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Magnetic resonance imaging in obstetrics

Published online by Cambridge University Press:  10 October 2008

MC Powell
MC Powell*
Affiliation:
Queen’s Medical Centre, Nottingham, UK.
*
MC Powell, Department of Obstetrics and Gynaecology, Queen’s Medical Centre, Nottingham, NG7 2UH, UK
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Extract

The discipline of radiology owes its existence today to the discovery of bands of radiation in the electromagnetic spectrum which can penetrate human tissue, and thus can be exploited as windows for imaging. Magnetic resonance (MR) employs radio-frequency radiation and almost certainly represents the final such window in the electromagnetic spectrum for imaging. It is similar to Computerised Tomography (CT) in providing a cross-sectional display of body anatomy with excellent resolution of soft tissue detail. The images are essentially a map of the distribution density of hydrogen nuclei and parameters reflecting their motion in cellular water and lipids. The total avoidance of ionizing radiation, its lack of known hazard and the penetration of bone and air without attenuation, make it a particularly attractive non-invasive imaging technique.

Type
Articles
Information
Fetal and Maternal Medicine Review , Volume 5 , Issue 2 , May 1993 , pp. 57 - 77
Copyright
Copyright © Cambridge University Press 1993

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References

1Purcell, EM, Torrey, HC, Pound, RV. Resonance absorption by nuclear magnetic moments in a solid. Phys Rev 1946; 69: 37–38.CrossRefGoogle Scholar
2Bloch, F, Hansen, WW, Packard, ME. Nuclear induction. Phys Rev 1946; 69: 127.CrossRefGoogle Scholar
3Damadian, R. Tumour detection by nuclear magnetic resonance. Science 1971; 171: 1151–53.CrossRefGoogle ScholarPubMed
4Lauterbur, PC. Image formation by induced local interaction: examples employing nuclear magnetic resonance. Nature 1973; 242: 190–91.CrossRefGoogle Scholar
5Holland, GN, Hawkes, RC, Moore, WS. Nuclear magnetic resonance tomography of the brain. Coronal and sagittal sections. J Comput Assist Tomogr 1980; 4: 429–33.CrossRefGoogle ScholarPubMed
6Foster, MA, Knight, CH, Rimmington, JE. Fetal imaging by nuclear magnetic resonance: a study in goats. Radiology 1983; 149: 193–95.CrossRefGoogle ScholarPubMed
7Smith, FW, Adam, AH, Phillips, WDP. NMR imaging in pregnancy (letter). Lancet 1983; i: 61–62.CrossRefGoogle Scholar
8Johnson, IR, Symonds, EM, Kean, DM, Worthington, BS, Broughton-Pipkin, F, Hawkes, RC et al. Imaging the pregnant human uterus with nuclear magnetic resonance. Am J Obstet Gynecol 1984; 148: 1136–39.CrossRefGoogle ScholarPubMed
9Powell, MC, Buckley, JHSymonds, EM, Worthington, BS. Magnetic resonance imaging in obstetrics (i) maternal anatomy. Br J Obstet Gynaecol 1988; 95: 31–37.CrossRefGoogle ScholarPubMed
10McCarthy, SM, Stark, DD, Filly, RA, Callen, PW, Hricak, H, Higgins, CB. Obstetrical magnetic resonance imaging: fetal anatomy. Radiology 1985; 154: 427–32.CrossRefGoogle ScholarPubMed
11Weinreb, JC, Brown, CE, Lowe, TW, Cohen, JM, Erdman, WA. Pelvic masses in pregnant patients: MR and U/S imaging. Radiology 1986; 159: 717–24.CrossRefGoogle Scholar
