Typical lesions in the fetal nervous system: correlations between fetal magnetic resonance imaging and obstetric ultrasonography findings

Werner, Heron; Gasparetto, Taísa Davaus; Daltro, Pedro; Gasparetto, Emerson L.; Júnior, Edward Araujo

doi:10.14366/usg.17040

Cited by 8 publications

(5 citation statements)

References 21 publications

(41 reference statements)

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“…Fetal MRI is more accurate and allows a better characterization of lesions but because of the acceptable performance of ultrasound and the poor geographical and financial accessibility of MRI, MRI is indicated in case of limitation of ultrasound. [10,14]. In our context, it would be desirable to make ultrasound more accessible and mandatory for pregnancy monitoring.…”

Section: Diagnostic Aspectsmentioning

confidence: 99%

Actual epidemiological profile and management of central nervous system (CNS) malformations in a neurosurgery department in sub-Saharan Africa

Zabsonre

Babana

Haro

et al. 2023

Arch Pediat Neurosurg

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Introduction: Central Nervous System (CNS) malformations usually leave the family in disarray and doctors’ staff powerless. In developed countries, the rigorous application of preventive measures has contributed to a significant reduction incidence of these malformations. In African societies, mystical-religious considerations and low socio-economic level contribute to the increased occurrence of these malformations. The purpose of this work was to evaluate the prevalence and management of CNS malformations in our neurosurgical department. Methods: This was a retrospective study conducted in the neurosurgery department of Yalgado Ouedraogo Teaching Hospital, in Ouagadougou, from 2016 to 2019. All cases of CNS malformations managed in the department with a workable medical record were reviewed. Results: Five hundred and twenty-four cases were selected. The prevalence of malformations was 7.05%. The mean age of patients was 1.48 years (1 day and 76 years). Thirty-one (5.9%) cases of CNS malformations were diagnosed antenatally. One hundred and twenty-four (23.6%) ultrasounds (including 51 antenatal), 418 CT scans (79.7%) and 9 MRIs (1.7%) were performed. Hydrocephalus [(n = 219 (41.7%)] and spina bifida [(n = 213 (40.6%)] were the most common pathologies. Surgical treatment was indicated in 435 cases (83%) of which 179 (41.1%) could be operated. After a follow-up of 15.8 months, there were 46.3% sequelae identified. Conclusion: CNS malformations are common in our context. They are not always prone to be treated surgically and are at the origin of many neurological sequelae and lifelong disability. Hence there is an urgent need to focus on improving preventive measures in Sub-Saharan Africa.

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Section: Diagnostic Aspectsmentioning

confidence: 99%

Actual epidemiological profile and management of central nervous system (CNS) malformations in a neurosurgery department in sub-Saharan Africa

Zabsonre

Babana

Haro

et al. 2023

Arch Pediat Neurosurg

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“…The prognosis is related to the amount and herniated intracranial contents [ 5 ]. The occipital location is the most frequent, followed by the frontal and parietal areas [ 14 ]. MRI is useful for evaluating the location of the skull defect and contents of the sac, including herniated dural venous sinuses, and searching for other CNS anomalies (Fig.…”

Section: Asymmetrical Ventriculomegalymentioning

confidence: 99%

Fetal MRI of the supratentorial brain abnormalities: what we should know about ventriculomegaly?

Kuwashima

2023

Jpn J Radiol

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Fetal MRI is performed to evaluate the brain in cases where an abnormality is detected by ultrasonography (US). Fetal MRI has higher contrast resolution than US. Because the fetal brain is dynamic structure, it is important to know the normal appearance of the brain at different gestational age to be better able to identify abnormalities using MRI. Fast imaging sequences to minimize artifact from fetal motion are required. The main sequences used are ultrafast T2 weighted imaging. Similar to pediatric neuroimaging, images are acquired in the axial, sagittal, and coronal planes. T1 weighted image and Gradient echo-planar T2 weighted images are performed to detect hemorrhage. Ventriculomegaly is the most common central nervous system abnormality identified on US. The causes of ventriculomegaly are very heterogeneous and include developmental, destructive, and obstructive processes, or a combination thereof. MRI improves diagnostic accuracy and can be used to evaluate the etiology of the ventriculomegaly. Moreover, MRI can play an important role in detecting additional findings, which may help to focus on patient counseling and management. This review summarizes and illustrates common pattern of ventriculomegaly due to mainly supratentorial abnormalities.

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“…The sophisticated equipment needed, the need for skilled workers, and the fact that it is only available at major referral centers limit its utilization. The purpose of the current investigation was to determine the significance of magnetic resonance imaging for prenatal abnormality identification [14][15][16][17]. This paper aims to study the reliability of magnetic resonance imaging in the detection of congenital anomalies of Iraqi women.…”

Section: Introductionmentioning

confidence: 99%

Reliability of Magnetic Resonance Imaging in the Detection of Congenital Anomalies of Iraqi Women

Oudah,

Mohammed,

Abdulkafi

2023

JPDMHD

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Background: Prior to birth, fetal anomalies must be identified using antenatal imaging so that during utero interventions may be planned and the baby's postpartum care can be chosen. Aim: This paper aims to study the reliability of magnetic resonance imaging in the detection of congenital anomalies of Iraqi women. Patients and methods: This study was a cross-sectional study in the analysis of the reliability of magnetic resonance imaging in the detection of congenital anomalies of Iraqi women in the Baghdad-Iraq from 17th August 2021 to 24th May 2022. The collected data of the MRI technique for using with congenital anomalies of Iraqi women was analysed into 90 patients by the SPSS program. Results and Discussion: 26 participants (28.89%) in our study had hydrocephalus. As a result, MRI can be used in addition to ultrasonography to diagnose embryonic genitourinary abnormalities, particularly in cases of oligohydramnios. In one instance of the diaphragm eventration, MRI was helpful in making the diagnosis. In 70 cases, MRI was successful; in the other 20, it was not. Our findings indicated that CNS received helpful information with 66% and without useful information with 34%, Gut received useful information with 77% and without useful information with 33%, and Multiple received useful information with 57% and without useful information with 43%. Conclusion: According to the findings, MRI showed the highest scored for detecting ventriculomegaly and the worst score for detecting cerebral haemorrhage and cortical abnormalities. Additionally, our study discovered that prenatal MRI has become a more potent tool for detecting fetal defects when ultrasound results are insufficient or equivocal.

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Typical lesions in the fetal nervous system: correlations between fetal magnetic resonance imaging and obstetric ultrasonography findings

Cited by 8 publications

References 21 publications

Actual epidemiological profile and management of central nervous system (CNS) malformations in a neurosurgery department in sub-Saharan Africa

Actual epidemiological profile and management of central nervous system (CNS) malformations in a neurosurgery department in sub-Saharan Africa

Fetal MRI of the supratentorial brain abnormalities: what we should know about ventriculomegaly?

Reliability of Magnetic Resonance Imaging in the Detection of Congenital Anomalies of Iraqi Women

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