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Fetal MRI pp 403–442Cite as

Normal and Pathological Placental Development: MRI and Pathology

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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

The placenta is essential for fetal growth and development. Ultrasound and Doppler are still the standard methods of placenta investigation, but some pathologies such as placenta increta and infarction are better seen in magnetic resonance imaging (MRI). Due to the larger field of view and multiplanar capabilities, MRI has advantages especially in advanced gestational ages. The MRI appearance of the placenta can provide essential information about underlying pathologies contributing to fetal problems such as intrauterine growth restriction (IUGR) and may be helpful for making management decisions or in monitoring the severity of placental pathologies.

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References

  • Abramowicz JS, Sheiner E (2007) In utero imaging of the placenta: importance for disease of pregnancy. Placenta 21:S14–S22

    Article  Google Scholar 

  • Adams-Chapman I, Vaucher YE, Bejar RF et al (2002) Maternal floor infarction of the placenta: association with central nervous system injury and adverse neurodevelopmental outcome. J Perinatol 22:236–241

    Article  PubMed  Google Scholar 

  • Allen SD, Lim AK, Seckl MJ et al (2006) Radiology of gestational trophoblastic neoplasia. Clin Radiol 61:301–313

    Article  PubMed  CAS  Google Scholar 

  • Amano Y, Hayashi T, Takahama K et al (2003) MR imaging of umbilical cord urachal (allantoic) cyst in utero. AJR Am J Roentgenol 180:1181–1182

    Article  PubMed  Google Scholar 

  • Bardo D, Oto A (2008) Magnetic resonance imaging for evaluation of the fetus and the placenta. Am J Perinatol 25:591–599

    Article  PubMed  Google Scholar 

  • Baughman WC, Corteville JE, Shah RR (2008) Placenta accreta: spectrum of US and MR imaging findings. Radiographics 28:1905–1916

    Article  PubMed  Google Scholar 

  • Benveniste H, Fowler JS, Rooney WD et al (2003) Maternal-fetal in vivo imaging: a combined PET and MRI study. J Nucl Med 44:1522–1530

    PubMed  Google Scholar 

  • Bertrand G, Le Ray C, Simard-Emond L et al (2009) Imaging in the management of abdominal pregnancy: a case report and review of the literature. J Obstet Gynaecol Can 31:57–62

    PubMed  Google Scholar 

  • Blaicher W, Brugger PC, Mittermayer C et al (2006) Magnetic resonance imaging of the normal placenta. Eur J Radiol 57:256–260

    Article  PubMed  Google Scholar 

  • Brugger PC, Stuhr F, Lindner C et al (2006) Methods of fetal MR: beyond T2-weighted imaging. Eur J Radiol 57:172–181

    Article  PubMed  Google Scholar 

  • Damodaram M, Story L, Eixarch E et al (2010) Placental MRI in intrauterine growth restriction. Placenta. doi:10.1016/j.placenta.2010.03.001

    PubMed  Google Scholar 

  • DeFriend DE, Dubbins PA, Hughes PM (2000) Sacculation of the uterus and placenta accreta: MRI appearances. Br J Radiol 73:1323–1325

    PubMed  CAS  Google Scholar 

  • Duncan KR (2001) Fetal and placental volumetric and functional analysis using echo-planar imaging. Top Magn Reson Imaging 12:52–66

    Article  PubMed  CAS  Google Scholar 

  • Elchalal U, Ezra Y, Levi Y et al (2000) Sonographically thick placenta: a marker for increased perinatal risk–a prospective cross-sectional study. Placenta 21:268–272

    Article  PubMed  CAS  Google Scholar 

  • Finberg HJ, Williams JW (1992) Placenta accreta: prospective sonographic diagnosis in patients with placenta previa and prior cesarean section. J Ultrasound Med 11:333–343

    PubMed  CAS  Google Scholar 

  • Grannum PA, Berkowitz RL, Hobbins JC (1979) The ultrasonic changes in the maturing placenta and their relation to fetal pulmonic maturity. Am J Obstet Gynecol 133:915–922

