RT Journal Article
SR Electronic
T1 Attenuation imaging as a new ultrasonographic application for identifying placental haematoma
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e239287
DO 10.1136/bcr-2020-239287
VO 14
IS 3
A1 Yamaguchi, Masahiro
A1 Umazume, Takeshi
A1 Noshiro, Kiwamu
A1 Watari, Hidemichi
YR 2021
UL http://casereports.bmj.com/content/14/3/e239287.abstract
AB We present a case in which attenuation imaging (ATI), a recently developed ultrasonographic application, facilitated the diagnosis of preplacental and postplacental haematoma. Placental abruption is a serious condition that affects the prognosis of infants and is difficult to diagnose. Ultrasonography is the primary imaging modality that complements the clinical findings in the diagnosis; however, its sensitivity is low, and improved diagnostic accuracy is desired. Here, we found that placental haematomas on the placental fetal surface observed at 19 weeks of gestation were indistinct from placental parenchyma in B-mode ultrasonographic imaging. In ATI, the placental parenchyma was colour-mapped, but the haematoma portion was not, which helped identify the haematoma. ATI, which also colour-maps uniform tissues, did not colour-map vessels within the placenta. ATI has a breakthrough potential for improving the diagnosis of placental abruption.