Congenital Chest Lesions: Diagnosis and Characterization with Prenatal MR Imaging

Am, Hubbard; Ns, Adzick; Tm, Crombleholme; Bg, Coleman; Lj, Howell; Jc, Haselgrove; Mahboubi, Soroosh

doi:10.1148/radiology.212.1.r99jl3143

Cited by 214 publications

(89 citation statements)

References 16 publications

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“…4). The postnatal radiological appearance of CPAM depends on histologic type, presence of residual fetal fluid, or superimposed infection (26)(27)(28)(29)(30). On plain radiography and CT, mixed air filled (often with air-fluid levels) cystic and solid components are seen (Figs.…”

Section: Congenital Pulmonary Airway Malformationmentioning

confidence: 99%

Broncopulmonary foregut malformations presenting as mass lesions in children: spectrum of imaging findings

Kocaoğlu¹,

Frush²,

Uğurel³

et al. 2008

Diagn Interv Radiol

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Bronchopulmonary foregut malformations are a heterogeneous but interrelated group of abnormalities that may contain more than one histologic feature. Familiarity with the presentation and imaging features of bronchopulmonary foregut malformations presenting as a congenital mass or mass-like lesion is important. Moreover, imaging plays a central role in the evaluation of these lesions since, when symptomatic, clinical features are usually nonspecific. With imaging, the presence of and features of the lesion can be determined, facilitating appropriate management to prevent the potential complications including infection, respiratory compromise and, very rarely, malignancy.

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Section: Congenital Pulmonary Airway Malformationmentioning

confidence: 99%

Broncopulmonary foregut malformations presenting as mass lesions in children: spectrum of imaging findings

Kocaoğlu¹,

Frush²,

Uğurel³

et al. 2008

Diagn Interv Radiol

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“…Left CCAM can be identiˆed by the presence of multiple cystic lesions in the left lung with displacement of the heart and mediastinum to the right. 4 In the case of a congenital left diaphragmatic hernia, the defect causes abdominal contents in the chest that lead to a right-sided heart. 5 Right pulmonary hypoplasia shows asymmetrically decreased right lung volume with abnormally low signal intensity.…”

Section: Discussionmentioning

confidence: 99%

Fetal MR Imaging Diagnosis of Pulmonary Agenesis

Kuwashima

Kaji

2010

magn reson med sci

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Fig. 1. T 2 -weighted coronal image shows displacement of the heart to the right with small right hemithorax and overdistension of the left lung. Note complete absence of the right main bronchus and normal left main bronchus (arrow). 149Magn Reson Med Sci, Vol. 9, No. 3, pp. 149-152, 2010 CASE REPORT Fetal MR Imaging Diagnosis of Pulmonary AgenesisShigeko KUWASHIMA* and Yasushi KAJI Department of Radiology, Dokkyo Medical University 880 Kitakobayashi, Mibu-machi, Shimotsuka-gu, Tochigi 321-0293, Japan (Received January 14, 2010; Accepted March 24, 2010)A woman was referred to our institution with an ultrasound (US) suggestive of right-sided heart in fetus at 34 weeks' gestation. Magnetic resonance (MR) imaging revealed rightsided heart, small right hemithorax, and completely absent right main bronchus and right pulmonary artery. From our experience with this case, we point out 5 important MR imagingˆndings needed for prenatal diagnosis of pulmonary agenesis. Fetal MR imaging also provided information about anomalies of other organs.

