Magnetic resonance imaging pelvimetry

DOI

https://dx.doi.org/10.18565/aig.2021.9.190-198

Bychenko V.G., Kulabukhova E.A., Baev O.R., Babich D.A.
1) Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia; 2) I.M. Sechenov First Moscow State Medical University Ministry of Health of Russia (Sechenov University), Moscow, Russia

Background: Magnetic resonance imaging (MRI) pelvimetry is a modern, objective diagnostic technique that is used to estimate the size of the pelvic cavity when deciding on a delivery method. At the same time, there are many discrepancies in both the technique of the procedure itself and the reference values of the pelvic dimensions determined in this study.
Objective: To present our MRI pelvimetry procedure and to compare the reference values with those given by other authors.
Materials and methods: This paper describes the indications, contraindications, and procedure of MRI pelvimetry, which has been regularly used at the Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation, since 1998.
Results: Over the past period, more than 2500 MRI pelvimetry studies have been conducted. The used reference values of the indicators were compared with the data obtained by other researchers.
Conclusion: The presented MRI pelvimetry procedure and the reference values of the indicators are comparable with the results obtained by other researchers and can be used in the radiology units as prescribed by an obstetrician/gynecologist. The use of this technique will promote a reduction in the frequency of labor complications and its further improvement based on the continuation of researches.

MRI

magnetic resonance imaging pelvimetry

cephalopelvic disproportion or clinically narrow pelvis

narrow pelvis

Full text (in Russian)

