Prosedur Pemeriksaan MRI Placenta Accreta Di RSUD Dr Saiful Anwar Malang

Stefania Layola Pasire; I Putu Eka Juliantara; I Wayan Ariec Sugiantara

doi:10.62027/vitamedica.v2i2.77

Authors

Stefania Layola Pasire Akademi Teknik Radiodiagnostik dan Radioterapi Bali
I Putu Eka Juliantara Akademi Teknik Radiodiagnostik dan Radioterapi Bali
I Wayan Ariec Sugiantara Akademi Teknik Radiodiagnostik dan Radioterapi Bali

DOI:

https://doi.org/10.62027/vitamedica.v2i2.77

Keywords:

Placenta Accreta, Two-protocol abdominal MRI

Abstract

Placenta accreta is an abnormal implantation of the placenta into the uterine wall, on the surface of the myometrium. Placenta accreta is quite dangerous for pregnancy and has increased over the past few years along with the incidence of cesarean section (SC), with a prevalence of 7-10% of maternal deaths in the world. To diagnose the incidence of placenta accreta, Magnetic Resonance Imaging (MRI) is one of the modalities that is often utilized and has now become a routine diagnostic support modality in many large hospitals, because it does not use ionizing radiation and has a higher contrast resolution. The type of research used is qualitative with a case study approach. The sample of this study consists of 2 patients who underwent MRI Abdomen-Pelvic with clinical placenta accreta at RSUD Dr. Saiful Anwar Malang, which was conducted during September 2023. The results of this study indicate that the placenta accreta MRI examination procedure at RSUD Dr. Saiful Anwar Malang has no special preparation. The use of 2 protocols in the examination, namely abdomen and pelvic, has the advantage of producing a wider cross section, also including several additional sequences in the form of DWI and MRA, thus helping to observe the area of adhesions and surrounding organs, with the boundaries of the organs produced much more clearly.

References

Jha, P., Der, L. P., Bourgioti, C., Bharwani, N., Lewis, S., & Kamath, A. (2020). Society of Abdominal Radiology ( SAR ) and European Society of Urogenital Radiology ( ESUR ) joint consensus statement for MR imaging of placenta accreta spectrum disorders American College of Radiology European Congress of Radiology European Society of U.

Kapoor, H., Hanaoka, M., Dawkins, A., & Khurana, A. (2021). Review of MRI imaging for placenta accreta spectrum : Pathophysiologic insights , imaging signs , and recent developments. Placenta, 104(November 2020), 31–39. https://doi.org/10.1016/j.placenta.2020.11.004

Kilcoyne, A., Shenoy-Bhangle, A. S., Roberts, D. J., Sisodia, R. C., Gervais, D. A., & Lee, S. I. (2017). MRI of placenta accreta, placenta increta, and placenta percreta: Pearls and pitfalls. American Journal of Roentgenology, 208(1), 214–221. https://doi.org/10.2214/AJR.16.16281

Mervak, B. M., Altun, E., McGinty, K. A., Hyslop, W. B., Semelka, R. C., & Burke, L. M. (2019). MRI in pregnancy: Indications and practical considerations. Journal of Magnetic Resonance Imaging, 49(3), 621–631. https://doi.org/10.1002/jmri.26317

Moore, W. A., Khatri, G., Madhuranthakam, A. J., Sims, R. D., & Pedrosa, I. (2014). Added value of diffusion-weighted acquisitions in MRI of the abdomen and pelvis. American Journal of Roentgenology, 202(5), 995–1006. https://doi.org/10.2214/AJR.12.9563

P., Chantraine, F., Kingdom, J., Grønbeck, L., Rull, K., Nigatu, B., Tikkanen, M., Sentilhes, L., Asatiani, T., Leung, W. C., AIhaidari, T., Brennan, D., Kondoh, E., Yang, J. I., … Cortez, R. (2018). FIGO consensus guidelines on placenta accreta spectrum disorders: Epidemiology. International Journal of Gynecology and Obstetrics, 140(3), 265–273. https://doi.org/10.1002/ijgo.12407

Paula, A., Moura, C., Paula, A. De, Watanabe, F., Longo, L. C., & Warmbrand, G. (2020). Placental magnetic resonance imaging : normal appearance , anatomical variations , and pathological findings. 2, 123–129.

Siauve, N., Chalouhi, G. E., Deloison, B., Alison, M., Clement, O., Ville, Y., & Salomon, L. J. (2015). Functional imaging of the human placenta with magnetic resonance. American Journal of Obstetrics and Gynecology, 213(4), S103–S114. https://doi.org/10.1016/j.ajog.2015.06.045

Srisajjakul, S., Prapaisilp, P., & Bangchokdee, S. (2021). Magnetic Resonance Imaging of Placenta Accreta Spectrum : A Step-by-Step Approach. 22(2), 198–212.

Wahyu Wijaya, D., Uyun, Y., & Rahardjo, S. (2020). Penggunaan Skor Indeks Plasenta Akreta (IPA) sebagai Prediktor Manajemen Perioperatif Seksio Sesarea Pasien dengan Plasenta Previa Totalis Suspek Akreta. Jurnal Anestesi Obstetri Indonesia, 3(2), 111–118. https://doi.org/10.47507/obstetri.v3i2.47

Westbrook, C. (2014). Handbook of MRI technique (4th ed.). Blackwell Science.