R1 and R2 * changes in the human placenta in response to maternal oxygen challenge.

作者: Edward D. Johnstone , Josephine H. Naish , Isaac Huen , David M. Morris , Caroline Wright

DOI: 10.1002/MRM.24581

关键词: PreeclampsiaMagnetic resonance imagingPlacentaMedicineInternal medicinePregnancyGestational ageOxygenationCardiologyOxygen saturation (medicine)GestationPathology

摘要: PURPOSE: Pregnancy complications such as preeclampsia and fetal growth restriction are sometimes thought to be caused by placental abnormalities associated with reduced oxygenation. Oxygen-enhanced MRI (R(1) contrast) BOLD (R(2) * have the potential noninvasively investigate this oxygen environment at a range of gestational ages. METHODS: Scanning was carried out 1.5 T under maternal air breathing in single slice 14 healthy pregnant subjects ages 21-37 weeks. We report R(1) changes using respiratory-triggered inversion recovery-turbo spin-echo sequence, which is sensitive PO(2) , R(2) breathhold multiple gradient-recalled echo sequence saturation. RESULTS: Significant increases (P < 0.005, paired t-test) decreases 0.0001, between were demonstrated. ?R(1) decreased age 0.0005, r = -0.835, Pearson correlation test). No significant effect on change observed. CONCLUSION: The results demonstrate feasibility non-invasive investigation oxygenation sensitivity oxygen-enhanced age. techniques provide unique noninvasive biomarkers compromised pregnancies. Magn Reson Med, 2012. � 2012 Wiley Periodicals, Inc.

参考文章(36)
Eric Jauniaux, Frédéric Rodesch, Catherine Donner, Philippe Simon, Oxygen measurements in endometrial and trophoblastic tissues during early pregnancy. Obstetrics & Gynecology. ,vol. 80, pp. 283- 285 ,(1992)
Debiao Li, Yi Wang, David J. Waight, Blood oxygen saturation assessment in vivo using T2* estimation. Magnetic Resonance in Medicine. ,vol. 39, pp. 685- 690 ,(1998) , 10.1002/MRM.1910390503
Peter W. Soothill, Kypros H. Nicolaides, Charles H. Rodeck, Stuart Campbell, Effect of Gestational Age on Fetal and Intervillous Blood Gas and Acid-Base Values in Human Pregnancy Fetal Diagnosis and Therapy. ,vol. 1, pp. 168- 175 ,(1986) , 10.1159/000262264
Greg Zaharchuk, Reed F. Busse, Guy Rosenthal, Geoffery T. Manley, Orit A. Glenn, William P. Dillon, Noninvasive Oxygen Partial Pressure Measurement of Human Body Fluids In Vivo Using Magnetic Resonance Imaging Academic Radiology. ,vol. 13, pp. 1016- 1024 ,(2006) , 10.1016/J.ACRA.2006.04.016
James P.B. O'Connor, Alan Jackson, Giovanni A. Buonaccorsi, David L. Buckley, Caleb Roberts, Yvonne Watson, Sue Cheung, Deirdre M. McGrath, Josephine H. Naish, Chris J. Rose, Paul M. Dark, Gordon C. Jayson, Geoff J.M. Parker, Organ-specific effects of oxygen and carbogen gas inhalation on tissue longitudinal relaxation times. Magnetic Resonance in Medicine. ,vol. 58, pp. 490- 496 ,(2007) , 10.1002/MRM.21357
T FUJIKURA, J YOSHIDA, Blood gas analysis of placental and uterine blood during cesarean delivery Obstetrics & Gynecology. ,vol. 87, pp. 133- 136 ,(1996) , 10.1016/0029-7844(95)00300-2
Scott I.K. Semple, Fintan Wallis, Paul Haggarty, David Abramovich, John A.S. Ross, Thomas W. Redpath, Fiona J. Gilbert, The measurement of fetal liver T(*)(2) in utero before and after maternal oxygen breathing: progress towards a non-invasive measurement of fetal oxygenation and placental function. Magnetic Resonance Imaging. ,vol. 19, pp. 921- 928 ,(2001) , 10.1016/S0730-725X(01)00421-0
Eric Jauniaux, Adrian Watson, Graham Burton, Evaluation of respiratory gases and acid-base gradients in human fetal fluids and uteroplacental tissue between 7 and 16 weeks' gestation American Journal of Obstetrics and Gynecology. ,vol. 184, pp. 998- 1003 ,(2001) , 10.1067/MOB.2001.111935