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• Clinical Article •
MRI diagnosis of complete hydatidiform mole in early pregnance
LI Xin  DAI Hai-yang  TU Jian-xin 

DOI:10.12015/issn.1674-8034.2016.05.012.


[Abstract] Objective: To investigate the MRI imaging features and diagnostic points of complete hydatidiform mole in the early stage of pregnancy.Materials and Methods: The clinical and MRI imaging data of 9 cases of complete hydatidiform mole confirmed by pathology were retrospectively analyzed, the diagnostic and differentiate points were summarized.Results: There are some common features of hydatidiform mole on MRI. All of the 9 cases showed enlargement of the uterus, thickness of the uterus wall and appeared abnormal enlarged and tortuous vessels in the uterus wall and around the uterus, which was markedly heterogeneous enhanced after contrast medium administrated. There appeared patchy abnormal signals in the uterine cavity, which showed iso- or hypo-intensity on T1WI and inhomogeneous hyper- or hypo-intensity on T2WI, and showed slight enhancement after injection of contrast medium. All the low-intensity endometrium was integrated. During the follow up visits after uterine aspiration in clinic, the HCG value gradually decreased in all cases, and the abnormal vessels in the uterus wall as well as adjacent spaces also shrinked or diminished.Conclusions: There are some specific imaging features of hydatidiform mole on MRI. The diagnosis of hydatidiform should take full consideration of the clinic history.
[Keywords] Hydatidiform mole；Magnetic resonance imaging

LI Xin Department of Medical Imaging, Huizhou Municipal Central Hospital, Guangdong Province, Huizhou 516001, China

DAI Hai-yang* Department of Medical Imaging, Huizhou Municipal Central Hospital, Guangdong Province, Huizhou 516001, China

TU Jian-xin Department of Medical Imaging, Huizhou the Second Women's and Children's Healthcare Hospital, Guangdong Province, Huizhou 516001, China

*Correspondence to: Dai HY, E-mail: d.ocean@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This study was supported by Medical Science and Technology Research Foundation of Guangdong Province No. A2015536 the key support project of Huizhou Municipal Central Hospital No. 2015
Received  2016-01-12
Accepted  2016-03-26
DOI: 10.12015/issn.1674-8034.2016.05.012
DOI:10.12015/issn.1674-8034.2016.05.012.

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