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The women initially underwent ultrasonography followed approximately 5 days later by contrast\u2010enhanced MRI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>CSP was accurately diagnosed in 42 cases (95.5%) using contrast\u2010enhanced MRI compared with 39 cases (88.6%) using ultrasonography (<jats:italic>P<\/jats:italic> &lt; 0.05). Two cases with a heterogeneous signal intensity pattern using MRI were initially misdiagnosed as a uterine leiomyoma and a trophoblastic tumor. No contrast agent\u2010related complications occurred. The typical findings of a gestational sac embedded in the anterior lower part of the uterus in the sagittal T2\u2010weighted views were identified in all the patients. All patients recovered well without experiencing major morbidity after treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Contrast\u2010enhanced MRI could be used as a reliable adjunct and initial imaging modality for diagnosing CSP in select cases. The imaging features of contrast\u2010enhanced MRI may result in a more accurate diagnosis before specific treatment for CSP.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2014.05.010","type":"journal-article","created":{"date-parts":[[2014,7,1]],"date-time":"2014-07-01T20:49:10Z","timestamp":1404247750000},"page":"144-146","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["The use of contrast\u2010enhanced magnetic resonance imaging to diagnose cesarean scar pregnancies"],"prefix":"10.1002","volume":"127","author":[{"given":"Qiang","family":"Huang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miao","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ren\u2010You","family":"Zhai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,6,30]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2012.01892.x"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.01237.x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.974"},{"issue":"9","key":"e_1_2_6_5_2","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.7863\/jum.2012.31.9.1449","article-title":"Cesarean scar pregnancy: sonographic and magnetic resonance imaging findings, complications, and treatment","volume":"31","author":"Osborn D.A.","year":"2012","journal-title":"J Ultrasound Med"},{"issue":"5","key":"e_1_2_6_6_2","first-page":"299","article-title":"Cesarean scar pregnancy: MRI features","volume":"94","author":"Marrannes J.","year":"2011","journal-title":"JBR\u2010BTR"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2010.05.032"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2011.03.104"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.01.012"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2010.08.002"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.04.018"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1159\/000345503"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-011-0097-y"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2009.03.015"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729214003415?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729214003415?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2014.05.010","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2014.05.010","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2014.05.010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T19:12:45Z","timestamp":1743793965000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2014.05.010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,30]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2014,11]]}},"alternative-id":["10.1016\/j.ijgo.2014.05.010"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2014.05.010","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"type":"print","value":"0020-7292"},{"type":"electronic","value":"1879-3479"}],"subject":[],"published":{"date-parts":[[2014,6,30]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The use of contrast-enhanced magnetic resonance imaging to diagnose cesarean scar pregnancies","name":"articletitle","label":"Article Title"},{"value":"International Journal of Gynecology & Obstetrics","name":"journaltitle","label":"Journal Title"},{"value":"http:\/\/dx.doi.org\/10.1016\/j.ijgo.2014.05.010","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2014 International Federation of Gynecology and Obstetrics. 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