About this trial
DW-MRI Allows a quantitative comparison of diffusion as an expression of tissue hypoxia. The investigators aim is to compare changes in placental diffusion in pregnant women with uncontrolled diabetes compared to healthy pregnant women using DW-MRI.
The investigators hypothesize that placentas of diabetic mothers will show lower diffusion / perfusion compared to placentas of healthy women.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Women with PGAM (Pre-gestational diabetes) diagnosed before 20 weeks of pregnancy
Women with GDMA (Gestational diabetes) diagnosed by OGTT after 20 weeks of pregnancy
Disqualifiers
pregnant women with placental hypoxia disease related in the past
pregnant women with placental hypoxia disease related in the present
non-singleton pregnancy
women in active labor or rupture of membrane
Trial design
Parallel
Treatments tested in this trial
DW-MRI
Diagnostic testPredict changes in ovarian diffusion using DW-MRI scan
Treatment groups
Trial outcomes
Primary outcomes
Placental diffusion coefficient (D) measured by IVIM-DWI
Placental diffusion coefficient (D, mm²/s) derived from intravoxel incoherent motion diffusion-weighted MRI (IVIM-DWI). Mean D values will be extracted from whole-placenta regions of interest and compared between parturients with poorly controlled diabetes and excessive fetal growth and low-risk parturients with appropriately grown fetuses.
Secondary outcomes
Placental perfusion fraction (f) measured by IVIM-DWI
Placental perfusion fraction (f, unitless) derived from intravoxel incoherent motion diffusion-weighted MRI (IVIM-DWI). Mean f values will be extracted from whole-placenta regions of interest and compared between parturients with poorly controlled diabetes and excessive fetal growth and low-risk parturients with appropriately grown fetuses
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