Alijahan R., Kordi M. Risk factors of dystocia in nulliparous women. Iran. J. Med. Sci. 2014; 39(3): 254-60.
Malonga F.K., Mukuku O., Ngalula M.T., Luhete P.K., Kakoma J.B. Étude anthropométrique et pelvimétrique externe chez les nullipares de Lubumbashi: facteurs de risque et score prédictif de la dystocie mécanique [External anthropometric measurement and pelvimetry among nulliparous women in Lubumbashi: risk factors and predictive score of mechanical dystocia]. Pan. Afr. Med. J. 2018; 31: 69. https://dx.doi.org/10.11604/pamj.2018.31.69.16014.
Логутова Л.С., Буянова С.Н., Гридчик А.Л., Шугинин И.О., Ахвледиани К.Н., Мельников А.П. Вагинальные роды или кесарево сечение – осознанный выбор акушера. Акушерство и гинекология. 2020; 7: 135-42. [Logutova L.S., Buyanova S.N., Gridchik A.L., Shuginin I.O., Akhvlediani K.N., Melnikov A.P. Vaginal delivery or cesarean section – an obstetrician’s informed choice. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 7: 135-42. (in Russian)]. https://dx.doi.org/10.18565/aig.2020.7.135-142.
Мудров В.А. Возможности геометрического моделирования в снижении погрешности расчета истинной конъюгаты. Акушерство и гинекология. 2020; 8: 126-32. [Mudrov V.A. Possibilities of geometric modeling in reducing the error of calculating true conjugate of pelvic cavity. Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2020; 8: 126-32. (in Russian)]. https://dx.doi.org/10.18565/aig.2020.8.126-132.
Труфанов Г.Е., Шмедык Н.Ю., Вихтинская И.А., Рязанов В.В., Шмидт А.А., Ипатов В.В., Иванов Д.О. Магнитно-резонансная пельвиметрия: диагностика риска клинически узкого таза и дистоции плечиков в конце третьего триместра беременности. Проблемы женского здоровья. 2014. 9(1): 44-51. [Trufanov G.E., SHmedyk N.Yu., Vihtinskaya I.A., Ryazanov V.V., Shmidt A.A., Ipatov V.V., Ivanov D.O. Magnetic resonance pelvimetry: diagnosis of the risk of clinically narrow pelvis and shoulder dystocia at the end of the third trimester of pregnancy. Women's health problems. 2014. 9 (1): 44-51. (in Russian)].
Савельева Г.М., Курцер М.А., Бреслав И.Ю., Коноплянников А.Г., Латышкевич О.А. Разрывы матки в современном акушерстве. Акушерство и гинекология. 2020; 9: 48-55. [Savelyeva G.M., Kurtser M.A., Breslav I.Yu., Konoplyannikov A.G., Latyshkevich O.A. Uterine ruptures in modern obstetrics. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 9: 48-55. (in Russian)]. https://dx.doi.org/10.18565/aig.2020.9.48-55.
Савельева Г.М., Шалина Р.И., Ананкина А.А., Кунях Ж.Ю., Сичинава Л.Г., Соколовская Ю.В., Спиридонов Д.С. Контролируемая гипотермия в комплексной терапии гипоксическо-ишемической энцефалопатии детей, родившихся в асфиксии. Акушерство и гинекология. 2020; 5: 90-7. [Savelyeva G.М., Shalina R.I., Anankina А.А., Kunyakh Zh.Yu., Sichinava L.G., Sokolovskaya Yu.V., Spiridonov D.S. Controlled Hypothermia in Complex Therapy for Hypoxic Ischemic Encephalopathy in Infants with Birth Asphyxia. Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2020; 5: 90-7. (in Russian)]. https://dx.doi.org/10.18565/aig.2020.5.90-97.
Чернуха Е.А., Волобуев А.И., Пучко Т.К. Анатомически и клинически узкий таз. М.: Триада-Х; 2005. 253с. [Chernuha E.A., Volobuev A.I., Puchko T.K. Анатомически и клинически узкий таз. М.: Triada-Х; 2005. 253 p. (in Russian)].
Труфанов Г.Е., Рязанов В.В., Иванов Д.О., Шмедык Н.Ю., Вихтинская И.А. Диагностика «стертых» форм узкого таза методом магнитно-резонансной пельвиметрии. Бюллетень Федерального центра сердца, крови и эндокринологии им. В.А. Алмазова. 2012; 1: 74-81. [Trufanov G.E., Ryazanov V.V., Ivanov D.O., Shmedyk N.Y., Vihtinskaya I.A. Diagnosis of "erased" forms of a narrow pelvis by magnetic resonance pelvimetry. Bulletin of the Almazov Federal Center for Heart, Blood and Endocrinology, St. Petersburg. 2012; 1: 74-81. (in Russian)].
Gruss L.T., Schmitt D. The evolution of the human pelvis: changing adaptations to bipedalism, obstetrics and thermoregulation. Philos. Trans. R. Soc. Lond. B. Biol. Sci. 2015; 370(1663): 20140063. https://dx.doi.org/10.1098/rstb.2014.0063.
Raman S., Samuel D., Suresh K. A comparative study of X-ray pelvimetry and CT pelvimetry. Aust. N. Z. J. Obstet. Gynaecol. 1991; 31(3): 217-20. https://dx.doi.org/10.1111/j.1479-828x.1991.tb02784.x.
Christian S.S., Brady K., Read J.A., Kopelman J.N. Vaginal breech delivery: a five-year prospective evaluation of a protocol using computed tomographic pelvimetry. Am. J. Obstet. Gynecol. 1990; 163(3): 848-55. https://dx.doi.org/10.1016/0002-9378(90)91082-n.
Pattinson R.C., Cuthbert A., Vannevel V. Pelvimetry for fetal cephalic presentations at or near term for deciding on mode of delivery. Cochrane Database Syst. Rev. 2017; (3): CD000161. https://dx.doi.org/10.1002/14651858.CD000161.pub2.
Stark D.D., McCarthy S.M., Filly R.A., Parer J.T., Hricak H., Callen P.W. Pelvimetry by magnetic resonance imaging. AJR Am. J. Roentgenol. 1985; 144(5): 947-50. https://dx.doi.org/10.2214/ajr.144.5.947.
Кулаков В.И., Волобуев А.И. Магнитно-резонансная пельвиметрия в акушерстве. Акушерство и гинекология. 2003; 4: 19-25. [Kulakov V.I., Volobuev A.I. Magnetic resonance pelvimetry in obstetrics. Obstetrics and gynecology. 2003; 4: 19-25. (in Russian)].
Chen M.M., Coakley F.V., Kaimal A., Laros R.K. Jr. Guidelines for computed tomography and magnetic resonance imaging use during pregnancy and lactation. Obstet. Gynecol. 2008; 112(2, Pt1): 333-40. 10 https://dx.doi.org/.1097/AOG.0b013e318180a505.
Wang P.I., Chong S.T., Kielar A.Z., Kelly A.M., Knoepp U.D., Mazza M.B., Goodsitt M.M. Imaging of pregnant and lactating patients: part 1, evidence-based review and recommendations. AJR Am. J. Roentgenol. 2012; 198(4): 778-84. https://dx.doi.org/10.2214/AJR.11.7405.