12Powell, MC, Buckley, JH, Symonds, EM, Worthington, BS. Magnetic Resonance Imaging (MRI) and placenta praevia. Am J Obstet Gynecol 1986; 154: 565–69.CrossRefGoogle Scholar
13Worthington, BS, Powell, MC, Buckley, J, Symonds, EM. Comparative study of conventional and MR pelvimetry (abst) Radiology Society of North America (Chicago). Radiology 1985; 152: 190.Google Scholar
14Worthington, BS, Powell, MC, Buckley, J, Womack, C, Symonds, EM. The low intensity band on spin-echo images of the uterus: anatomic and clinico-pathologic study (abstr). 71st Radiological Society of North America, Chicago. Radiology 154: 427–32.Google Scholar
15Van Loon, AJ, Mantingh, A, Thijn, CJP, Mooyart, EL. Pelvimetry by magnetic resonance imaging in breech presentation. Am J Obstet Gynecol 1990; 163: 1256–60.CrossRefGoogle ScholarPubMed
16Bauer, M, Schulz-Wendtland, R, De Gregorio, G, Sigmind, G. Obstetric pelvimetry using nuclear magnetic resonance tomography (MRI). Clinical experience with 150 patients. Geburtshilfe Frauenheilkd 1992; 52: 322–26.CrossRefGoogle ScholarPubMed
17Powell, MC, Wilson, M, Szyrryt, P, Symonds, EM, Worthington, BS. Prevalence of lumbar disc degeneration observed by magnetic resonance in symptomless women. Lancet 1986; 1: 1366–67.CrossRefGoogle Scholar
18Mawhinney, RR, Powell, MC, Worthington, BS, Symonds, EM. Magnetic resonance imaging of benign ovarian masses. Br J Radiol 1988; 61: 179–86.CrossRefGoogle ScholarPubMed
19Kier, R, McCarthy, SM, Scoutt, LM, Viscarello, RR, Schwartz, PE. Pelvic masses in pregnancy: MR imaging. Radiology 1990; 176: 709–13.CrossRefGoogle ScholarPubMed
20Powell, MC, Womack, C, Buckley, JH, Worthington, BS, Symonds, EM. Pre-operative magnetic resonance imaging of stage I endometrial adenocarcinoma. Br J Obstet Gynaecol 1986; 93: 353–60.Google Scholar
21Powell, MC. The clinical application of MRI to obstetrics and gynaecology. MD thesis, University of Nottingham 1989.Google Scholar
22Kay, HH, Spritzer, CE. Preliminary experience with magnetic resonance imaging in patients with third trimester bleeding. Obstet Gynecol 1991; 78: 424–29.Google ScholarPubMed
23Thorp, JM, Councell, RB, Sandridge, DA, Wiest, HH. Antepartum diagnosis of placenta praevia percreta by magnetic resonance imaging. Obstet Gynecol 1992; 80: 506–508.Google ScholarPubMed
24Bradley, WG, Waluch, V. Blood flow: magnetic resonance imaging. Radiology 1985; 154: 443–50.CrossRefGoogle ScholarPubMed
25Singer, JR, Crooks, LE. Nuclear magnetic resonance blood flow measurements in the human brain. Science 1983; 221: 656–64.CrossRefGoogle ScholarPubMed
26Borcard, B, Hiltbrand, E, Magnin, P, Dumont, M. Estimating meconium (fetal faeces) concentration in human amniotic fluid by nuclear magnetic resonance. Physio Chem Phys 1982; 14: 189–92.Google ScholarPubMed
27Williamson, RA, Weiner, CP, Yuh, WTC, Abu-Yousef, MM. Magnetic resonance imaging of anomalous fetuses. Obstet Gynecol 1989; 73: 952–56.Google ScholarPubMed
28Haacke, EM, Tkach, JA. Fast MR imaging: techniques and clinical applications. AJR 1990; 155: 951–64.CrossRefGoogle ScholarPubMed
