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磁共振成像在胎盘植入谱系疾病中的应用:最新进展的综合文献复习。

MR Imaging of Placenta Accreta Spectrum: A Comprehensive Literature Review of the Most Recent Advancements.

机构信息

Department of Radiology, Pediatric Section, University of Colorado School of Medicine; Children's Hospital Colorado.

Department of Radiology, Pediatric Section, University of Colorado School of Medicine; Children's Hospital Colorado.

出版信息

Magn Reson Imaging Clin N Am. 2024 Aug;32(3):573-584. doi: 10.1016/j.mric.2024.03.009. Epub 2024 May 6.

Abstract

This article delves into the latest MR imaging developments dedicated to diagnosing placenta accreta spectrum (PAS). PAS, characterized by abnormal placental adherence to the uterine wall, is of paramount concern owing to its association with maternal morbidity and mortality, particularly in high-risk pregnancies featuring placenta previa and prior cesarean sections. Although ultrasound (US) remains the primary screening modality, limitations have prompted heightened emphasis on MR imaging. This review underscores the utility of quantitative MR imaging, especially where US findings prove inconclusive or when maternal body habitus poses challenges, acknowledging, however, that interpreting placenta MR imaging demands specialized training for radiologists.

摘要

本文深入探讨了最新的磁共振成像 (MRI) 技术在胎盘植入谱系疾病 (PAS) 诊断中的应用。PAS 是指胎盘异常附着于子宫壁,与产妇发病率和死亡率密切相关,特别是在前置胎盘和既往剖宫产等高危妊娠中更为突出。尽管超声 (US) 仍然是主要的筛查方式,但存在局限性,这促使我们更加重视 MRI 检查。本文强调了定量 MRI 在 PAS 诊断中的应用价值,尤其是在超声检查结果不确定或因孕妇体型而存在挑战时。然而,我们也认识到,解读胎盘 MRI 需要放射科医生具备专业培训。

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