Dergiler / Eastern Journal of Medicine / 2021 / Cilt: 26 - Sayı: 3

The Value of a Prenatal MRI In Adjunct to Prenatal USG For Cases with Suspected or Diagnosed Fetal Anomalies

Sayfa
442–449
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The MRI is moreuseful for certain indications, such as agenesis of corpus callosum, neural migration defects, posterior fossa anomalies,intracranial cysts, and urogenital system anomalies.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:An accurate diagnosis of the anomalies plays a crucial role in the guidance and management of pregnancy, prenatalcounselling, and postnatal therapies.
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Temel Bulgular & Veri:This study aimed to evaluate the value of fetal magnetic resonance imaging (MRI) inadjunct to ultrasonography (USG) for cases with suspected or diagnosed fetal anomalies.This retrospective study included 86 fetuses that were evaluated using a fetal MRI and USG within 14 days for a diagnosticquery.
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Sonuç & Katkı:The MRI is moreuseful for certain indications, such as agenesis of corpus callosum, neural migration defects, posterior fossa anomalies,intracranial cysts, and urogenital system anomalies.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

An accurate diagnosis of the anomalies plays a crucial role in the guidance and management of pregnancy, prenatalcounselling, and postnatal therapies. This study aimed to evaluate the value of fetal magnetic resonance imaging (MRI) inadjunct to ultrasonography (USG) for cases with suspected or diagnosed fetal anomalies.This retrospective study included 86 fetuses that were evaluated using a fetal MRI and USG within 14 days for a diagnosticquery. To evaluate the diagnostic performance and value of the fetal MRI, patients were grouped according to the finaldiagnosis, which was revealed in the post-natal or post-terminated period. The patients were grouped according to weather,or not correct or additional findings revealed on these diagnostic modalities.According to the final diagnosis, the most common anomaly was the central nervous system (CNS) (n=62, 72%), followedby genitourinary (n=11, 13%). Both modalities were correct, and MR did not reveal additional findings in most cases (65 of86 cases, 76%). İn eight cases (9%) MR was correct, but USG was incorrect. USG was correct and MRI was incorrect in 2cases (2%). USG was correct but MRI revealed additional findings in 9 cases (10%) were in group 4. Both modalities wereincorrect in 2 cases (2%).İn adjunct to USG, a fetal MRI increases the diagnostic accuracy and provides additional information. The MRI is moreuseful for certain indications, such as agenesis of corpus callosum, neural migration defects, posterior fossa anomalies,intracranial cysts, and urogenital system anomalies.

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Bu Makaleye Atıf Yap

OBUT, M., AKAY, A., ÇELİK, Ö. Y., KELEŞ, A., İSKENDER, C., ÇAĞLAR, A. T., BAĞLI, I., TAHAOĞLU, A. E. (2021). The Value of a Prenatal MRI In Adjunct to Prenatal USG For Cases with Suspected or Diagnosed Fetal Anomalies. Eastern Journal of Medicine, Cilt: 26 - Sayı: 3, 442–449. https://ajindex.com/articles/348301

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Kaynakça (13)

  1. Best KE, Rankin J, Dolk H, Loane M, Haeusler M, Nelen V, et al. Multilevel analyses of related public health indicators: The European Surveillance of Congenital Anomalies (EUROCAT) Public Health Indicators. Paediatr Perinat Epidemiol 2020; 34: 122-129
  2. Paladini D, Quarantelli M, Sglavo G, Pastore G, Cavallaro A, D'Armiento MR, et al. Accuracy of neurosonography and MRI in clinical management of fetuses referred with central nervous system abnormalities. Ultrasound Obstet Gynecol 2014; 44: 188-196
  3. Manganaro L, Bernardo S, Antonelli A, Vinci V, Saldari M, Catalano C. Fetal MRI of the central nervous system: State-of-the-art. Eur J Radiol 2017; 93: 273-283
  4. Tee LM, Kan EY, Cheung JC, Leung WC. Magnetic resonance imaging of the fetal brain. Hong Kong Med J. 2016; 22: 270-278
  5. Hubbard AM, Harty MP, States LJ. A new tool for prenatal diagnosis: ultrafast fetal MRI. Semin Perinatol 1999; 23: 437-447
  6. Malinger G, Ben-Sira L, Lev D, Ben-Aroya Z, Kidron D, Lerman-Sagie T. Fetal brain imaging: a comparison between magnetic resonance imaging and dedicated neurosonography. Ultrasound Obstet Gynecol 2004; 23: 333-340
  7. Frates MC, Kumar AJ, Benson CB, Ward VL, Tempany CM. Fetal anomalies: comparison of MR imaging and US for diagnosis. Radiology 2004; 232: 398-404
  8. Jarvis D, Mooney C, Cohen J, Papaioannou D, Bradburn M, Sutton A, et al. A systematic review and meta-analysis to determine the contribution of mr imaging to the diagnosis of foetal brain abnormalities In Utero. Eur Radiol 2017; 27: 2367-2380
  9. Salomon LJ, Alfirevic Z, Berghella V, Bilardo C, Hernandez-Andrade E, Johnsen SL, et al. ISUOG Clinical Standards Committee. Practice guidelines for performance of the routine mid-trimester fetal ultrasound scan. Ultrasound Obstet Gynecol 2011; 37: 116-126
  10. Schoennagel BP, Yamamura J, Kording F, Fischer R, Bannas P, Adam G,et al. Fetal dynamic phase-contrast MR angiography using ultrasound gating and comparison with Doppler ultrasound measurements. Eur Radiol 2019; 29: 4169-4176
  11. Gat I, Hoffmann C, Shashar D, Yosef OB, Konen E, Achiron R, et al. Fetal Brain MRI: Novel Classification and Contribution to Sonography. Ultraschall Med 2016; 37: 176- 184
  12. Paladini D, Malinger G, Pilu G, Timor-Trisch I, Volpe P. The MERIDIAN trial: caution is needed. Lancet 2017; 389: 2103
  13. Prayer D, Malinger G, Brugger PC, Cassady C, De Catte L, De Keersmaecker B, et al. ISUOG Practice Guidelines: performance of fetal magnetic resonance imaging. Ultras