29Garden, AS, Griffiths, RD, Weindling, M, Martin, PA. Fast-scan magnetic resonance imaging in fetal visualization. Am J Obstet Gynecol 1991; 164: 1190–96.CrossRefGoogle ScholarPubMed
30Worthington, BS, Firth, JL, Morris, GK, Johnson, IR, Coxon, R, Blamire, AM et al. The clinical potential of ultra-high-speed echo-planar imaging. Philos Trans R Soc Lond A 1990; 333: 507–14.Google Scholar
31Mansfield, P, Stehling, MK, Ordidge, RJ, Johnson, IR et al. Echoplanar imaging of the human fetus in utero at 0.5 T. Br J Radiol 1990; 63: 833–42.CrossRefGoogle ScholarPubMed
32Hawkes, RC, Holland, GN, Moore, WS, Worthington, BS. Nuclear magnetic resonance tomography of the brain: a preliminary clinical assessment with demonstration of pathology. J Comput Assist Tomogr 1980; 4: 577–86.CrossRefGoogle Scholar
33Johnson, MA, Pennock, JM, Bydder, GM, Steiner, RE, Thomas, DJ, Hayward, R et al. Clinical NMR imaging of the brain in children: normal and neurologic disease. AJR 1983; 141: 1005–18.CrossRefGoogle ScholarPubMed
34Powell, MC, Buckley, JH, Symonds, EM, Worthington, BS. Magnetic resonance imaging in obstetrics (ii) fetal anatomy. Br J Obstet Gynaecol 1988; 95: 38–46.CrossRefGoogle ScholarPubMed
35Larroche, JC. Development pathology of the neonate. Excerpta Medica 1977; 269–76; 283–94; 319–444.Google Scholar
36Dobbing, J, Sands, J. Quantitative growth and development of the human brain. Arch Dis Child 1973; 48: 757–67.CrossRefGoogle Scholar
37Yakolev, PI, Lecours, AR. The myelogenetic cycles of regional maturation in the brain. In: Minkowski, A ed. Regional development of the brain in early life. London: Blackwell Scientific Publications, 1967: 3–69.Google Scholar
38Mintz, MC, Grossman, RI, Isaacson, G, Thickman, DI, Kundell, H, Joseph, P et al. MR imaging of fetal brain. J Comput Assist Tomogr 1987; 11: 120–23.CrossRefGoogle ScholarPubMed
39Weinreb, JC, Lowe, TW, Cohen, JM, Kutler, M. Human fetal anatomy: MR imaging. Radiology 1985; 157: 715–20.CrossRefGoogle ScholarPubMed
40Cayea, PD, Grant, DC, Doublet, PM, Jones, TB. Prediction of fetal lung maturity. Inaccuracy of study using conventional ultrasound instruments. Radiology 1985; 155: 473–75.CrossRefGoogle ScholarPubMed
41Hadlock, FP, Irwin, JF, Roceker, E, Shay, YP, Deter, RL, Rossavik, IL. Ultrasound prediction of fetal lung maturity. Radiology 1985; 155:469–72.CrossRefGoogle ScholarPubMed
42O’Callaghan, C, Small, P, Chapman, B, Coxon, R, Glover, P, Turner, R et al. Determination of individual and total lung volumes using NMR echo-planar imaging. Ann Radiol 1987; 30: 470–72.Google ScholarPubMed
43Johnson, IR, Stehling, MK, Blamire, AM, Coxon, RJ, Howseman, AM et al. Study of internal structure of the human fetus in utero by echoplanar imaging. Am J Obstet Gynec 1990; 163: 601–607.CrossRefGoogle Scholar
44Stark, DD, McCarthy, SM, Filly, RA, Callen, PW, Hricak, H, Parer, JT. Intrauterine growth retardation: evaluation by magnetic resonance. Radiology 1985; 155: 425–27.CrossRefGoogle ScholarPubMed
45Garden, AS, Weindling, AM, Griffiths, RD, Martin, PA. Assessment of fetal well-being with magnetic resonance. J Perinat Med 1991; 19: 435–48.CrossRefGoogle ScholarPubMed