Zaretsky M.V., Alexander J.M., McIntire D.D., Hatab M.R., Twickler D.M., Leveno K.J. Magnetic resonance imaging pelvimetry and the prediction of labor dystocia. Obstet. Gynecol. 2005; 106 (5, Pt1): 919-26. 1 https://dx.doi.org/0.1097/01.AOG.0000182575.81843.e7.
Игнатьева А.А., Пучко Т.К., Волобуев А.И. Антропометрическая характеристика высоких беременных и рожениц. Акушерство и гинекология. 2007; 2: 24-6. [Ignat'eva A.A., Puchko T.K., Volobuev A.I. Anthropometric characteristics of tall pregnant women and women in labor. Obstetrics and gynecology. 2007; 2 : 24-6 (in Russian)].
Hampel F., Hallscheidt P., Sohn C., Schlehe B., Brocker K.A. Pelvimetry in nulliparous and primiparous women using 3 Tesla magnetic resonance imaging. Neurourol. Urodyn. 2018; 37(6): 1950-6. https://dx.doi.org/10.1002/nau.23537.
Franz M., von Bismarck A., Delius M., Ertl-Wagner B., Deppe C., Mahner S. et al. MR pelvimetry: prognosis for successful vaginal delivery in patients with suspected fetopelvic disproportion or breech presentation at term. Arch. Gynecol. Obstet. 2017; 295(2): 351-9. https://dx.doi.org/10.1007/s00404-016-4276-6.
Шмедык Н.Ю., Вихтинская И.А., Труфанов Г.Е., Рязанов В.В., Фокин В.А., Ипатов В.В., Скворцова М.Ю., Шмидт А.А., Иванов А.С., Козловский С.Н., Иванов Д.О., Васильев В.Е., Панов В.О. Магнитно-резонансная пельвиметрия – актуальный и безопасный метод XXI века диагностики "стертых" форм узкого таза. Проблемы женского здоровья. 2012; 7(2): 49-55. [Shmedyk N.Yu., Vihtinskaya I.A., Trufanov G.E., Ryazanov V.V., Fokin V.A., Ipatov V.V., Skvorcova M.YU., SHmidt A.A., Ivanov A.S., Kozlovskij S.N., Ivanov D.O., Vasil'ev V.E., Panov V.O. Magnetic resonance pelvimetry is an actual and safe method of the XXI century diagnostics of "erased" forms of a narrow pelvis. Women's health problems. 2012. 7(2): 49-55. (in Russian)].
van Loon A.J., Mantingh A., Serlier E.K., Kroon G., Mooyaart E.L., Huisjes H.J. Randomised controlled trial of magnetic-resonance pelvimetry in breech presentation at term. Lancet. 1997; 350(9094): 1799-804. https://dx.doi.org/10.1016/S0140-6736(97)05431-7.
Keller T.M., Rake A., Michel S.C., Seifert B., Efe G., Treiber K. et al. Obstetric MR pelvimetry: reference values and evaluation of inter- and intraobserver error and intraindividual variability. Radiology. 2003; 227(1): 37-43. https://dx.doi.org/10.1148/radiol.2271011658.
Korhonen U., Solja R., Laitinen J., Heinonen S., Taipale P. MR pelvimetry measurements, analysis of inter- and intra-observer variation. Eur. J. Radiol. 2010; 75(2): e56-61. https://dx.doi.org/10.1016/j.ejrad.2009.11.018.
Письмо Министерства здравоохранения РФ от 23 мая 2017 г. N 15-4/10/2-3402 «О направлении клинических рекомендаций "Оказание медицинской помощи при анатомически и клинически узком тазе" (вместе с "Клиническими рекомендациями (протоколом)...", утв. Российским обществом акушеров-гинекологов 14.04.2017). [Letter of the Ministry of Health of the Russian Federation dated May 23, 2017 N 15-4/10/2-3402 "On the direction of clinical recommendations "Providing medical care for an anatomically and clinically narrow pelvis" (together with "Clinical recommendations (protocol)...", approved by the Russian Society of Obstetricians and Gynecologists 14.04.2017)) (in Russian)].
Рязанов В.В., Шмедык Н.Ю., Вихтинская И.А., Труфанов Г.Е., Иванов Д.О., Шмидт A.A., Ипатов В.В., Панов В.О., Фокин В.А. Возможности магнитно-резонансной пельвиметрии в диагностике риска возникновения тазово-головной диспропорции и дистоции плечиков в конце III триместра беременности. Бюллетень Федерального центра сердца, крови и эндокринологии им. В.А. Алмазова. 2012; 1: 82-92. [Ryazanov V.V., Shmedyk N.Yu., Vihtinskaya I.A., Trufanov G.E., Ivanov D.O., Shmidt A.A., Ipatov V.V., Panov V.O., Fokin V.A. The possibilities of magnetic resonance pelvimetry in the diagnosis of the risk of pelvic-head disproportion and shoulder dystocia at the end of the third trimester of pregnancy. Bulletin of the Almazov Federal Center for Heart, Blood and Endocrinology, St. Petersburg. 2012; 1: 82-92. (in Russian)].
Шмедык Н.Ю., Рязанов В.В., Ипатов В.В., Козловский С.Н. Диагностика различных форм и степеней суженного таза у беременных: сравнение результатов магнитно-резонансной и наружной пельвиметрии. Вестник Российской Военно-медицинской академии. 2014; 4: 37-41. [Shmedyk N.Y., Ryazanov V.V., Ipatov V.V., Kozlovskij S.N. Diagnosis of various forms and degrees of narrowed pelvis in pregnant women: comparison of the results of magnetic resonance and external pelvimetry. Bulletin of the Russian Military Medical Academy. 2014; 4 (48): 37-41. (in Russian)].
Пучко Т.К., Чернуха Е.А., Игнатьева А.А. Причины формирования анатомически узкого таза. Репродуктивное здоровье детей и подростков. 2006; 1: 71-8. [Puchko T.K., Chernukha E.A., Ignat'eva A.A. The reasons for the formation of an anatomically narrow pelvis. Reproductive health of children and adolescents. 2006; 1: 71-8. (in Russian)].
Шмедык Н.Ю., Труфанов Г.Е., Фокин В.А., Ефимцев А.Ю., Козловский С.Н. Магнитно-резонансная и наружная пельвиметрия в диагностике формы и степени суженного таза у беременных. Трансляционная медицина. 2016; 3(5):113-24. [Shmedyk N.Y., Trufanov G.E., Fokin V.A., Efimtcev A.Y., Kozlovskiy S.N. Diagnosis of different forms and degrees of narrow pelvis using magnetic resonance and external pelvimetry during pregnancy. Translational Medicine. 2016; 3(5): 113-24. (in Russian)]. https://dx.doi.org/10.18705/2311-4495-2016-3-5-113-124.