    PubMed  CAS  Google Scholar 

  • Heiskanen N, Kroger J, Kainulainen S et al (2008) Placenta percreta: methotrexate treatment and MRI findings. Am J Perinatol 25:91–92

    Article  PubMed  Google Scholar 

  • H’Mida D, Gribaa M, Yacoubi T et al (2008) Placental mesenchymal dysplasia with beckwith-wiedemann syndrome fetus in the context of biparental and androgenic cell lines. Placenta 29:454–460

    Article  PubMed  Google Scholar 

  • Huisman TA, Lewi L, Zimmermann R et al (2005) Magnetic resonance imaging of the feto-placentar unit after fetoscopic laser coagulation for twin-to-twin transfusion syndrome. Acta Radiol 46:328–330

    Article  PubMed  CAS  Google Scholar 

  • Iwahashi M, Otani N, Umesaki N (2008) A giant placenta: the patient’s placenta was growing quickly; the fetus was not. Am J Obstet Gynecol 199(712):e1

    PubMed  Google Scholar 

  • Jung SE, Byun JY, Lee JM et al (2001) MR imaging of maternal diseases in pregnancy. AJR Am J Roentgenol 177:1293–1300

    Article  PubMed  CAS  Google Scholar 

  • Kaplan C (2007) Color atlas of gross placental pathology, 2nd edn. Springer, New York

    Google Scholar 

  • Kaplan CG (2008) Gross pathology of the placenta: weight, shape, size, colour. J Clin Pathol 61:1285–1295

    Article  PubMed  CAS  Google Scholar 

  • Kasprian G, Balassy C, Brugger PC et al (2006) MRI of normal and pathological fetal lung development. Eur J Radiol 57:261–270

    Article  PubMed  Google Scholar 

  • Kato K, Shiozawa T, Ashida T et al (2005) Prenatal diagnosis of amniotic sheets by magnetic resonance imaging. Am J Obstet Gynecol 193:881–884

    Article  PubMed  Google Scholar 

  • Kawamotoa S, Ogawa F, Tanaka J et al (2000) Chorioangioma: antenatal diagnosis with fast MR imaging. Magn Reson Imaging 18:911–914

    Article  PubMed  CAS  Google Scholar 

  • Kraus F, Redline R, Gersell D et al (2004) Placental pathology, 1st edn. American Registry of Pathology with the Armed Forces Institute of Pathology, Washington, DC, p 125

    Google Scholar 

  • Kubik-Huch RA, Wildermuth S, Cettuzzi L et al (2001) Fetus and uteroplacental unit: fast MR imaging with three-dimensional reconstruction and volumetry–feasibility study. Radiology 219:567–573

    PubMed  CAS  Google Scholar 

  • Kurachi H, Maeda T, Murakami T et al (1995) MRI of placental polyps. J Comput Assist Tomogr 19:444–448

    Article  PubMed  CAS  Google Scholar 

  • Laifer-Narin S, Budorick NE, Simpson LL et al (2007) Fetal magnetic resonance imaging: a review. Curr Opin Obstet Gynecol 19:151–156

    Article  PubMed  Google Scholar 

  • Lax A, Prince MR, Mennitt KW et al (2007) The value of specific MRI features in the evaluation of suspected placental invasion. Magn Reson Imaging 25:87–93

    Article  PubMed  Google Scholar 

  • Le Bihan D, Turner R, Douek P et al (1992) Diffusion MR imaging: clinical applications. AJR Am J Roentgenol 159:591–599

    Article  PubMed  Google Scholar 

  • Levine D (2005) Atlas of fetal MRI, 1st edn. Taylor & Francis, Boca Raton, 207

    Google Scholar 

  • Levine D (2006) Obstetric MRI. J Magn Reson Imaging 24:1–15

    Article  PubMed  Google Scholar 

  • Linduska N, Dekan S, Messerschmid A et al (2009) Placental pathologies in fetal MRI and pathohistological correlation. Placenta 30(6):555–559, Epub 2009 Apr

