Your browser doesn't support javascript.
loading
Fetal magnetic resonance imaging in the confirmation of congenital anomalies found on routine mid-trimester ultrasound.
Dhaifalah, Ishraq; Godava, Marek; Havalova, Jana; Hanzlikova, Pavla; Michalkova, Kamila; Bakaj Zbrozkova, Lenka; Civrny, Jakub; Cuckle, Howard.
Afiliación
  • Dhaifalah I; FETMED (Fetal Medicine Center, Genetics and Gynecology), Olomouc, Czech Republic.
  • Godava M; Department of Obstetrics and Gynecology, Tomas Bata Regional Hospital, Zlin, Czech Republic.
  • Havalova J; FETMED (Fetal Medicine Center, Genetics and Gynecology), Olomouc, Czech Republic.
  • Hanzlikova P; Department of Obstetrics and Gynecology, Tomas Bata Regional Hospital, Zlin, Czech Republic.
  • Michalkova K; Department of Imaging Methods, Faculty of Medicine, University of Ostrava, Czech Republic.
  • Bakaj Zbrozkova L; Department of Imaging Methods, Faculty of Medicine, University of Olomouc, Czech Republic.
  • Civrny J; Department of Imaging Methods, Faculty of Medicine, University of Olomouc, Czech Republic.
  • Cuckle H; Department of Imaging Methods, Faculty of Medicine, University of Olomouc, Czech Republic.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub ; 2024 Mar 04.
Article en En | MEDLINE | ID: mdl-38445385
ABSTRACT

OBJECTIVE:

To determine the added value of fetal magnetic resonance imaging (MRI) when clarifying a suspected anomaly detected by mid-trimester scan.

METHODS:

Women attending two centers of fetal medicine between January 2017 and December 2021 were identified. The centers carried out routine mid-trimester ultrasound scans to detect fetal anomalies. Those with a suspected anomaly which required further clarification were referred for fetal magnetic resonance imaging (MRI). The medical records of all referred women were examined to determine the anomalies found at scan, MRI and termination of pregnancy or delivery. A total of 9571 women had a routine mid-trimester scan and an anomaly was either diagnosed or suspected in 449 (4.7%); an MRI examination was made in 76 cases (0.79%).

RESULTS:

MRI confirmed the presence of an abnormality in 61 referrals (80%) and failed to yield a result in one case. Outcome information was available for 69 cases the MRI confirmation rate was 89% (48/54) in those with abnormal outcome and 40% (6/15) if the outcome was normal, P<0.0001. Among defects in the most common anatomical systems identified at ultrasound, the highest confirmation rates were for urinary tract abnormalities (94%, 15/16) and facial abnormalities (100%, 8/8). Results in other systems varied according to the specific defect but the confirmation rate was high for ventriculomegaly (86%, 6/7) and neural tube defects (83%, 5/6).

CONCLUSIONS:

We have shown that in women with suspected anomaly scan results, requiring further clarification, MRI confirmed ultrasound at a high rate, particularly for urinary tract and facial anomalies.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: República Checa
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: República Checa