Prenatal Prediction of Placenta Accreta Spectrum (PAS) Can Lower Maternal Morbidity and Mortality

High spatial and temporal resolution ultrasound is frequently used as the initial diagnostic imaging method during pregnancy. Placental imaging has seen a significant increase in its use in recent years, despite the fact that MRI in pregnancy has traditionally focused on the fetus. In addition to allowing for the evaluation of function, MRI with a large field of view and high contrast resolution makes it possible to characterize the anatomy of the placenta, particularly in situations where ultrasound cannot be used to pinpoint the exact location, such as when a placenta accreta is suspected. The anatomical evaluation of the placenta using MRI appears to be particularly useful regardless of the maternal body habitus or fetal position. In fact, when fetal concerns are the reason for the examination, the placenta receives surprising little attention during MRI. As a result, we believe that the radiologist should pay attention to certain aspects of the placenta and describe them in the MRI report. The normal placenta, abnormal aspects of the placenta that should be identified on fetal MRI and placental anomalies for which placental MRI may be indicated will all be covered in this overview, along with common features seen in imaging. There is a high risk of obstetrical complications and long-term health issues in children born using assisted reproductive technologies; however, the underlying mechanisms are not completely understood.

Author(s): Wessam Taifour

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