MRI Screening of Placenta Adhesion Abnormalities

Placenta; Implantation Clinical Trial

— DIANE  

Official title:

MRI Screening of Placenta Adhesion Abnormalities

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04328532
• Other study ID #: 2019-A02794-53
• Status: Recruiting
• Phase: N/A
• Start date: October 21, 2020
• Est. completion date: October 21, 2026

Study information

• Verified date: November 2023
• Source: Central Hospital, Nancy, France
• Contact: Charline BERTHOLDT, MI
• Phone: +33 3 83 34 43 12
• Email: c.bertholdt[@]chru-nancy.fr
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Placenta Adhesion Abnormalities (PAA) are the consequence of an excessive invasion of the placenta within the myometrium. PAA are related to severe maternal pregnancy outcomes, especially in case of incidental discovery during delivery that increase the risk of intraoperative massive bleeding, hysterectomy and even maternal death. Ultrasound is the standard modality for diagnosing PAA, but Magnetic Resonance Imaging (MRI) has been increasingly performed in the case of inconclusive sonographic findings. However, standard morphological MRI sequences appear as insufficient to improve the sensitivity and specificity values for detecting PAA, while quantitative MRI may be more efficient. The main objective of this study is to characterize the diagnostic performance of quantitative MRI parameters (mainly Apparent Diffusion Coefficient, T2 and T2*) reflecting placental perfusion and/or oxygenation at high field, without injection of gadolinium-based agent, for the detection of PAA in women with ongoing pregnancy between 30 and 38 weeks of gestation with risk factors for PPA.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 71
• Est. completion date: October 21, 2026
• Est. primary completion date: October 21, 2026
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Pregnant participant between 30 and 38 weeks of gestation,
• Age =18 years old,
• Participant who completed the preliminary medical examination,
• Participant who has received full information about the organization of the research and has signed her informed consent.
• Participant planning to give birth at CHRU of Nancy
• Participant presenting risk factors for PAA : low-lying or covering placenta or in front of the uterine scar.

Exclusion Criteria:

• Multiple pregnancy,
• Participant presenting at least one contraindication or restriction to performing an MRI as described in the protocol, in accordance with the current recommendations,
• Participant unable to understand or follow study procedure,
• Person referred to in Articles L. 1121-6 to L. 1121-8, L1122-2 and L. 1122-1-2 of the Public Health Code.

Related Conditions & MeSH terms

• Congenital Abnormalities
• Placenta; Implantation

Intervention

Device:
• MRI
MRI examination (45 min max) with potential oxygen delivery for 10 min

Locations

Country	Name	City	State
France	Centre Hospitalier Régional Universitaire de Nancy	Vandœuvre-lès-Nancy

Sponsors (1)

Lead Sponsor	Collaborator
Central Hospital, Nancy, France

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Area under the ROC curve of the T2 relaxation time mean value		Through study completion, an average of 6 months
Primary	Area under the ROC curve of the T2* relaxation time mean value		Through study completion, an average of 6 months
Primary	Area under the ROC curve of the Apparent Diffusion Coefficient mean value		Through study completion, an average of 6 months