    Article  PubMed  CAS  Google Scholar 

  • Lockhat F, Corr P, Ramphal S et al (2006) The value of magnetic resonance imaging in the diagnosis and management of extra-uterine abdominal pregnancy. Clin Radiol 61:264–269

    Article  PubMed  CAS  Google Scholar 

  • Malian V, Lee JH (2001) MR imaging and MR angiography of an abdominal pregnancy with placental infarction. AJR Am J Roentgenol 177:1305–1306

    Article  PubMed  CAS  Google Scholar 

  • Marcos HB, Semelka RC, Worawattanakul S (1997) Normal placenta: gadolinium-enhanced dynamic MR imaging. Radiology 205:493–496

    PubMed  CAS  Google Scholar 

  • Masselli G, Brunelli R, Casciani E et al (2008) Magnetic resonance imaging in the evaluation of placental adhesive disorders: correlation with color Doppler ultrasound. Eur Radiol 18:1292–1299

    Article  PubMed  Google Scholar 

  • Mayhew TM, Wijesekara J, Baker PN et al (2004) Morphometric evidence that villous development and fetoplacental angiogenesis are compromised by intrauterine growth restriction but not by pre-eclampsia. Placenta 25:829–833

    Article  PubMed  CAS  Google Scholar 

  • McKelvey SS, Kay HH (2007) Magnetic resonance spectroscopy of the placenta. Placenta 28:369–377

    Article  PubMed  CAS  Google Scholar 

  • Mochizuki T, Nishiguchi T, Ito I et al (1996) Case report. Antenatal diagnosis of chorioangioma of the placenta: MR features. J Comput Assist Tomogr 20:413–416

    Article  PubMed  CAS  Google Scholar 

  • Moore RJ, Strachan BK, Tyler DJ et al (2000) In utero perfusing fraction maps in normal and growth restricted pregnancy measured using IVIM echo-planar MRI. Placenta 21:726–732

    Article  PubMed  CAS  Google Scholar 

  • Moore RJ, Ong SS, Tyler DJ et al (2008) Spiral artery blood volume in normal pregnancies and those compromised by pre-eclampsia. NMR Biomed 21:376–380

    Article  PubMed  Google Scholar 

  • Morikawa M, Cho K, Kataoka S et al (2005) Magnetic resonance image findings of placental lake: report of two cases. Prenat Diagn 25:250–252

    Article  PubMed  Google Scholar 

  • Nagel HT, Vandenbussche FP, Smit VT et al (2007) Intraplacental choriocarcinoma as an unexpected cause of intrauterine death at term. Int J Gynecol Cancer 17:1337–1339

    Article  PubMed  CAS  Google Scholar 

  • Ngan HY, Bender H, Benedet JL et al (2003) Gestational trophoblastic neoplasia, FIGO 2000 staging and classification. Int J Gynaecol Obstet 83(Suppl 1):175–177

    Article  PubMed  Google Scholar 

  • Ong SS, Tyler DJ, Moore RJ et al (2004) Functional magnetic resonance imaging (magnetization transfer) and stereological analysis of human placentae in normal pregnancy and in pre-eclampsia and intrauterine growth restriction. Placenta 25:408–412

    Article  PubMed  CAS  Google Scholar 

  • Oyelese Y, Jha RC, Moxley MD et al (2003) Magnetic resonance imaging of vasa praevia. BJOG 110:1127–1128

    Article  PubMed  Google Scholar 

  • Palacios Jaraquemada JM, Bruno CH (2005) Magnetic resonance imaging in 300 cases of placenta accreta: surgical correlation of new findings. Acta Obstet Gynecol Scand 84:716–724

    Article  PubMed  Google Scholar 

  • Palacios Jaraquemada JM, Pesaresi M, Nassif JC et al (2004) Anterior placenta percreta: surgical approach, hemostasis and uterine repair. Acta Obstet Gynecol Scand 83:738–744

