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• Clinical Article •
Diagnosis and clinical value of magnetic resonance imaging in scar pregnancy
HE Hui  GU Han  HE Ling  ZHOU Changwu 

Cite this article as: He H, Gu H, He L, et al. Diagnosis and clinical value of magnetic resonance imaging in scar pregnancy. Chin J Magn Reson Imaging, 2020, 11(3): 207-210. DOI:10.12015/issn.1674-8034.2020.03.009.


[Abstract] Objective: To investigate the features and clinical value of cesarean scar pregnancy (CSP) using 3.0 T magnetic resonance imaging (MRI).Materials and Methods: The basic clinical information of 38 patients with CSP diagnosed at the affiliated hospital of Yangzhou university from July 2013 to April 2019 was collected retrospectively. The pelvis of all cases was imaged on a 3.0 T GE 750 W scanner. The characteristics and growth patterns of lesions, the presence or absence of vascular emptying, the length of the gestational sac and scar intersection, the distance from gestational sac to the uterine serosa surface, and relevant treatment options were evaluated.Results: The gestational sac can be characterized by simple cystic and mixed masses on MR images, and the mixed masses had significantly larger maximum diameter, gestational sac volume and length of uterine scar than the simple cystic gestational sacs (P< 0.05). The gestational sac could be divided into exogenous and endogenous according to the growth pattern, exogenous type had more blood supply and shorter distance from the uterine serosa than endogenous gestational sac (P<0.05). All 38 patients with CSP had good prognosis after undergoing related treatment, and the blood HCG returned to normal value within 1-3 months.Conclusions: Magnetic resonance imaging can comprehensively investigate the characteristics of the lesion and its relationship with surrounding tissues for the patients with CSP, and provide a basis for individualized clinical treatment.
[Keywords] cesarean scar pregnancy；magnetic resonance imaging

HE Hui Department of Radiology, the Affiliated Hospital of Yangzhou University, Yangzhou 225000, China

GU Han Department of Radiology, the Affiliated Hospital of Yangzhou University, Yangzhou 225000, China

HE Ling Department of Radiology, the Affiliated Hospital of Yangzhou University, Yangzhou 225000, China

ZHOU Changwu* Department of Radiology, the Affiliated Hospital of Yangzhou University, Yangzhou 225000, China

*Correspondence to: Zhou CW, E-mail: changwu83@163.com

Conflicts of interest   None.

Received  2019-09-03
Accepted  2019-11-21
DOI: 10.12015/issn.1674-8034.2020.03.009
Cite this article as: He H, Gu H, He L, et al. Diagnosis and clinical value of magnetic resonance imaging in scar pregnancy. Chin J Magn Reson Imaging, 2020, 11(3): 207-210. DOI:10.12015/issn.1674-8034.2020.03.009.

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