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.     

A new approach to characterize biodegradation of organics by molecular mass distribution in landfill leachate

This study provides biodegradability of organics in leachate according to their molecular mass distributions (<0.5, 0.5 to 1, 1 to 3, 10, and >10 KDa). Organics with molecular mass values lower than 0.5 KDa were the predominant species in the raw leachate filtrate, and the aerated lagoon process was very effective in treating these highly biodegradable organics; the Fenton's oxidation process was very effective in treating not-so-biodegradable organics with molecular mass values higher than 0.5 KDa, but a portion of these organics were converted into organics <0.5 KDa after Fenton's oxidation. An oxygen uptake measurement using a respirometer was more sensitive than a conventional biochemical oxygen demand measurement to evaluate bioactivities, especially when bioactivities were low.