Multi-modal functional MRI to explore placental function over gestation

Magn Reson Med. 2019 Feb;81(2):1191-1204. doi: 10.1002/mrm.27447. Epub 2018 Sep 21.

Abstract

Purpose: To investigate, visualize and quantify the physiology of the human placenta in several dimensions - functional, temporal over gestation, and spatial over the whole organ.

Methods: Bespoke MRI techniques, combining a rich diffusion protocol, anatomical data and T2* mapping together with a multi-modal pipeline including motion correction and extracted quantitative features were developed and employed on pregnant women between 22 and 38 weeks gestational age including two pregnancies diagnosed with pre-eclampsia.

Results: A multi-faceted assessment was demonstrated showing trends of increasing lacunarity, and decreasing T2* and diffusivity over gestation.

Conclusions: The obtained multi-modal acquisition and quantification shows promising opportunities for studying evolution, adaptation and compensation processes.

Keywords: development; diffusion MRI; placenta; postprocessing; pregnancy complications; relaxometry.

MeSH terms

  • Algorithms
  • Anisotropy
  • Artifacts
  • Diffusion Magnetic Resonance Imaging*
  • Female
  • Fetus
  • Gestational Age
  • Humans
  • Image Processing, Computer-Assisted / methods*
  • Least-Squares Analysis
  • Models, Anatomic
  • Motion
  • Placenta / diagnostic imaging*
  • Pre-Eclampsia / diagnostic imaging*
  • Pregnancy
  • Prenatal Diagnosis / methods*