    Article  PubMed  Google Scholar 

  • Prayer D, Brugger PC, Prayer L (2004) Fetal MRI: techniques and protocols. Pediatr Radiol 34:685–693

    Article  PubMed  Google Scholar 

  • Ramsey EM (1959) Vascular adaptations of the uterus to pregnancy. Ann N Y Acad Sci 75:726–745

    Article  PubMed  CAS  Google Scholar 

  • Rossier MC, Bays V, Vial Y et al (2008) Congenital uterine anomalies: diagnosis, prognosis and management in 2008. Rev Med Suisse 4:2253–2254, 2256–2258, 2260

    Google Scholar 

  • Salafia CM, Zhang J, Charles AK et al (2008) Placental characteristics and birthweight. Paediatr Perinat Epidemiol 22:229–239

    Article  PubMed  Google Scholar 

  • Sebire NJ, Sepulveda W (2008) Correlation of placental pathology with prenatal ultrasound findings. J Clin Pathol 61:1276–1284

    Article  PubMed  CAS  Google Scholar 

  • Suzuki N, Suzuki M, Terada S et al (1995) Placental polyp: MR imaging findings. AJR Am J Roentgenol 165:1554

    Article  PubMed  CAS  Google Scholar 

  • Takai N, Miyazaki T, Yoshimatsu J et al (2000) Intraplacental choriocarcinoma with fetomaternal transfusion. Pathol Int 50:258–261

    Article  PubMed  CAS  Google Scholar 

  • Takeuchi M, Matsuzaki K, Uehara H et al (2005) Pathologies of the uterine endometrial cavity: usual and unusual manifestations and pitfalls on magnetic resonance imaging. Eur Radiol 15:2244–2255

    Article  PubMed  Google Scholar 

  • Thompson MO, Vines SK, Aquilina J et al (2002) Are placental lakes of any clinical significance? Placenta 23:685–690

    Article  PubMed  CAS  Google Scholar 

  • Trop I, Levine D (2001) Hemorrhage during pregnancy: sonography and MR imaging. AJR Am J Roentgenol 176:607–615

    Article  PubMed  CAS  Google Scholar 

  • Verswijvel G, Grieten M, Gyselaers W et al (2002) MRI in the assessment of pregnancy related intrauterine bleeding: a valuable adjunct to ultrasound? JBR-BTR 85:189–192

    PubMed  CAS  Google Scholar 

  • Voss MK, Hansen LS, Rasmussen KL (2007) Umbilical cord constriction caused by amniotic band. Ugeskr Laeger 169:3497–3498

    PubMed  Google Scholar 

  • Wagner BJ, Woodward PJ, Dickey GE (1996) From the archives of the AFIP. Gestational trophoblastic disease: radiologic-pathologic correlation. Radiographics 16:131–148

    PubMed  CAS  Google Scholar 

  • Warshak CR, Eskander R, Hull AD et al (2006) Accuracy of ultrasonography and magnetic resonance imaging in the diagnosis of placenta accreta. Obstet Gynecol 108:573–581

    Article  PubMed  Google Scholar 

  • Williams RL, Creasy RK, Cunningham GC et al (1982) Fetal growth and perinatal viability in California. Obstet Gynecol 59:624–632

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Clinical Institute of Pathology, Medical University of Vienna, Vienna, Austria

    Sabine Dekan

  2. Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria

    Nina Linduska

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  1. Sabine Dekan
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  2. Nina Linduska
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Correspondence to Sabine Dekan .

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Editors and Affiliations

  1. Klinik für Radiodiagnostik, Medizinische Universität Wien, Währinger Gürtel 18-20, Wien, 1090, Austria

    Daniela Prayer

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Dekan, S., Linduska, N. (2010). Normal and Pathological Placental Development: MRI and Pathology. In: Prayer, D. (eds) Fetal MRI. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2010_61

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  • DOI: https://doi.org/10.1007/174_2010_61

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-73270-9

  • Online ISBN: 978-3-540-73271-6

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