Complex fetal disorders: effect of MR imaging on management--preliminary clinical experience.

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.

journal_name

Radiology

journal_title

Radiology

authors

Coakley FV,Hricak H,Filly RA,Barkovich AJ,Harrison MR

doi

10.1148/radiology.213.3.r99dc39691

subject

Has Abstract

pub_date

1999-12-01 00:00:00

pages

691-6

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

213

pub_type

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