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胎盘植入、穿透性胎盘植入和粘连性胎盘植入的磁共振成像:要点与陷阱

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

作者信息

Kilcoyne Aoife, Shenoy-Bhangle Anuradha S, Roberts Drucilla J, Sisodia Rachel Clark, Gervais Debra A, Lee Susanna I

机构信息

1 Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA 02114.

2 Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

出版信息

AJR Am J Roentgenol. 2017 Jan;208(1):214-221. doi: 10.2214/AJR.16.16281. Epub 2016 Oct 20.

Abstract

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.

摘要

目的

本文旨在为对疑似胎盘植入进行磁共振成像(MRI)检查的放射科医生提供一份入门指南,阐述正常及异常表现以及诊断陷阱。总结了合适的检查指征以及优化图像采集和解读的建议。

结论

MRI提高了高危患者检查的准确性,并有助于多学科分娩计划的制定,以改善产妇结局。读者的准确性和信心需要遵循检查流程、图像解读标准,并了解常见陷阱。

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