance, image interpretation criteria, and awareness of common pitfalls.
引用
收藏
页码:214 / 221
页数:8
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