Abstract
Objectives
To evaluate whether changes in BOLD signal intensities following hyperoxygenation are related to intrauterine growth restriction (IUGR) in a rat model.
Methods
IUGR was induced in pregnant rats by ligating the left vascular uterine pedicle at day 16 of gestation. BOLD MR imaging using a balanced steady-state free-precession (balanced-SSFP) sequence on a 1.5-T system was performed on day 19. Signal intensities (SI) before and after maternal hyperoxygenation were compared in the maternal liver and in control and growth-restricted foetoplacental units (FPUs).
Results
Maternal hyperoxygenation resulted in a significant increase in SI in all regions of interest (P < 0.05) in the 18 rats. In the control group, the SI (mean ± SD) increased by 21 % ± 15 in placentas (n = 74) and 13 % ± 8.5 in foetuses (n = 53). In the IUGR group, the increase was significantly lower: 6.5 % ± 4 in placentas (n = 36) and 7 % ± 5.5 in foetuses (n = 34) (P < 0.05).
Conclusion
BOLD MRI allows non-invasive assessment of the foetoplacental response to maternal hyperoxygenation in the rat and demonstrates its alteration in an IUGR model. This imaging method may provide a useful adjunct for the early diagnosis, evaluation, and management of human IUGR.
Key Points
• Intra-uterine growth restriction is an important cause of perinatal morbidity and mortality.
• Blood oxygen level-dependent MRI non-invasively assesses foetoplacental response to maternal hyperoxygenation.
• In the rat, foetoplacental response to maternal hyperoxygenation is altered in IUGR.
• Functional MRI may help to assess human IUGR.
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Abbreviations
- IUGR:
-
Intra-uterine growth restriction
- FPU:
-
Foetoplacental unit
- BOLD:
-
Blood oxygen level dependent
- SI:
-
Signal intensity
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Aimot-Macron, S., Salomon, L.J., Deloison, B. et al. In vivo MRI assessment of placental and foetal oxygenation changes in a rat model of growth restriction using blood oxygen level-dependent (BOLD) magnetic resonance imaging. Eur Radiol 23, 1335–1342 (2013). https://doi.org/10.1007/s00330-012-2712-y
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DOI: https://doi.org/10.1007/s00330-012-2712-y