Abstract
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.
Original language | English (US) |
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Pages (from-to) | 691-696 |
Number of pages | 6 |
Journal | RADIOLOGY |
Volume | 213 |
Issue number | 3 |
DOIs | |
State | Published - Dec 1999 |
Externally published | Yes |
Keywords
- Brain, hydrocephalus
- Central nervous system
- Fetus
- Fetus, MR
- Fetus, US
- Fetus, gastrointestinal tract
- Fetus, respiratory system
- Hemochromatosis
- Hernia, diaphragmatic
- Lung, congenital malformation
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging