Diagnostic problems in case of twin pregnancies: US vs. MRI study

Bekiesińska‐Figatowska, Monika; Herman‐Sucharska, Izabela; Romaniuk-Doroszewska, Anna; Jaczyńska, Renata; Furmanek, Mariusz; Brągoszewska, Hanna

doi:10.1515/jpm-2012-0290

Cited by 5 publications

(4 citation statements)

References 16 publications

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Section: Discussionmentioning

confidence: 99%

“…The larger field of view than on US and the ability to show the whole situation in one image make this method more useful in difficult sessions with parents. Surgeons and oncologists also prefer the global view of the abnormalities provided by MRI [17,52], rely mainly on MRI, and always refer our youngest patients to MRI after ultrasound before making decisions. Prenatal recognition of a tumor implies changes in pregnancy and neonatal management depending on the time of diagnosis, the country's legislation, and the religious/ethical beliefs of the parents.…”

Section: Discussionmentioning

confidence: 99%

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Congenital Tumors—Magnetic Resonance Imaging Findings with Focus on Rare Tumors

Kwasniewicz,

Wieczorek-Pastusiak,

Romaniuk-Doroszewska

et al. 2023

Cancers

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Congenital tumors are rare and, owing to this rarity, there is limited information on many of them. A total of 839 fetal and postnatal MRI studies performed in the first 3 months of life were retrospectively reviewed. They were performed with the use of 1.5 T scanners. Seventy-six tumors were diagnosed based on fetal MRI between 20 and 37 gestational weeks, and 27 were found after birth, from 1 day of age to 3 months of life. Teratomas were the most common tumors in our dataset, mainly in the sacrococcygeal region (SCT), followed by cardiac rhabdomyomas and subependymal giant cell astrocytomas (SEGA) associated with TSC, and neuroblastomas. The group of less common tumors consisted of infantile fibrosarcomas, malignant rhabdoid tumors, mesoblastic nephromas and Wilms tumor, craniopharyngiomas, brain stem gliomas, desmoplastic infantile astrocytoma, choroid plexus carcinoma, glioblastoma, hemangiopericytoma, rhabdomyosarcoma, melanoma, mesenchymal hamartomas of the chest wall and the liver, and juvenile xanthogranuloma, with special consideration of blue rubber bleb nevus syndrome. MRI plays a significant role in further and better characterization of congenital tumors, leading to a correct diagnosis in many cases, which is crucial for pregnancy and neonatal management and psychological preparation of the parents. No diagnosis is impossible and can be absolutely excluded.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Congenital Tumors—Magnetic Resonance Imaging Findings with Focus on Rare Tumors

Kwasniewicz,

Wieczorek-Pastusiak,

Romaniuk-Doroszewska

et al. 2023

Cancers

Self Cite

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“…Fetal MRI is especially helpful for central nervous system anomalies, planning for prenatal and postnatal intervention, and for airway management in fetuses with neck masses [4,8,11]. Other indications for fetal MRI include evaluation of cranial, facial, thoracic, abdominal, retroperitoneal, and pelvic anomalies, as well as complications of monochorionic gestations [89].…”

Section: Us Echocardiography Fetalmentioning

confidence: 99%

ACR Appropriateness Criteria® Second and Third Trimester Screening for Fetal Anomaly

Sussman

Chopra

Pōder

et al. 2021

Journal of the American College of Radiology

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The Appropriateness Criteria for the imaging screening of second and third trimester fetuses for anomalies are presented for fetuses that are low risk, high risk, have had soft markers detected on ultrasound, and have had major anomalies detected on ultrasound.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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“…MRI should always be preceded by US and should be performed in the second trimester of pregnancy, possibly with recommendation of a control study in the third trimester [3,4], because detailed assessment of anomaly after birth usually requires general anaesthesia and anaesthetic care [5]. Establishing the correct diagnosis is important for planning place, time and mode of delivery, for treatment in utero or after birth, and also for the psychological care for the parents [6].…”

Section: Introductionmentioning

confidence: 99%

Postnatal verification of prenatal diagnoses established on foetal magnetic resonance imaging

Duczkowska¹,

Olwert

Duczkowski³

et al. 2018

Ginekol Pol

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High correlation of prenatal and postnatal tests' results in the study material confirms the high value of foetal MRI in perinatal diagnostics. Comprehensive assessment of the foetus in prenatal MRI is very effective and facilitates impor-tant therapeutic decisions in the prenatal period (in utero treatment) and in perinatal care (application or withdrawal from the EXIT procedure, surgery or backtracking from neonatal resuscitation if it should bear the hallmarks of persistent therapy).

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Diagnostic problems in case of twin pregnancies: US vs. MRI study

Abstract: MRI offers more detailed assessment of fetal pathology in cases of twin pregnancies, including conjoined twins, in which sonographic evaluation is more difficult than in single cases.

Cited by 5 publications

References 16 publications

Congenital Tumors—Magnetic Resonance Imaging Findings with Focus on Rare Tumors

Congenital Tumors—Magnetic Resonance Imaging Findings with Focus on Rare Tumors

ACR Appropriateness Criteria® Second and Third Trimester Screening for Fetal Anomaly

Postnatal verification of prenatal diagnoses established on foetal magnetic resonance imaging

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