Magnetic resonance imaging in human pregnancy

Magnetic resonance imaging is a new noninvasive diagnostic technique that involves no ionizing radiation, has no known significant adverse biologic effects, and produces high resolution cross-sectional body images. When compared with sonography and x-ray computed axial tomography, magnetic resonance imaging may have several advantages. To investigate its clinical role in obstetrics, magnetic resonance imaging was used to examine 11 women with abnormal pregnancies. Prior ultrasound examination showed abnormal appearing fetuses in five, abnormalities of the amnionic fluid volume in five, and one each with a large adnexal mass and a molar pregnancy. Examples of images obtained from these women are presented and described. Maternal anatomy was well visualized in all women studied. Based on the preliminary experience, the authors believe that magnetic resonance imaging will be a useful adjunct for diagnostic visualization of normal and abnormal maternal anatomy. Detailed fetal imaging was also possible, and it is anticipated that magnetic resonance imaging will prove useful for fetal evaluation, especially fetal intracranial anatomy and fetal anatomy in pregnancies complicated by oligohydramnios. Because fetal subcutaneous fat is prominently depicted with magnetic resonance imaging, this technology may be useful for assessment of fetal nutritional status.