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.     

Comparison of a two-stage sampling design and its composite sample alternative: An application to soil studies

The objective of a long-term soil survey is to determine the mean concentrations of several chemical parameters for the pre-defined soil layers and to compare them with the corresponding values in the past. A two-stage random sampling procedure is used to achieve this goal. In the first step, n subplots are selected from N subplots by simple random sampling without replacement; in the second step, m sampling sites are chosen within each of the n selected subplots. Thus n · m soil samples are collected for each soil layer. The idea of the composite sample design comes from the challenge of reducing very expensive laboratory analyses: m laboratory samples from one subplot and one soil layer are physically mixed to form a composite sample. From each of the n selected subplots, one composite sample per soil layer is analyzed in the laboratory, thus n per soil layer in total. In this paper we show that the cost is reduced by the factor m — 1 when instead of the two-stage sampling its composite sample alternative is used; however, the variance of the composite sample mean is increased. In the case of positive intraclass correlation the increase is less than 12.5%; in the case of negative intraclass correlation the increase depends on the properties of the variable as well. For the univariate case we derive the optimal number of subplots and sampling sites. A case study is discussed at the end.     

Effects of Population Size and Food Stress on Fitness-Related Characters in the Scarce Heath, a Rare Butterfly in Western Europe

Abstract: Knowledge about the effects of inbreeding in natural populations is scarce, especially in invertebrates. We analyzed to what extent fitness-related traits in the scarce heath (  Coenonympha hero ), a butterfly, are affected by population size and isolation and whether differences in food quality influence these effects. We categorized nine populations as either large or small and isolated. Full-sib groups of offspring from 27 females were followed under seminatural conditions. Because of increased zygote mortality, egg hatchability was significantly lower in the small and isolated populations than in the large ones. Population category had no effect on larval weight under optimal conditions, but weight was significantly lower in the small-isolated category with low food quality. The effects of inbreeding can thus be hidden when conditions are benign but can appear under stress. Survival also differed significantly between population categories, and larval developmental time tended to be longer in the small-isolated category, irrespective of food conditions. We suggest that the differences in fitness between offspring from large and small isolated populations are at least partly due to inbreeding. This adds a further threat to a species that is already suffering from decreasing population sizes and increasing isolation among populations.