title: Placental magnetic resonance imaging in monochorionic twin pregnancies.
abstract: OBJECTIVE
  Twin-twin transfusion syndrome (TTTS) is a severe complication of monochorionic pregnancies. Placental hydrops might be a marker for TTTS. The purpose of this study was to evaluate whether differences in the placental parenchyma due to TTTS can be seen with fetal MRI.
  
  
  METHODS
  In a retrospective study, 34 monochorionic pregnancies were investigated on a 1.5 Tesla MR. Seventeen pregnancies were affected by TTTS, and 17 showed no clinical signs of TTTS. Placental maturation and vascular pathologies, as well as the extent of the placental findings and allocation of placental tissue to each twin, were investigated. Placental findings were reported for origin, size, maturation, and placental thickness, and were correlated with the presence of TTTS.
  
  
  RESULTS
  All placentas affected by TTTS showed abnormal maturation on MR scans, but only 64.7% of the non-TTTS group (p = 0.018). Vascular placental pathologies did not differ significantly between the TTTS and non-TTTS group.
  
  
  CONCLUSIONS
  MR-signs of placental maturity in monochorionic twin pregnancies may indicate a lower risk of development of TTTS.
authors: Division of Neonatology, Pediatric Intensive Care and Neuropediatrics, Medical University of Vienna, Wien, Austria. nina.linduska@meduniwien.ac.at
authors: Nina
authors: N
authors: Linduska
authors: Agnes
authors: A
authors: Messerschmidt
authors: Sabine
authors: S
authors: Dekan
authors: Peter C
authors: PC
authors: Brugger
authors: Michael
authors: M
authors: Weber
authors: Arnold
authors: A
authors: Pollak
authors: Daniela
authors: D
authors: Prayer
mesh_terms: D016022:Case-Control Studies; D002823:Chorion / Q000000981:diagnostic imaging / Q000254:growth & development; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005260:Female; D005330:Fetofetal Transfusion / Q000000981:diagnostic imaging / Q000473:pathology; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D010920:Placenta / Q000000981:diagnostic imaging* / Q000473:pathology; D010929:Placentation; D011247:Pregnancy; D059285:Pregnancy, Twin; D011859:Radiography; D012189:Retrospective Studies; D014430:Twins, Monozygotic