Contribution of MRI to ultrasound in the diagnosis of fetal anomalies.

Contribution of MRI to ultrasound in the diagnosis of fetal anomalies.

MedLine Citation:	PMID: 22127893 Owner: NLM Status: Publisher
Abstract/OtherAbstract:	PURPOSE: To evaluate the contribution of MRI to ultrasound (US) in the diagnosis of fetal anomalies. MATERIALS AND METHODS: After informed consent and institutional review board approval, concomitant US and MR imaging were performed for 184 fetuses with suspected anomalies in university hospital. Postnatal final diagnoses were obtained for 183 anomalies in 151 fetuses either by radiological examination, surgery, autopsy, or inspection. The prenatal US and MR diagnoses were compared with respect to postnatal diagnoses. Sign test was used to determine the statistical significance. RESULTS: Both ultrasound and MR imaging correctly diagnosed 93 (50%) cases and failed in 12 (7%) cases. Ultrasound was superior in 7 (4%) cases. MR imaging was superior in 71 (39%) cases (P < 0.001). MR contributed to the prenatal diagnosis by the confirmation of the suspected US diagnosis in 13%, by demonstration of additional findings in 31% and by changing the diagnosis in 56% of the cases. The contribution rates were 55% for the central nervous system (CNS) (P < 0.001), 44% for thorax (P = 0.016), 38% for gastrointestinal system (GIS) (P = 0.031) and 29% for genitourinary system (GUS) (P = 0.003) anomalies. In facial, cardiac and extremity-skeletal system anomalies, there was not a significant contribution of MR imaging over US. CONCLUSION: MR imaging can be used as an adjunct to US in the prenatal diagnosis of fetal anomalies of not only the CNS but also the non-CNS origin especially those involving the GIS, GUS and thorax. J. Magn. Reson. Imaging 2011;. © 2011 Wiley Periodicals, Inc.

Authors:	Sibel Kul; Hatice Ayca Ata Korkmaz; Aysegul Cansu; Hasan Dinc; Ali Ahmetoglu; Suleyman Guven; Mustafa Imamoglu
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Publication Detail:	Type: JOURNAL ARTICLE Date: 2011-11-29
Journal Detail:	Title: Journal of magnetic resonance imaging : JMRI Volume: - ISSN: 1522-2586 ISO Abbreviation: - Publication Date: 2011 Nov
Date Detail:	Created Date: 2011-11-30 Completed Date: - Revised Date: -
Medline Journal Info:	Nlm Unique ID: 9105850 Medline TA: J Magn Reson Imaging Country: -
Other Details:	Languages: ENG Pagination: - Citation Subset: -
Copyright Information:	Copyright © 2011 Wiley Periodicals, Inc.
Affiliation:	Karadeniz Technical University, Faculty of Medicine, Department of Radiology, Trabzon, Turkey. sibel_ozy@yahoo.com.
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