Magnetic resonance imaging in the differential diagnosis of true placenta accreta: a clinical case

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Abstract

True placenta accreta is the attachment of chorionic villi to the myometrium, possibly penetrating into the thickness of the myometrium and its outside, including through the serous tunic. The main current diagnostic techniques are considered to be ultrasonography, laboratory diagnosis (elevated human chorionic gonadotropin and placental lactogen levels), and clinical data (pain and vaginal discharge). Magnetic resonance imaging is deemed to be an adjuvant technique. By using a clinical example, this paper considers the capabilities of magnetic resonance imaging to diagnose this abnormality and to choose a right treatment policy. The abnormality is compared with the conditions (trophoblastic tumor and myoma with lysis) that are similar in their diagnosis and magnetic resonance pattern). The disorder in question is rather rare and its detailed consideration, determination of the capabilities of various techniques, and comparison with externally similar cases are
important for the development of diagnostic opportunities.

About the authors

E. V. Tarachkova

Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia; 2/1 Barrikadnaya St., Moscow, 125993, Russia

Author for correspondence.
Email: doctorkid@yandex.ru
Russian Federation

L. A. Meshcheryakova

Research Institute of Clinical and Experimental Radiology, N.N. Blokhin Russian Cancer Research Center, Ministry of Health of Russia; 23 Kashirskoe Shosse, Moscow, 115478, Russia

Russian Federation

M. A. Shorikov

Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia; 2/1 Barrikadnaya St., Moscow, 125993, Russia

Russian Federation

A. F. Maslennikov

Research Institute of Clinical and Experimental Radiology, N.N. Blokhin Russian Cancer Research Center, Ministry of Health of Russia; 23 Kashirskoe Shosse, Moscow, 115478, Russia

Russian Federation

V. O. Panov

Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia; 2/1 Barrikadnaya St., Moscow, 125993, Russia

Russian Federation

V. V. Kuznetsov

Research Institute of Clinical and Experimental Radiology, N.N. Blokhin Russian Cancer Research Center, Ministry of Health of Russia; 23 Kashirskoe Shosse, Moscow, 115478, Russia

Russian Federation

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