scholarly journals P20.01: Fetal MRI as an adjunct to ultrasound examination in selected cases: a UK tertiary fetal medicine unit experience

2010 ◽  
Vol 36 (S1) ◽  
pp. 247-248
Author(s):  
U. Agarwal ◽  
L. Bricker ◽  
G. Mann ◽  
M. Tawil ◽  
S. Burn
Keyword(s):  
Ultrasound Examination ◽  
Fetal Mri ◽  
Fetal Medicine

scholarly journals Ultrasound and MRI comprehensive approach in prenatal diagnosis of fetal osteochondrodysplasias. Cases series.

2017 ◽  
Vol 19 (1) ◽  
pp. 66 ◽  
Author(s):  
Costin Berceanu ◽  
Ioana Andreea Gheonea ◽  
Simona Vlădăreanu ◽  
Monica Mihaela Cîrstoiu ◽  
Radu Vlădăreanu ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Multicentre Study ◽  
Skeletal Dysplasia ◽  
Ultrasound Examination ◽  
Fetal Mri ◽  
Prenatal Ultrasound ◽  
Comprehensive Approach ◽  
Biochemical Abnormality ◽  
Fetal Medicine ◽  
Ultrasonographic Assessment

Aim: To present the systematic ultrasonographic assessment in fetal osteochondrodysplasias and to evaluate the fetal MRI intake, as a complementary exploration to US, in the prenatal diagnosis and perinatal prognosis of fetal nonlethal osteochondrodysplasias. Material and methods: In this tertiary multicentre study were included 37 cases diagnosed prenatally with various entities in the category of nonlethal fetal osteochondrodysplasias. The initial diagnosis was carried out by the routine or detailed ultrasound examination. Fetal MRI was accomplished for selected cases. Results: Nonlethal skeletal dysplasia was suspected and then diagnosed after 17 gestational weeks. The suspicion of osteochondrodysplasia as a reference diagnosis element has required systematic and thorough ultrasound examination. Fetal MRI is a valuable exploration, complementary to prenatal ultrasound bringing in very useful details for the diagnosis of osteochondrodysplasias. The global diagnosis of skeletal dysplasia depends to a great extent on the genetic or biochemical abnormality that causes them. Conclusions: US is always the fundamental screening exploration for fetal assessment in nonlethal osteochondrodysplasias. The details brought by the fetal MRI are useful, and the exploration is harmless for the fetus and the mother. Certain diagnosis cannot be accurate and complete without the contribution of genetics, maternal and fetal medicine, obstetrics or radiology. 

scholarly journals Case Report: Prenatal and Postnatal Management for Fetal Bronchogenic Cysts During the COVID-19 Pandemic

2021 ◽  
Vol 9 ◽  
Author(s):  
Lin Cheng ◽  
Jie Duan ◽  
Mei Wang ◽  
Dan Lu ◽  
Huan Li ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Rare Case ◽  
Bronchogenic Cyst ◽  
Chromosomal Abnormalities ◽  
Ultrasound Examination ◽  
Fetal Mri ◽  
Postnatal Management ◽  
Upper Mediastinum ◽  
Bronchogenic Cysts

Background: A fetal bronchogenic cyst (BC) is a rare congenital anomaly with an incidence of 0.147–0.238‰. The coronavirus disease 2019 (COVID-19) pandemic, as a particular situation, hindered pregnant women from receiving periodic prenatal checkups.Case Description: Until 34+6 weeks of gestation, a fetal case of the intrathoracic cyst was found by ultrasound examination. Further, MRI examination confirmed the diagnosis of the congenital mediastinal cystic lesion, probably a BC. Genetic testing was not conducted due to the COVID-19 pandemic. At 38+5 weeks of gestation with maternal COVID-19 testing negative, a live girl was delivered by cesarean section. Five months later, the child underwent bronchocystectomy, and the postoperative pathological lesions confirmed a (right upper mediastinum) BC.Conclusion: Herein, we reported the prenatal and postnatal management for a rare case of the congenital BC by multidisciplinary approaches during the COVID-19 pandemic. Fetal MRI and screening for fetal chromosomal abnormalities are especially recommended. This case contributes to the awareness that the COVID-19 pandemic interferes with regular follow-up schedules during pregnancy and may interfere with timely performed additional tests; which leads to more accurate genetic counseling. A combination of multidisciplinary approaches, including radiology, infection control, genetic counseling, obstetrics, and pediatric surgery, is pivotal for managing fetal BC during the COVID-19 pandemic.

scholarly journals Antenatal Diagnosis of Alobar Holoprosencephaly

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Rajesh Raman ◽  
Geetha Mukunda Jagadesh
Keyword(s):  
Ultrasound Examination ◽  
Antenatal Diagnosis ◽  
Early Stage ◽  
Pregnancy Termination ◽  
Fetal Mri ◽  
Classical Case ◽  
Psychological Trauma ◽  
Vital Role ◽  
Obstetric Ultrasound ◽  
Live Fetus

