Forstner R, Kalbhen C L, Filly R A, Hricak H
University of California, San Francisco, Department of Radiology, 94143-0628, USA.
AJR Am J Roentgenol. 1996 May;166(5):1139-44. doi: 10.2214/ajr.166.5.8615258.
Managing a pregnant patient with a suspected nonobstetric abdominopelvic disorder is challenging. Information from imaging affects the treatment options, which range from operating emergently and risking miscarriage to terminating the pregnancy or delaying treatment until after delivery. The most common indications for MR imaging during pregnancy are disorders of the central nervous and cardiovascular systems. In the evaluation of the abdomen and pelvis, sonography plays the pivotal role; however, sonography may be inconclusive because of its limited specificity in tissue characterization and technical difficulties caused by the enlarged uterus. For these reasons MR imaging has emerged as a valuable adjunct to sonography. In this pictorial essay we describe a variety of nonobstetric abdominopelvic disorders during pregnancy in which MR imaging contributed to patient management.
管理一名疑似患有非产科腹部盆腔疾病的孕妇具有挑战性。影像学检查结果会影响治疗方案的选择，这些方案包括紧急手术并冒着流产的风险、终止妊娠或延迟治疗直至分娩后。孕期磁共振成像（MR成像）最常见的指征是中枢神经和心血管系统疾病。在腹部和盆腔评估中，超声检查起着关键作用；然而，由于其在组织特征识别方面的特异性有限以及增大的子宫所导致的技术困难，超声检查可能无法得出明确结论。基于这些原因，MR成像已成为超声检查的重要辅助手段。在这篇影像论文中，我们描述了孕期多种非产科腹部盆腔疾病，其中MR成像对患者的管理起到了帮助作用。
