Abstract：Objective: To investigate the application of DWI in placenta implantation(PIA), and to compare the difference of the sequence between MRI at 1.5T and 3.0T. Methods: A retrospective analysis was carried out by analyzing 148 cases of suspected placenta previa with completed 1.5T, 3.0T MRI and B-ultrasound examination in Guangzhou Women and Children’s Medical Center from August 2016 to August 2018, using surgical and pathological results as the gold standard, and further comparison and analysis were performed focusing on the signal-to-noise ratio(SNR), apparent diffusion coefficient(ADC) value and the diagnostic accuracy indexes(sensitivity, specificity, false positive rate, false negative rate, etc.) of different types of placenta implantation. Results: The SNR of MRI at 3.0T was better than that at 1.5T under the same thickness. When b=50, the SNR of 3.0T at a thickness of 4 cm was lower than that of 1.5T at the thickness of 5 cm. Besides, when b=800, there was no significant difference between the SNR of 3.0T at 4 cm and that of 1.5T at 5 cm. Furthermore, the ADC values of the implanted part of the two models were higher than those of the non-implanted part, and there was no significant difference between the two models. Meanwhile, the diagnostic accuracy of 3.0T MRI was better than that of 1.5T MRI. Conclusion: DWI is helpful for definite diagnosis of placenta implantation. 3.0T MRI is superior to 1.5T MRI on the accuracy of PIA and the SNR of DWI sequence. It is more likely to recommend 3.0T MRI for placental examination on the premise of controlling total scan time.
吴倩倩，刘鸿圣，陈元凯，邝民伟，刘振清. 1.5T和3.0T磁共振弥散加权成像对胎盘植入诊断价值的比较研究[J]. 中国临床医学影像杂志, 2019, 30(7): 476-480.
WU Qian-qian, LIU Hong-sheng, CHEN Yuan-kai, KUANG Min-wei, LIU Zhen-qing. Comparison of the diagnostic value of DWI in placenta implantation at 1.5T and 3.0T MRI. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(7): 476-480.
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