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“…Also, cardiomediastinal shift and the presence of left portal vein branches at the level or above the diaphragm can be observed, indicating the liver herniation into the fetal chest (13) . MRI can clearly demonstrate the presence of the stomach and bowel loops in the left hemithorax, particularly on T1-weighted sequences (7,8,14) . The herniated liver is best visualized on T1-weighted sequences.…”

Section: Discussionmentioning

confidence: 99%

“…The prenatal diagnosis of CDH is established by ultrasonography (US). However, in some cases this method is limited by the presence of artifacts resulting from poor fetal positioning or because of other limitations such as maternal obesity or an insufficiently trained operator (6,7) . An accurate diagnosis is critical, particularly in centers where intrauterine therapeutic tracheal occlusion is adopted to promote an increase in bronchoalveolar pressure and pulmonary volume (2) .…”

Section: Introductionmentioning

confidence: 99%

O valor da ultra-sonografia e da ressonância magnética fetal na avaliação das hérnias diafragmáticas

et al. 2008

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OBJECTIVE: To demonstrate the relevance of ultrasonography and magnetic resonance imaging findings in the prenatal characterization and prognostic evaluation in cases of congenital diaphragmatic hernia. MATE-RIALS AND METHODS: Fourteen pregnant women (mean gestational age = 28.7 weeks) who had undergone ultrasonography for suspicion of fetuses with congenital diaphragmatic hernia were assessed by means of magnetic resonance imaging on a 1.5 tesla equipment, following the standard protocol. Two radiologists evaluated the images and the findings were defined by consensus. RESULTS: Twelve fetuses had left diaphragmatic hernia and two, right diaphragmatic hernia. Ultrasonography showed the fetal liver inside the thorax of five fetuses (three with left diaphragmatic hernia, and two with right diaphragmatic hernia) and magnetic resonance imaging in eight fetuses (six with left diaphragmatic hernia, and two with right diaphragmatic hernia). Stomach and small bowel loop herniation was observed in all of the fetuses with left diaphragmatic hernia (n = 12) at both magnetic resonance imaging and ultrasonography. Eight fetuses (seven with left diaphragmatic hernia and one with right diaphragmatic hernia) survived after surgical treatment. CON-CLUSION: Ultrasonography and magnetic resonance imaging are complementary imaging methods in the evaluation of congenital diaphragmatic hernia. Magnetic resonance imaging is a helpful diagnostic method complementary to ultrasonography for evaluation of the fetal liver positioning, considering its relevance as a prognostic factor in cases of congenital diaphragmatic hernia. Keywords: Fetus; Congenital diaphragmatic hernia; Ultrasonography; Magnetic resonance imaging.OBJETIVO: Demonstrar a significância dos achados da ressonância magnética e da ultra-sonografia na caracterização pré-natal e avaliação do prognóstico de pacientes com hérnia diafragmática congênita. MATE-RIAIS E MÉTODOS: Catorze gestantes (idade gestacional média de 28,7 semanas) examinadas com ultrasonografia e apresentando fetos com suspeita de hérnia diafragmática congênita foram avaliadas por meio da ressonância magnética. Os exames foram realizados em aparelho de 1,5 tesla usando seqüências-padrão. Dois radiologistas avaliaram as imagens e estabeleceram os achados por consenso. RESULTADOS: Doze fetos tinham hérnia diafragmática à esquerda e dois, à direita. O fígado fetal foi localizado no interior do tórax de cinco fetos pela ultra-sonografia (três com hérnia diafragmática esquerda e dois com hérnia diafragmática direita) e de oito pela ressonância magnética (seis com hérnia diafragmática esquerda e dois com hérnia diafragmática direita). Herniação do estômago e alças de intestino delgado foi observada em todos os fetos com hérnia diafragmática esquerda (n = 12), tanto pela ultra-sonografia quanto pela ressonância magnética. Oito fetos sobreviveram após cirurgia (sete com hérnia diafragmática esquerda e um com hérnia diafragmática direita). CONCLUSÃO: A ultra-sonografia e a ressonância magnética são métodos de imagens...

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Congenital Chest Lesions: Diagnosis and Characterization with Prenatal MR Imaging

Cited by 214 publications

References 16 publications

Broncopulmonary foregut malformations presenting as mass lesions in children: spectrum of imaging findings

Broncopulmonary foregut malformations presenting as mass lesions in children: spectrum of imaging findings

Fetal MR Imaging Diagnosis of Pulmonary Agenesis

O valor da ultra-sonografia e da ressonância magnética fetal na avaliação das hérnias diafragmáticas

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