Received 23.06.2021

Accepted 30.06.2021

Vladimir G. Bychenko, MD, PhD, Head of the Department of Diagnostic Radiology, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of the Russian Federation, +7(495)438-23-11, v_bychenko@oparina4.ru, https://orcid.org/0000-0002-1459-4124,
117997, Russia, Moscow, Ac. Oparin str., 4.
Elena A. Kulabukhova, MD, PhD, radiologist of the Department of Diagnostic Radiology, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of the Russian Federation, +7(495)438-76-47, mri-Elena@yandex.ru, 117997, Russia, Moscow, Ac. Oparin str., 4.
Oleg R. Baev, M.D., Ph.D., Professor, Head of the 1st Maternity Department, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of the Russian Federation; professor of Chair of Obstetrics, Gynecology, Perinatology and Reproductology, Faculty of Postgraduate Professional Training of Physicians, I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University),
+7(495)438-11-88, o_baev@oparina4.ru, https://orcid.org/0000-0001-8572-1971, 117997, Russia, Moscow, Ac. Oparin str., 4.
Dmitry A. Babich, MD, obstetrician gynecologist of the 1st Maternity Department, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology
and Perinatology, Ministry of Healthcare of the Russian Federation, +7(903)295-05-05, d_babich@oparina4.ru, https://orcid.org/0000-0002-3264-2038,
117997, Russia, Moscow, Ac. Oparin str., 4.
Corresponding authors: Oleg R. Baev, o_baev@oparina4.ru; Dmitry A. Babich, d_babich@oparina4.ru

Authors’ contributions: Bychenko V.G., Kulabukhova E.A., Baev O.R. – concept and design of the investigation; Baev O.R. – writing the text; Baev O.R., Kulabukhova E.A., Babich D.A. – data collection and processing; Baev O.R., Babich D.A. – data collection and processing, editing.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The investigation has not been sponsored.
Patient Consent for Publication: All patients provided informed consent for the publication of their data and associated images.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.

For citation: Bychenko V.G., Kulabukhova E.A.,Baev O.R., Babich D.A. Magnetic resonance imaging pelvimetry.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 9: 190-198 (in Russian)
https://dx.doi.org/10.18565/aig.2021.9.190-198

Magnetic resonance imaging pelvimetry

Bychenko V.G., Kulabukhova E.A., Baev O.R., Babich D.A.

Keywords

References

About the Authors

Similar Articles