The gravid uterus: MR imaging and reporting of abnormal placentation

Lea Azour; Cecilia Besa; Sara Lewis; Amita Kamath; Edward R Oliver; Bachir Taouli

doi:10.1007/s00261-016-0752-5

The gravid uterus: MR imaging and reporting of abnormal placentation

Abdom Radiol (NY). 2016 Dec;41(12):2411-2423. doi: 10.1007/s00261-016-0752-5.

Authors

Lea Azour¹, Cecilia Besa^{1

2}, Sara Lewis¹, Amita Kamath³, Edward R Oliver⁴, Bachir Taouli^{5

6}

Affiliations

¹ Department of Radiology, Icahn School of Medicine at Mount Sinai, Box 1234, One Gustave L. Levy Place, New York, NY, 10029, USA.
² Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, 1470 Madison Avenue, New York, NY, 10029, USA.
³ Austin Radiological Association, Austin, TX, 78727, USA.
⁴ Department of Radiology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104, USA.
⁵ Department of Radiology, Icahn School of Medicine at Mount Sinai, Box 1234, One Gustave L. Levy Place, New York, NY, 10029, USA. [email protected].
⁶ Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, 1470 Madison Avenue, New York, NY, 10029, USA. [email protected].

PMID: 27472936
DOI: 10.1007/s00261-016-0752-5

Abstract

Appropriate placentation is critical to maternal and fetal outcomes. Abnormal placentation, including placenta previa and morbidly adherent placenta, is increasing in incidence and is associated with multiple risk factors including advanced maternal age and history of prior cesarean delivery. Magnetic resonance imaging (MRI) is increasingly used in assessing the type and extent of abnormal placentation, often leading to modifications in surgical approach. Here, we review the MRI features and appropriate reporting of placenta previa and the placenta accreta spectrum.

Keywords: MRI; Morbidly adherent placenta; Placenta accreta; Placenta previa.

Publication types

Review

MeSH terms

Diagnosis, Differential
Female
Humans
Magnetic Resonance Imaging / methods
Placenta Diseases / diagnostic imaging*
Placenta Diseases / pathology
Placenta Diseases / surgery
Pregnancy
Risk Factors