title: Magnetic resonance imaging - A troubleshooter in obstetric emergencies: A pictorial review.
abstract: The application of magnetic resonance imaging (MRI) in pregnancy faced initial skepticism of physicians because of fetal safety concerns. The perceived fetal risk has been found to be unwarranted and of late, the modality has attained acceptability. Its role in diagnosing fetal anomalies is well recognized and following its safety certification in pregnancy, it is finding increasing utilization during pregnancy and puerperium. However, the use of MRI in maternal emergency obstetric conditions is relatively limited as it is still evolving. In early gestation, ectopic implantation is one of the major life-threatening conditions that are frequently encountered. Although ultrasound (USG) is the accepted mainstay modality, the diagnostic predicament persists in many cases. MRI has a role where USG is indeterminate, particularly in the extratubal ectopic pregnancy. Later in gestation, MRI can be a useful adjunct in placental disorders like previa, abruption, and adhesion. It is a good problem-solving tool in adnexal masses such as ovarian torsion and degenerated fibroid, which have a higher incidence during pregnancy. Catastrophic conditions like uterine rupture can also be preoperatively and timely diagnosed. MRI has a definite role to play in postpartum and post-abortion life-threatening conditions, e.g., retained products of conception, and gestational trophoblastic disease, especially when USG is inconclusive or inadequate.
authors.affiliation: Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors.forename: Rohini
authors.initials: R
authors.lastname: Gupta
authors.affiliation: Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors.forename: Sunil Kumar
authors.initials: SK
authors.lastname: Bajaj
authors.affiliation: Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors.forename: Nishith
authors.initials: N
authors.lastname: Kumar
authors.affiliation: Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors.forename: Ranjan
authors.initials: R
authors.lastname: Chandra
authors.affiliation: Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors.forename: Ritu Nair
authors.initials: RN
authors.lastname: Misra
authors.affiliation: Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors.forename: Amita
authors.initials: A
authors.lastname: Malik
authors.affiliation: Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors.forename: Brij Bhushan
authors.initials: BB
authors.lastname: Thukral
keywords: Emergency; MRI; hemorrhage; placenta; pregnancy