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It is possible to perform a pelvimetry by MRI as a substitute to pelvimetry by CT, hence sparing the patient from a dose of irradiation.
The Principal investigator want to evaluate new MRI sequences offering both an optimal contrast between mineral bone and soft tissues, and a shorter acquisition time. Indeed, the recent developments of specific MRI sequences to preferentially image the mineral bone (namely the ZTE and lavaflex 3D T1-weighted SPGR sequences) allow performing pelvimetry measurements on MR images offering an optimal "pseudo CT" contrast, with an MR acquisition time that is less than 10 minutes. Preliminary tests of these sequences have been carried out in our center in order to be able to implement these sequences on our clinical and research MRI machines. The study team wish to undertake a study to validate the use of this rapid and non-irradiating MRI approach, with the aim to replace a CT pelvimetry by a MRI pelvimetry demonstrated as being as reliable.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IRM + CT scan for Pelvimetry | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MRI pelvimetry | Device | MRI of the pelvis |
|
| Measure | Description | Time Frame |
|---|---|---|
| Prove the non-inferiority of MRI compared to CT for pelvimetry. | Measurement of pelvic bone diameters in pregnant women | 30 minutes (duration of the exam+ measurement) |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate patient convenience for both examinations (CT and MRI) | questionnaire (scale from zero to ten, zero = more pleasant, ten=least pleasant) | immediately after both examinations |
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Inclusion Criteria:
Exclusion Criteria:
having an uterus
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Frédéric Lecouvet, MD, PhD | Contact | +3227642793 | frederic.lecouvet@saintluc.uclouvain.be |
| Name | Affiliation | Role |
|---|---|---|
| Frédéric Lecouvet, MD, PhD | Cliniques universitaires Saint-Luc- Université Catholique de Louvain | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cliniques Universaires Siant Luc | Recruiting | Brussels | 1200 | Belgium |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29464757 | Background | Hampel F, Hallscheidt P, Sohn C, Schlehe B, Brocker KA. Pelvimetry in nulliparous and primiparous women using 3 Tesla magnetic resonance imaging. Neurourol Urodyn. 2018 Aug;37(6):1950-1956. doi: 10.1002/nau.23537. Epub 2018 Feb 21. | |
| 36675370 | Background | Li J, Lou Y, Chen C, Zheng W, Chen Y, Dong T, Yang M, Zhao B, Luo Q. Predictive Value of MRI Pelvimetry in Vaginal Delivery and Its Practicability in Prolonged Labour-A Prospective Cohort Study. J Clin Med. 2023 Jan 5;12(2):442. doi: 10.3390/jcm12020442. |
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| ID | Term |
|---|---|
| D007744 | Obstetric Labor Complications |
| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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Each patients will have a CT scan (classic follow-up) and an MRI (for the study)
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| 29685537 | Background | Liao KD, Yu YH, Li YG, Chen L, Peng C, Liu P, Chen CL, Chen RY, Zhong M, Wang Y. Three-dimensional magnetic resonance pelvimetry: A new technique for evaluating the female pelvis in pregnancy. Eur J Radiol. 2018 May;102:208-212. doi: 10.1016/j.ejrad.2018.03.024. Epub 2018 Mar 19. |