A twenty-year-old second gravida presented to the department of radiodiagnosis for routine obstetric ultrasound examination. Ultrasonography revealed a live fetus of 17 weeks with absent falx, fused thalami, monoventricle, proboscis, and cyclopia. Fetal MRI was performed and the findings were confirmed. Even though ultrasonography is diagnostic in the detection of fetal anomalies, MRI plays a vital role due to its multiplanar capability and excellent soft tissue resolution. The importance of presenting this classical case of alobar holoprosencephaly is to sensitize the clinicians and radiologists to the imaging manifestations of holoprosencephaly and to stress the importance of early diagnosis. If diagnosed in utero at an early stage of pregnancy, termination can be performed and maternal psychological trauma of bearing a deformed fetus can be avoided.

scholarly journals A Case of Cornelia de Lange Syndrome: Difficulty in Prenatal Diagnosis

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Tadatsugu Kinjo ◽  
Keiko Mekaru ◽  
Miyuki Nakada ◽  
Hayase Nitta ◽  
Hitoshi Masamoto ◽  
...  
Keyword(s):  
Body Weight ◽  
Prenatal Diagnosis ◽  
Ultrasound Examination ◽  
Fetal Mri ◽  
Rare Condition ◽  
Japanese Woman ◽  
Cornelia De Lange Syndrome ◽  
Intrauterine Fetal Death ◽  
Old Japanese ◽  
Cornelia De Lange

We report a case of Cornelia de Lange syndrome (CdLS) where prenatal diagnosis was not made even with major anomaly. A 33-year-old Japanese woman was referred to our institution at 23 weeks of gestation because of fetal forearm defect. Ultrasound examination revealed short forearms and short humeri and femurs (–2.1 SD). The fetal estimated body weight was 450 g (–1.3 SD). Fetal MRI at 26 weeks of gestation revealed short forearms and hypoplasty of hand fingers. Fetal growth restriction became evident thereafter, leading to intrauterine fetal death occurring at 29 weeks of gestation. A stillbirth baby was of 798 g in body weight and 33.0 cm in length. External examination showed a low hairline, synophrys, low-set ear, hypertrichosis, and smooth long philtrum with thin lips. The neck appeared short and broad. Finally, CdLS was diagnosed. The prenatal diagnosis might be possible as the arm findings were totally characteristic in a small fetus, regardless of whether an overhanging upper lip was identified. Because CdLS is a rare condition, it is important to consider its possibility as a part of differential diagnosis.

scholarly journals Fetal MRI for dummies: what the fetal medicine specialist should know about acquisitions and sequences

2019 ◽  
Vol 40 (1) ◽  
pp. 6-17 ◽  
Author(s):  
Michael Aertsen ◽  
Mariana C. Diogo ◽  
Steven Dymarkowski ◽  
Jan Deprest ◽  
Daniela Prayer
Keyword(s):  
Fetal Mri ◽  
Fetal Medicine

scholarly journals Pushing the Limits of Prenatal Ultrasound: A Case of Dorsal Dermal Sinus Associated with an Overt Arnold-Chiari Malformation and a 3q Duplication

2021 ◽  
Vol 2 (3) ◽  
pp. 118-123
Author(s):  
Olivier Leroij ◽  
Lennart Van der Veeken ◽  
Bettina Blaumeiser ◽  
Katrien Janssens
Keyword(s):  
Spina Bifida ◽  
Ultrasound Examination ◽  
Imaging Techniques ◽  
Marker Chromosome ◽  
Fetal Mri ◽  
Prenatal Ultrasound ◽  
Dermal Sinus ◽  
Arnold Chiari Malformation ◽  
Cerebral Anomalies ◽  
Open Spina Bifida

We present a case of a fetus with cranial abnormalities typical of open spina bifida but with an intact spine shown on both ultrasound and fetal MRI. Expert ultrasound examination revealed a very small tract between the spine and the skin, and a postmortem examination confirmed the diagnosis of a dorsal dermal sinus. Genetic analysis found a mosaic 3q23q27 duplication in the form of a marker chromosome. This case emphasizes that meticulous prenatal ultrasound examination has the potential to diagnose even closed subtypes of neural tube defects. Furthermore, with cerebral anomalies suggesting a spina bifida, other imaging techniques together with genetic tests and measurement of alpha-fetoprotein in the amniotic fluid should be performed.

scholarly journals Fetal MRI for characterising a variety of posterior fossa anomalies suspected on 3rd trimester ultrasound examination – a short series of four cases

2012 ◽  
Vol 16 (1) ◽  
pp. 27-29 ◽  
Author(s):  
Amaresh Indravadan Ranchod ◽  
Savvas Andronikou ◽  
Mala Modi
Keyword(s):  
Posterior Fossa ◽  
Ultrasound Examination ◽  
Fetal Mri ◽  
Third Trimester ◽  
The Third ◽  
Short Series ◽  
Screening Ultrasound ◽  
The Brain

Fetal MRI is increasingly being used to more accurately assess abnormalities detected on screening ultrasound. This procedure is more pertinent when the initial ultrasound is done late in the third trimester and when the abnormality involves the posterior fossa of the brain. Four cases with a variety of unusual posterior fossa anomalies are presented.

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