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Magnetic Resonance in Medicine
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Magnetic Resonance in Medicine
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Separating fetal and maternal placenta circulations using multiparametric MRI

Authors: Melbourne, Andrew; Aughwane, Rosalind; Sokolska, Magdalena; Owen, David; Kendall, Giles; Flouri, Dimitra; Bainbridge, Alan; +5 Authors

Separating fetal and maternal placenta circulations using multiparametric MRI

Abstract

PurposeThe placenta is a vital organ for the exchange of oxygen, nutrients, and waste products between fetus and mother. The placenta may suffer from several pathologies, which affect this fetal‐maternal exchange, thus the flow properties of the placenta are of interest in determining the course of pregnancy. In this work, we propose a new multiparametric model for placental tissue signal in MRI.MethodsWe describe a method that separates fetal and maternal flow characteristics of the placenta using a 3‐compartment model comprising fast and slowly circulating fluid pools, and a tissue pool is fitted to overlapping multiecho T2 relaxometry and diffusion MRI with low b‐values. We implemented the combined model and acquisition on a standard 1.5 Tesla clinical system with acquisition taking less than 20 minutes.ResultsWe apply this combined acquisition in 6 control singleton placentas. Mean myometrial T2 relaxation time was 123.63 (±6.71) ms. Mean T2 relaxation time of maternal blood was 202.17 (±92.98) ms. In the placenta, mean T2 relaxation time of the fetal blood component was 144.89 (±54.42) ms. Mean ratio of maternal to fetal blood volume was 1.16 (±0.6), and mean fetal blood saturation was 72.93 (±20.11)% across all 6 cases.ConclusionThe novel acquisition in this work allows the measurement of histologically relevant physical parameters, such as the relative proportions of vascular spaces. In the placenta, this may help us to better understand the physiological properties of the tissue in disease.

Countries
Belgium, United Kingdom
Keywords

BLOOD, Full Papers—Imaging Methodology, FLOW, Placenta, relaxometry, 610, Umbilical Arteries, CONTRAST-ENHANCED MRI, Fetus, 0903 Biomedical Engineering, Pregnancy, Prenatal Diagnosis, PERFUSION, Image Processing, Computer-Assisted, Humans, Placental Circulation, Maternal-Fetal Exchange, 4003 Biomedical engineering, T-2 RELAXATION, Science & Technology, Radiology, Nuclear Medicine & Medical Imaging, diffusion, ASSOCIATION, Models, Theoretical, Fetal Blood, Magnetic Resonance Imaging, DIFFUSION, Oxygen, Nuclear Medicine & Medical Imaging, PREGNANCY, chorion, ARTERY DOPPLER ULTRASOUND, Myometrium, Female, RELAXATION-TIMES, Life Sciences & Biomedicine, DECIDE, Algorithms, flow-matching

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
69
Top 1%
Top 10%
Top 1%
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