Role of magnetic resonance imaging in pregnancy-associated obstetric and gynecological complications

Abstract Background To study the role of MRI in diagnosing pregnancy-associated obstetric and gynecological complications. We prospectively studied 48 pregnant and postpartum women, aged between 20 and 45 years, who were referred for MRI between August 2016 and April 2018 with suspected pregnancy-as...

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Main Authors: Gayathri Nagenthran, Rajeshwaran Rangasami, Anupama Chandrasekharan, Poovini Soundararajan, Usha Rani Godla
Format: Article
Language:English
Published: SpringerOpen 2019-12-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43055-019-0112-x
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author Gayathri Nagenthran
Rajeshwaran Rangasami
Anupama Chandrasekharan
Poovini Soundararajan
Usha Rani Godla
author_facet Gayathri Nagenthran
Rajeshwaran Rangasami
Anupama Chandrasekharan
Poovini Soundararajan
Usha Rani Godla
author_sort Gayathri Nagenthran
collection DOAJ
description Abstract Background To study the role of MRI in diagnosing pregnancy-associated obstetric and gynecological complications. We prospectively studied 48 pregnant and postpartum women, aged between 20 and 45 years, who were referred for MRI between August 2016 and April 2018 with suspected pregnancy-associated obstetric and gynecological complication. MRI findings were confirmed by intra-operative or histological findings. Results Out of the 48 patients, there were 32 women with suspected placenta accreta, 5 pregnant women with 6 ectopic pregnancies (1 patient had two gestational sacs), 3 with ovarian pathologies, 3 with uterine pathologies, 3 with abruptio placenta, and 2 with miscellaneous pathologies. In our study, there was an accuracy of 81.6% with sensitivity of 100% and specificity of 50%. There was 100% accuracy in predicting abruptio placenta, ovarian, uterine, and miscellaneous pathologies by MRI. There was 83.4% and 75% accuracy in predicting ectopic pregnancy and placenta accreta, respectively, by MRI. Conclusion MRI is very useful to diagnose pregnancy-associated obstetric and gynecological complications. It will be an important complementary tool to sonography and thereby facilitate better patient management.
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spelling doaj.art-2717b082c112479daef0342515e5738d2022-12-21T19:58:08ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622019-12-015011710.1186/s43055-019-0112-xRole of magnetic resonance imaging in pregnancy-associated obstetric and gynecological complicationsGayathri Nagenthran0Rajeshwaran Rangasami1Anupama Chandrasekharan2Poovini Soundararajan3Usha Rani Godla4Medall Diagnostic Service CenterSri Ramachandra Institute of higher education and researchSri Ramachandra Institute of higher education and researchSri Ramachandra Institute of higher education and researchSri Ramachandra Institute of higher education and researchAbstract Background To study the role of MRI in diagnosing pregnancy-associated obstetric and gynecological complications. We prospectively studied 48 pregnant and postpartum women, aged between 20 and 45 years, who were referred for MRI between August 2016 and April 2018 with suspected pregnancy-associated obstetric and gynecological complication. MRI findings were confirmed by intra-operative or histological findings. Results Out of the 48 patients, there were 32 women with suspected placenta accreta, 5 pregnant women with 6 ectopic pregnancies (1 patient had two gestational sacs), 3 with ovarian pathologies, 3 with uterine pathologies, 3 with abruptio placenta, and 2 with miscellaneous pathologies. In our study, there was an accuracy of 81.6% with sensitivity of 100% and specificity of 50%. There was 100% accuracy in predicting abruptio placenta, ovarian, uterine, and miscellaneous pathologies by MRI. There was 83.4% and 75% accuracy in predicting ectopic pregnancy and placenta accreta, respectively, by MRI. Conclusion MRI is very useful to diagnose pregnancy-associated obstetric and gynecological complications. It will be an important complementary tool to sonography and thereby facilitate better patient management.https://doi.org/10.1186/s43055-019-0112-xPregnancyEctopicUterine pathologyOvarian complication
spellingShingle Gayathri Nagenthran
Rajeshwaran Rangasami
Anupama Chandrasekharan
Poovini Soundararajan
Usha Rani Godla
Role of magnetic resonance imaging in pregnancy-associated obstetric and gynecological complications
The Egyptian Journal of Radiology and Nuclear Medicine
Pregnancy
Ectopic
Uterine pathology
Ovarian complication
title Role of magnetic resonance imaging in pregnancy-associated obstetric and gynecological complications
title_full Role of magnetic resonance imaging in pregnancy-associated obstetric and gynecological complications
title_fullStr Role of magnetic resonance imaging in pregnancy-associated obstetric and gynecological complications
title_full_unstemmed Role of magnetic resonance imaging in pregnancy-associated obstetric and gynecological complications
title_short Role of magnetic resonance imaging in pregnancy-associated obstetric and gynecological complications
title_sort role of magnetic resonance imaging in pregnancy associated obstetric and gynecological complications
topic Pregnancy
Ectopic
Uterine pathology
Ovarian complication
url https://doi.org/10.1186/s43055-019-0112-x
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