46McCarthy, SM, Filly, RA, Stark, DD, Callen, PW, Golbus, MS, Hricak, H. Magnetic resonance imaging of fetal anomalies in utero: early experience. AJR 1985; 145: 677–82.CrossRefGoogle ScholarPubMed
47Benson, RC, Colletti, PM, Platt, LD, Rall, PW. MR imaging of fetal anomalies. AJR 1991; 156: 1205–207.CrossRefGoogle ScholarPubMed
48Garden, AS, Griffiths, RD, Weindling, M, Martin, PA. Fast-scan magnetic resonance imaging of fetal anomalies. Br J Obstet Gynaecol 1991; 98: 1217–22.CrossRefGoogle ScholarPubMed
49Odeblad, E. MR spectroscopy of gynaecological tissues. Acta Obstet Gynecol Scand 1955; 38: 599–617.CrossRefGoogle Scholar
50Gillies, RJ, Powell, DA, Nelson, TR. High resolution proton nuclear magnetic resonance spectroscopy of human amniotic fluid. Proc 4th Annual Meeting Soc Magnetic Resonance in Med,London 1985; 789.Google Scholar
51Laptook, AR, Corbett, RJ, Uauy, R, Mize, C, Mendelsohn, D. Use of 31P magnetic resonance spectroscopy to characterize evolving brain damage after perinatal asphyxia. Neurology 1989; 39: 709–12.CrossRefGoogle ScholarPubMed
52Frigoletto, F. Diagnostic ultrasound in pregnancy. NIH, NICHD, Consenus Development Conference. NIH Publication 1984; 84–667: 148–66.Google Scholar
53Cooke, P, Morris, PG. The effects of NMR exposure on living organisms: a genetic study of human lymphocytes. Br J Radiol 1981; 54: 622–25.CrossRefGoogle ScholarPubMed
54Wolff, S, James, TL, Young, GB. Magnetic resonance imaging: absence of in-vitro cytogenic damage. Radiology 1985; 155: 163–65.CrossRefGoogle Scholar
55Geard, CR, Osmak, RS, Hall, EJ et al. Magnetic resonance and ionising radiation: a comparative evaluation in vitro of oncogenic and genotoxic potential. Radiology 1984; 152: 199–202.CrossRefGoogle ScholarPubMed
56Mahlum, DD, Sikov, MR, Decker, JR. Dominant lethal studies in mice exposed to direct current magnetic fields. In: Proc 18th Hanford Life Sciences Symposium. Washington: US Department of Energy Technical Information Center,1979: CONF-781016; 474–84.Google Scholar
57Sikov, MR, Mahlum, DD, Montgomery, LD, Dockor, JR. Development of mice of intra-uterine exposure to direct current magnetic fields. In: Proceedings of 18th Hanford Life Sciences Symposium. Washington: US Department of Energy Technical Information Center,1979: CONF 781016: 462–73.Google Scholar
58Wolff, S, Crooks, LE, Brown, P, Howard, R, Painter, RB. Tests for DNA and chromosomal damage induced by nuclear magnetic resonance imaging. Radiology 1980; 136: 707–10.CrossRefGoogle ScholarPubMed
59Schwartz, JL, Crooks, LE. NMR imaging produces no observable mutations or cytotoxicity in mammalian cells. AJR 1982; 139: 583–85.CrossRefGoogle ScholarPubMed
60Heinrichs, WL, Heinrich, S, Weiner, S. Mid gestational exposure to pregnancy - BALB/C mice to magnetic resonance imaging. Magn Reson Imaging 1988; 6: 305–13.CrossRefGoogle Scholar
61Withers, RH, Masson, KA, Davis, CA. MR effect on murine spermatogenesis. Radiology 1985; 156: 741–42.CrossRefGoogle ScholarPubMed
62National Radiation Protection Board. Protection of the patient undergoing a magnetic resonance examination. Internal Non-Ionizing Radiation Committee of the International Radiation Protection Association. Health Physics 1991; 61: 923–28.Google Scholar