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


Journal Article

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.

Full Text

Cited Authors

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

Published Date

  • December 1999

Published In

Volume / Issue

  • 213 / 3

Start / End Page

  • 691 - 696

PubMed ID

  • 10580940

Pubmed Central ID

  • 10580940

Electronic International Standard Serial Number (EISSN)

  • 1527-1315

International Standard Serial Number (ISSN)

  • 0033-8419

Digital Object Identifier (DOI)

  • 10.1148/radiology.213.3.r99dc39691


  • eng