Fetal MRI Value in Fetal CNS Anomalies | ||||
Minia Journal of Medical Research | ||||
Article 23, Volume 30, Issue 4, October 2019, Page 143-151 PDF (127.96 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjmr.2022.221701 | ||||
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Authors | ||||
Mohamed A. Mourad1; Soha T. Hamed2; Sara M. Ragaee1 | ||||
1Department of Radiology, Faculty of Medicine, Minia University, Minia, Egypt. | ||||
2Department of Radiology, Faculty of Medicine, Cairo University, Cairo, Egypt | ||||
Abstract | ||||
Background: Antenatal evaluation of the fetal central nervous system (CNS) plays an important role in the field of perinatology. Objectives: to elaborate on sonographic & MRI prenatal diagnosis of various fetal central nervous system malformations. Patients & method: Data were gathered prospectively from 70 pregnant women with ultrasounddiagnosed or suspected CNS anomalies referred for MRI between April, 2016 and July, 2019; followed by postpartum neonatal MRI brain examination to non-terminated, live birth cases. Results: Of the seventy fetuses with CNS anomalies, Fetal MRI added findings to prenatal U/S imaging in 17 cases (24%) and most of these findings were identified in fetuses with severe IVM (about 50%). No additional abnormalities were identified by fetal MRI in fetuses less than 24 weeks gestation. Callosal and septum pellucidum lesions accounted for most common significant fetal MRI additional findings with percent of (53%). Management was changed according to the additional findings where Increased rate of termination was more associated with cases with additional abnormalities rather than the isolated VM cases. Conclusion: This study recommend fetal MRI for sonographically diagnosed or suspected fetal CNS anomalies to guide the clinical management. Abbreviations GA(gestational age), IV (intraventricular), ,NO.(number),IUFD(Intrauterine fetal death). | ||||
Keywords | ||||
Fetal MRI; Fetal CNS anomalies; prenatal ultrasound; Intrauterine ventriculomegaly | ||||
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