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.     

19th century London dust-yards: A case study in closed-loop resource efficiency

The material recovery methods used by dust-yards in early 19th century London, England and the conditions that led to their development, success and decline are reported. The overall system developed in response to the market value of constituents of municipal waste, and particularly the high coal ash content of household ‘dust’. The emergence of lucrative markets for ‘soil’ and ‘breeze’ products encouraged dust-contractors to recover effectively 100% of the residual wastes remaining after readily saleable items and materials had been removed by the thriving informal sector. Contracting dust collection to the private sector allowed parishes to keep the streets relatively clean, without the need to develop institutional capacity, and for a period this also generated useful income. The dust-yard system is, therefore, an early example of organised, municipal-wide solid waste management, and also of public–private sector participation. The dust-yard system had been working successfully for more than 50 years before the Public Health Acts of 1848 and 1875, and was thus important in facilitating a relatively smooth transition to an institutionalised, municipally-run solid waste management system in England. The dust-yards can be seen as early precursors of modern materials recycling facilities (MRFs) and mechanical–biological treatment (MBT) plants; however, it must be emphasised that dust-yards operated without any of the environmental and occupational health considerations that are indispensable today. In addition, there are analogies between dust-yards and informal sector recycling systems currently operating in many developing countries.     

NOAA satellite data: a useful tool for macro inventory

This article discusses some of the demonstrated and potential uses of data from satellites with large fields of view and high frequency of coverage, such as NOAA AVHRR data and Nimbus-7 CZCS data. The use of such data is discussed for three types of applications: (a) stratification, (b) change detection, and (c) area estimation. It is concluded that such data have considerable promise as an aid to a variety of large-area inventory and monitoring tasks.     

Cadmium uptake by the water hyacinth: Effects of root mass,solution volume,complexers and other metal ions1

At a fixed Cd²⁺ concentration water hyacinth ($\text{Eichhornia crassipes}$) plants with greater root mass (dry weight) take up more metal ions as a function of time, and more metal ions are taken up by a plant as the solution volume is increased. Experiments in which several different metal ion complexers were present suggest that (1) the roots possess sites which initially reversibly bind free Cd²⁺, (2) some added complexers can compete with these root sites for free Cd²⁺, and (3) with time Cd²⁺ bound to the roots is translocated into into the root tissues effectively removing it from the equilibrium processes in solution. Many metal ions are taken up by the plant but only the micronutrient Zn²⁺ competes well with Cd²⁺ for uptake. Thus, there may be binding sites on the roots for specific metal ions.