Magnetic Resonance Imaging of the Chest, Abdomen, and Pelvis in the Evaluation of Pregnant Patients with Neoplasms

ABSTRACT

This article illustrates the magnetic resonance (MR) technique and MR imaging (MRI) findings of various neoplasms in chest, abdomen, and pelvis in pregnant patients. MRI can provide useful information about characterization and staging of maternal neoplasms without exposing the fetus to ionizing radiation and can be considered as a first-line cross sectional imaging method as an adjunct to ultrasonography.

Pregnancy - neoplasm - MRI

REFERENCES

• 1 Pentheroudakis G, Pavlidis N. Cancer and pregnancy: poena magna, not anymore.  Eur J Cancer. 2006;  42 126-140
• 2 Leyendecker J R, Gorengaut V G, Brown J J. MR imaging of maternal diseases of the abdomen and pelvis during pregnancy and the immediate postpartum period.  Radiographics. 2004;  24 1301-1316
• 3 Brown M A, Birchard K B, Semelka R C. Magnetic resonance evaluation of pregnant patients with acute abdominal pain.  Semin Ultrasound CT MR. 2005;  26 206-211
• 4 Shellock F G, Kanal E. Policies, guidelines, and recommendations for MR imaging safety and patient management. SMRI Safety Committee.  J Magn Reson Imaging. 1991;  1 97-101
• 5 Webb J A, Thomsen H S, Morcos S K. The use of iodinated and gadolinium contrast media during pregnancy and lactation.  Eur Radiol. 2005;  15 1234-1240
• 6 Nicolet V, Carignan L, Bourdon F, Prosmanne O. MR imaging of cervical carcinoma: a practical staging approach.  Radiographics. 2000;  20 1539-1549
• 7 Leslie K K, Lange C A. Breast cancer and pregnancy.  Obstet Gynecol Clin North Am. 2005;  32 547-558
• 8 Ohno Y, Sugimura K, Hatabu H. MR imaging of lung cancer.  Eur J Radiol. 2002;  44 172-181
• 9 Ward J. New MR techniques for the detection of liver metastases.  Cancer Imaging. 2006;  6 33-42
• 10 Low R N, Barone R M, Lacey C, Sigeti J S, Alzate G D, Sebrechts C P. Peritoneal tumor: MR imaging with dilute oral barium and intravenous gadolinium-containing contrast agents compared with unenhanced MR imaging and CT.  Radiology. 1997;  204 513-520
• 11 Kamel I R, Kruskal J B, Gramm H F. Imaging of abdominal manifestations of melanoma.  Crit Rev Diagn Imaging. 1998;  39 447-486
• 12 El-Shawarby S A, Hendeson A F, Mossa M A. Ovarian cysts during pregnancy: dilemmas in diagnosis and management.  J Obstet Gynaecol. 2005;  25 669-675
• 13 Adusumilli S, Hussain H K, Caoili E M et al.. MRI of sonographically indeterminate adnexal masses.  AJR Am J Roentgenol. 2006;  187 732-740
• 14 Kier R, McCarthy S M, Scoutt L M, Viscarello R R, Schwartz P E. Pelvic masses in pregnancy: MR imaging.  Radiology. 1990;  176 709-713
• 15 Weinreb J C, Brown C E, Lowe T W, Cohen J M, Erdman W A. Pelvic masses in pregnant patients: MR and US imaging.  Radiology. 1986;  159 717-724
• 16 Kawakami S, Togashi K, Konishi I et al.. Red degeneration of uterine leiomyoma: MR appearance.  J Comput Assist Tomogr. 1994;  18 925-928
• 17 Wagner B J, Woodward P J, Dickey G E. Gestational trophoblastic disease: radiologic-pathologic correlation.  Radiographics. 1996;  16 131-148
• 18 Posther K E, Harpole D H. The surgical management of lung cancer.  Cancer Invest. 2006;  24 56-67
• 19 Ohno Y, Sugimura K, Hatabu H. MR imaging of lung cancer.  Eur J Radiol. 2002;  44 172-181
• 20 Loughlin K R. The management of urological malignancies during pregnancy.  Br J Urol. 1995;  76 639-644
• 21 Raft J, Lalot J M, Meistelman C, Longrois D. Influence of pregnancy on renal angiomyolipoma.  Gynecol Obstet Fertil. 2005;  33 898-906