Pattern-based approach to fetal congenital cardiovascular anomalies using the transverse aortic arch view on prenatal cardiac MRI

Dong, Shumei; Zhu, Ming

doi:10.1007/s00247-014-3131-9

Cited by 12 publications

(9 citation statements)

References 24 publications

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“…Significant dilatation of the coronary sinus, which is best visualized in a four-chamber view, is also an indirect sign of persistent LSVC. However, the coronary sinus is unroofed in most cases of heterotaxy syndrome and will therefore not appear dilated on prenatal echocardiography 18 . Accordingly, persistent LSVC in cases of heterotaxy syndrome is not easy to find.…”

Section: Discussionmentioning

confidence: 99%

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Magnetic resonance imaging of fetal persistent left superior vena cava

Dong

Zhu

2017

Sci Rep

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This study aimed to evaluate the diagnostic accuracy of fetal magnetic resonance imaging (MRI) for persistent left superior vena cava (LSVC). Prenatal echocardiography (echo) and/or ultrasound (US) and MRI data for 49 fetuses with persistent LSVC, confirmed via postnatal diagnoses between January 2010 and October 2015, were retrospectively reviewed. All prenatal MRI was performed at 1.5 T. Imaging sequences included steady-state free-precession (SSFP), single-shot turbo spin echo (SSTSE), and other sequences. All 49 cases of fetal persistent LSVC were correctly diagnosed via MRI, but only 34 cases (69.4%) were correctly diagnosed via an initial US and/or echo before MRI. Of the 15 cases that were not correctly diagnosed via US and/or echo, 8 had congenital heart diseases (CHDs) and 7 were without CHDs; however, they were associated with extracardiac abnormalities or maternal obesity. Thirty-five cases were associated with other cardiovascular abnormalities; 8, with extracardiac abnormalities; and 6, with no associated condition. In 44 (89.8%) cases, the innominate veins were absent; the remaining cases had innominate veins. In 14.3% of patients (7 cases), the persistent LSVC drained directly into the atrium. Fetal MRI can detect persistent LSVC and play an adjunctive role along with US in the evaluation of persistent LSVC.

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Section: Discussionmentioning

confidence: 99%

“…The axial view of the aortic arch on MRI is as important as the four-chamber view, as is the case for the three-vessel view in fetal echocardiography 18, 19 . Fetal persistent LSVC could be easily detected in the transverse view of the aortic arch.…”

Section: Discussionmentioning

confidence: 99%

Magnetic resonance imaging of fetal persistent left superior vena cava

Dong

Zhu

2017

Sci Rep

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“…New papers dealing with cardiovascular defects on prenatal MRI have been published in the recent years [31][32][33][34]. Their authors emphasize that ECHO remains the first diagnostic test, and MRI has a complementary role.…”

Section: Chest Abnormalitiesmentioning

confidence: 99%

“…Appropriate planes, i.e. a four--chamber section and an axial cross-section through the upper mediastinum, showing the aortic arch and its relation to the superior vena cava and trachea, should be applied, analogically to the three-vessel and tracheal view in the ECHO study [33]. In case of IAA the aortic arch will not be visualised [33].…”

Section: Chest Abnormalitiesmentioning

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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“…The four-chamber view is widely used as a main screening method for fetal cardiac defects (Dong and Zhu 2015). The four-chamber view of fetal CMR is similar but not absolutely same with the traditional four-chamber view of fetal echocardiography.…”

Section: Introductionmentioning

confidence: 99%

MR imaging of fetal cardiac malposition and congenital cardiovascular anomalies on the four-chamber view

Dong

Zhu

2016

SpringerPlus

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Fetal echocardiography is the method of choice to visualize the fetal congenital cardiovascular anomalies. However, there are some disadvantages. Fetal cardiac magnetic resonance imaging (MRI) has the potential to complement ultrasound in detecting congenital cardiovascular anomalies. This pictorial review draws on our experience about fetal cardiac MRI; it describes the four-chamber view on fetal cardiac MRI and important clues on an abnormal four-chamber view to the diagnosis of fetal congenital cardiovascular anomalies.

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Pattern-based approach to fetal congenital cardiovascular anomalies using the transverse aortic arch view on prenatal cardiac MRI

Cited by 12 publications

References 24 publications

Magnetic resonance imaging of fetal persistent left superior vena cava

Magnetic resonance imaging of fetal persistent left superior vena cava

Postnatal verification of prenatal diagnoses established on foetal magnetic resonance imaging

MR imaging of fetal cardiac malposition and congenital cardiovascular anomalies on the four-chamber view

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