Fetale Magnetresonanztomographie

Reith, Wolfgang; Haußmann, Alena; Yılmaz, Ümüt

doi:10.1007/s00117-018-0405-5

Cited by 1 publication

(2 citation statements)

References 9 publications

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“…(9) Do you trust the results? (10) Can the results be transferred to practice? (11) Do the results of this study fi t with the results of other available studies?…”

Section: Resultsmentioning

confidence: 99%

“…Half of the anomalies are such that they lead either to the death of the fetus or signifi cantly disrupt life after birth, which is why timely detection and treatment are of great importance (7). In situations where ultrasound examination is diffi cult, fetal MRI can provide superior information, owing to its advantages such as superior contrast resolution, increased visual fi eld, the ability to shoot smoothly due to ossifi ed skull, increased amounts of adipose tissue on the front abdominal wall, oligohydramnios, fetal bones, a small amount of amniotic fl uid, the movements themselves, and an unfavorable position of the fetus are cases where MRI is a method of choice (8,9,10). In addition, a complete examination of the fetal CNS in the three spatial planes is obtained more consistently in the second and third trimesters by MRI than by ultrasound only (11).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Magnetic Resonance Imaging in the Assessment of Fetal Central Nervous System Anomalies

SALKIĆ¹,

JULARDŽIJA²,

ŠEHIĆ³

et al. 2022

MIRTJ

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Introduction: Fetal central nervous system (CNS) anomalies are among the most severe and common anomalies, with an incidence of 1: 100 to 1: 500 in newborns. Depending on the type of anomaly, the diagnosis can only be made at specifi c periods of pregnancy. The prenatal ultrasound (US) is an eff ective primary imaging modality for depicting these anomalies, and magnetic resonance imaging (MRI) is a method that provides useful confi rmation and resolves any doubts regarding the diagnosis made on prenatal ultrasound. In situations where ultrasound examination is diffi cult, fetal MRI can provide superior information owing to its many advantages. The aim of this study was to determine the importance of prenatal MRI in making an accurate diagnosis and assessment of fetal CNS anomalies after neurosonographic doubt and in detecting additional anomalies that might have been overlooked on ultrasound, which infl uences clinical decision making and anomaly outcomes. Material and methods: For this research, which was designed as a systematic review of the primary scientifi c research literature, numerous articles were used, i.e.17 scientifi c research papers, published in relevant scientifi c research online databases such as PubMed, Medline, Google Scholar, and the same were published in English in the period from 2015 to 2021. Results: From the assessment of the quality of studies with a cohort design, most studies used in this systematic review are high-quality studies (11 in total) and a smaller number are medium-quality studies (6 in total). Out of 575 cases, MRI confi rmed the ultrasound diagnosis and agreed with it in 59.8% of cases, while in 20.2% of cases, it changed the diagnosis, i.e., in 16.5%, it rejected the ultrasound diagnosis. Additional anomalies detected only on MRI occurred in 236/1225 cases, which totals 19.3% of additional anomalies. Termination of pregnancy was reported in 82/317 cases, accounting for 25.9%, while in 176 cases, the pregnancy continued. A total of 11 cases of neonatal death were reported, and the number of stillbirths or deaths after birth was reported in 8 cases. Conclusion: MRI using T2W SSFSE sequences in 3 planes, T1W and DWI in the axial plane, is a complementary modality to prenatal ultrasound in making an accurate diagnosis and assessment of CNS anomalies and detecting associated anomalies previously overlooked on ultrasound. Keywords: fetal magnetic resonance imaging, fetal neurosonography, fetal central nervous system anomalies, prenatal diagnosis.

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“…(9) Do you trust the results? (10) Can the results be transferred to practice? (11) Do the results of this study fi t with the results of other available studies?…”

Section: Resultsmentioning

confidence: 99%