Placental MRI and its application to fetal intervention

Objective

Magnetic resonance imaging (MRI) of placental invasion has been part of clinical practice for many years. The possibility of being better able to assess placental vascularization and function using MRI has multiple potential applications. This review summarises up-to-date research on placental function using different MRI modalities.

Method

We discuss how combinations of these MRI techniques have much to contribute to fetal conditions amenable for therapy such as singletons at high risk for fetal growth restriction (FGR) and monochorionic twin pregnancies for planning surgery and counselling for selective growth restriction and transfusion conditions.

Results

The whole placenta can easily be visualized on MRI, with a clear boundary against the amniotic fluid, and a less clear placental-uterine boundary. Contrasts such as diffusion weighted imaging, relaxometry, blood oxygenation level dependent MRI and flow and metabolite measurement by dynamic contrast enhanced MRI, arterial spin labeling, or spectroscopic techniques are contributing to our wider understanding of placental function.

Conclusion

The future of placental MRI is exciting, with the increasing availability of multiple contrasts and new models that will boost the capability of MRI to measure oxygen saturation and placental exchange, enabling examination of placental function in complicated pregnancies.     

Operational decisions in response to a performance-based regulation to reduce organic waste impacts near Atlantic salmon farms in British Columbia,Canada

Nutrient enrichment of the seafloor (benthos) has been a primary subject of investigation since the beginning of commercial salmon farming. Waste feed and feces passing through the containment nets can create zones of organic enrichment to the benthos in the vicinity of the pen cages. Early studies of salmon farming in British Columbia Canada (500–1200 metric ton production farms) showed that these effects varied greatly and were reduced where conditions of adequate water depth and strong tidal currents were present. More recent studies of farms producing in excess of 2000 tons of fish have documented measurable organic benthic impacts.The implementation of a performance-based waste regulation in British Columbia in 2002 has caused operational changes to achieve and maintain compliance. This paper describes field monitoring data for four representative farm operations including the waste impact levels prior to the implementation of regulatory standards and the effect of adaptive management actions taken to reduce organic enrichment such as modified feed delivery, relatively small position changes to the cages or reducing site production to achieve continuing compliance.Monitoring over several full production cycles at selected farms indicated that sediment impacts at maximum production levels have decreased while maintaining, and in some cases increasing overall production of salmon.