The value of cardiovascular magnetic resonance in the diagnosis of fetal aortic arch anomalies

Xu, Li; Li, Xuelei; Kefei, Hu; Yin, Chuangao

doi:10.1080/14767058.2016.1214126

Cited by 22 publications

(23 citation statements)

References 15 publications

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“…We believe that fetal MRI is a useful adjunct for assessing the fetal anatomy, especially in cases of isolated aortic arch abnormalities. Li et al could show that fetal cardiovascular magnetic resonance (CMR) imaging, particularly with transverse views at the level of the aortic arch, in the diagnosis of aortic arch anomalies had an accuracy of 95.6% [4]. Fetal CMR is a promising diagnostic tool for assessment of congenital cardiovascular abnormalities, especially in situations that limit echocardiography [5].…”

Section: Discussionmentioning

confidence: 99%

Prenatal detection of right aortic arch

Yerlikaya

Efeturk

Springer

et al. 2019

Arch Gynecol Obstet

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PurposeTo examine an unselective population of fetuses with right aortic arch (RAA) and suggest perinatal management. Second, to evaluate the importance and possible implication of fetal MRI in those cases.MethodsRetrospective study of 36 patients with RAA diagnosed prenatally between 2006 and 2017 in a tertiary referral center.Results32 fetuses were diagnosed with RAA and 4 with double aortic arch (DAA). 7 (19, 5%) cases had intracardiac abnormalities. Tetralogy of the Fallot was the most frequent one. Other extracardiac malformations were observed in 11/36 (30, 6%). Karyotype was available in 16 (44, 5%) cases. Two had 22q11.2 microdeletion, two trisomy 21, and one 20p12.2 duplication. Two needed surgery for respiratory symptoms. A newborn was identified with epilepsy, Lennox–Gastaud syndrome and Pallister–Killian syndrome postnatally and another one with showed hyperreflexia and premature closer of the fontanelle. Three feticides were performed for pregnancy termination in one case with 22q11 deletion, trisomy 21, and partial agenesis of corpus callosum.ConclusionRAA can be detected by fetal echocardiography and it is associated with other cardiac or non-cardiac abnormalities, 22q11 microdeletion, trisomy 21, and other chromosomal abnormalities. karyotyping should be offered in any case of RAA, irrespective of co-existing malformations. Fetal MRI is a promising diagnostic tool for assessment of congenital cardiovascular abnormalities and extracardiac anomalies.

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Section: Discussionmentioning

confidence: 99%

Prenatal detection of right aortic arch

Yerlikaya

Efeturk

Springer

et al. 2019

Arch Gynecol Obstet

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“…The diagnostic role of fetal MRI, as a complementary second level tool useful when the ultrasound is hampered by inadequate acoustic window, has recently been proposed by several groups. 9,[38][39][40][41][42] In a prospective single-center study, a combination of SSFP and SS-T 2 -TSE sequences identified the same diagnosis as postnatal findings in 79% of fetuses with CHD at a mean gestational age of 25.5 weeks. 38 In that study the diagnostic sensitivity for cardiac anomalies by ultrasound screening performed by an obstetrician and by a fetal cardiac specialist were 46% and 82%, respectively.…”

Section: Complementary Diagnostic Role Of Fetal Cardiac Mrimentioning

confidence: 95%

“…However, it may be limited by fetal position, oligohydramnios, overlying bone, and obesity. The diagnostic role of fetal MRI, as a complementary second level tool useful when the ultrasound is hampered by inadequate acoustic window, has recently been proposed by several groups . In a prospective single‐center study, a combination of SSFP and SS‐T 2 ‐TSE sequences identified the same diagnosis as postnatal findings in 79% of fetuses with CHD at a mean gestational age of 25.5 weeks .…”

Section: Complementary Diagnostic Role Of Fetal Cardiac Mrimentioning

confidence: 99%

“…Prenatal cardiac ultrasound correctly diagnosed five cases of retroaortic and one retroesophageal LBCV as well as the associated intracardiac anomalies . In a single‐center series of 23 aortic arch anomalies, the accuracy of fetal CMR was 95.6%, which was significantly higher than standard ultrasound (60.8%) …”

Section: Complementary Diagnostic Role Of Fetal Cardiac Mrimentioning

confidence: 99%

“…39 In a single-center series of 23 aortic arch anomalies, the accuracy of fetal CMR was 95.6%, which was significantly higher than standard ultrasound (60.8%). 41 3D volume rendering reconstructions derived from postnatal computed tomography (CT) and MRI have been used in clinical practice for at least 40 years. Recently, MRI data were acquired in 85 fetuses as overlapping stacks of standard 2D SS-T 2 -TSE images.…”

Section: Complementary Diagnostic Role Of Fetal Cardiac Mrimentioning

confidence: 99%

See 2 more Smart Citations

MR imaging of the fetal heart

Marini

Amerom

Saini

et al. 2019

Magnetic Resonance Imaging

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In the last decade, technological advances have enabled the acquisition of high spatial and temporal resolution cardiac magnetic resonance imaging (MRI) in the fetus. Fetal cardiac MRI has emerged as an alternative to ultrasound, which may be helpful to confirm a diagnosis of congenital heart disease when ultrasound assessment is hampered, for example in late gestation or in the setting of oligohydramnios. MRI also provides unique physiologic information, including vessel blood flow, oxygen saturation and hematocrit, which may be helpful to investigate cardiac and placental diseases. In this review, we summarize some of the main techniques and significant advances in the field to date. Level of Evidence: 5 Technical Efficacy: Stage 5 J. Magn. Reson. Imaging 2020;51:1030–1044.

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Current and future role of fetal cardiovascular MRI in the setting of fetal cardiac interventions

Marini

Sun

et al. 2019

Prenatal Diagnosis

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Over recent years, technical developments resulting in the feasibility of fetal cardiovascular magnetic resonance (CMR) have provided a new diagnostic tool for studying the human fetal heart and circulation. During the same period, we have witnessed the arrival of several minimally invasive fetal cardiac interventions (FCI) as a possible form of treatment in selected congenital heart diseases (CHDs). The role of fetal CMR in the planning and monitoring of FCI is not yet clear. Indeed, high-quality fetal CMR is not available or routinely offered at most centers caring for patients with prenatally detected CHD. However, in theory, fetal CMR could have much to offer in the setting of FCI by providing complementary anatomic and physiologic information relating to the specific intervention under consideration. Similarly, fetal CMR may be useful as an alternative imaging modality when ultrasound is hampered by technical limitations, for example, in the setting of oligohydramnios and in late gestation. In this review, we summarize current experience of the use of fetal CMR in the diagnosis and monitoring of fetuses with cardiopathies in the setting of a range of invasive in utero cardiac and vascular interventions and medical treatments and speculate about future directions for this versatile imaging medium.

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The value of cardiovascular magnetic resonance in the diagnosis of fetal aortic arch anomalies

Abstract: Unlike prenatal Echo, fetal CMR is unaffected by fetal position. Fetal CMR with transverse views at the level of the aortic arch is a useful adjunct for the diagnosis of fetal aortic arch anomalies.

Cited by 22 publications

References 15 publications

Prenatal detection of right aortic arch

Prenatal detection of right aortic arch

MR imaging of the fetal heart

Current and future role of fetal cardiovascular MRI in the setting of fetal cardiac interventions

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