Diagnostic and Interventional Radiology
Abdominal Imaging - Review
MRI in pregnant patients with suspected abdominal and pelvic cancer: a practical guide for radiologists

MRI in pregnant patients with suspected abdominal and pelvic cancer: a practical guide for radiologists

1.

General Diagnostic and Interventional Radiology, Diagnostic Imaging Area, Department of Diagnostic Imaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy

2.

Institute of Radiology, Università Cattolica del Sacro Cuore, Roma, Italy

3.

Radiation Oncology, Radiation Oncology Area, Department of Diagnostic Imaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy

4.

Department of Woman and Child Health Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy

5.

Institute of Obstetric and Gynaecology Clinic, Università Cattolica del Sacro Cuore, Roma, Italy

6.

Institute of Radiation Oncology, Università Cattolica del Sacro Cuore, Roma, Italy

Diagn Interv Radiol 2020; 26: 183-192
DOI: 10.5152/dir.2019.19343
Read: 65 Downloads: 44 Published: 24 October 2019

The incidence of abdominal and pelvic cancer in pregnancy is low, but it is rising as the population of pregnant women gets older. Depending on disease stage, gestational age and patient’s preference, active surveillance as well as surgery and chemotherapy are feasible options during pregnancy. Correct diagnosis and staging of the tumor is crucial for choosing the best therapeutic approach. Moreover, a reproducible modality to assess the treatment response is requested. Magnetic resonance imaging (MRI) is commonly used with good results for the local staging and treatment response evaluation of most abdominal and pelvic cancers in nonpregnant patients, and it is considered relatively safe during pregnancy. The purpose of this article is to analyze the most relevant topics regarding the use of MRI in pregnant women with abdominal and pelvic cancer. We discuss MRI safety during pregnancy, including the use of gadolinium-based contrast agents (GBCAs), how to prepare the patient for the exam and MRI technique. This will be followed by a brief review on the most common malignancies diagnosed during pregnancy and their MRI appearance.

You may cite this article as: Gui B, Cambi F, Miccò M, et al. MRI in pregnant patients with suspected abdominal and pelvic cancer: a practical guide for radiologists. Diagn Interv Radiol 2020; 26:183–192.

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