PURPOSE: To determine the effect of magnetic resonance (MR) imaging findings on management of complex fetal disorders. MATERIALS AND METHODS: MR imaging of the fetus was performed in 25 consecutive pregnant patients referred because of possible complex fetal disorders suspected on the basis of ultrasonographic (US) findings. Spoiled gradient-echo and single-shot rapid acquisition with relaxation enhancement MR imaging were performed in multiple planes anatomic to the fetus during maternal breath holding. RESULTS: In the fetuses in 24 of 25 women, MR studies were technically satisfactory. MR imaging directly influenced fetal care in four (17%) of 24 cases by demonstrating congenital high airway obstruction syndrome, congenital hemochromatosis, unilateral cerebellar deficiency in association with congenital diaphragmatic hernia, and severe facial disfigurement due to a giant anterior neck mass. In eight (33%) cases, MR imaging provided supplementary findings, but did not affect fetal care. In 12 (50%) cases, MR imaging results confirmed US findings. CONCLUSION: In cases of complex fetal disorders, MR imaging results can be used to supplement or confirm US findings and may directly affect management.
PURPOSE: To determine the effect of magnetic resonance (MR) imaging findings on management of complex fetal disorders. MATERIALS AND METHODS: MR imaging of the fetus was performed in 25 consecutive pregnant patients referred because of possible complex fetal disorders suspected on the basis of ultrasonographic (US) findings. Spoiled gradient-echo and single-shot rapid acquisition with relaxation enhancement MR imaging were performed in multiple planes anatomic to the fetus during maternal breath holding. RESULTS: In the fetuses in 24 of 25 women, MR studies were technically satisfactory. MR imaging directly influenced fetal care in four (17%) of 24 cases by demonstrating congenital high airway obstruction syndrome, congenital hemochromatosis, unilateral cerebellar deficiency in association with congenital diaphragmatic hernia, and severe facial disfigurement due to a giant anterior neck mass. In eight (33%) cases, MR imaging provided supplementary findings, but did not affect fetal care. In 12 (50%) cases, MR imaging results confirmed US findings. CONCLUSION: In cases of complex fetal disorders, MR imaging results can be used to supplement or confirm US findings and may directly affect management.
Authors: Jin Yamamura; Michael Frisch; Hannes Ecker; Joachim Graessner; Kurt Hecher; Gerhard Adam; Ulrike Wedegärtner Journal: Eur Radiol Date: 2010-07-30 Impact factor: 5.315
Authors: Jin Yamamura; Bernhard Schnackenburg; Hendrik Kooijmann; Michael Frisch; Kurt Hecher; Gerhard Adam; Ulrike Wedegärtner Journal: Eur Radiol Date: 2009-05-09 Impact factor: 5.315
Authors: Andrew Mong; Ann M Johnson; Sandra S Kramer; Beverly G Coleman; Holly L Hedrick; Portia Kreiger; Alan Flake; Mark Johnson; R Douglas Wilson; N Scott Adzick; Diego Jaramillo Journal: Pediatr Radiol Date: 2008-08-13
Authors: Sahar N Saleem; Ahmed-Hesham Said; Maged Abdel-Raouf; Eman A El-Kattan; Maha Saad Zaki; Noha Madkour; Mostafa Shokry Journal: Neuroradiology Date: 2009-06-25 Impact factor: 2.804
Authors: Anna Ravelli; Marcello Napolitano; Mariangela Rustico; Giovanna Riccipetitoni; Giovanni Di Leo; Andrea Righini; Francesco Sardanelli Journal: Radiol Med Date: 2019-06-07 Impact factor: 3.469