| MR evaluation of fetal demise. | |
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MedLine Citation:
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PMID: 21384261 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Fetal demise is an uncommon event encountered at MR imaging. When it occurs, recognition by the interpreting radiologist is important to initiate appropriate patient management. OBJECTIVE: To identify MR findings of fetal demise. MATERIALS AND METHODS: Following IRB approval, a retrospective search of the radiology fetal MR database was conducted searching the words "fetal demise" and "fetal death." Fetuses with obvious maceration or no sonographic confirmation of death were excluded. Eleven cases formed the study group. These were matched randomly to live fetuses of similar gestational age. Images were reviewed independently by three pediatric radiologists. RESULTS: The deceased fetus demonstrates decreased MR soft-tissue contrast and definition of tissue planes, including loss of gray-white matter differentiation in the brain. The signal within the cardiac chambers, when visible, is bright on HASTE sequences from the stagnant blood; the heart is small. Pleural effusions and decreased lung volumes may be seen. Interestingly, the fetal orbits lose their anatomical round shape and become smaller and more elliptical; a dark, irregular rim resembling a mask may be seen. CONCLUSION: Although fetal demise is uncommonly encountered at MR imaging, radiologists should be aware of such imaging findings so prompt management can be instituted. |
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Authors:
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Teresa Victoria; Elena Capilla; Nancy Anne Chauvin; Ann M Johnson; Sandra Sue Kramer; Monica Epelman |
Publication Detail:
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Type: Journal Article Date: 2011-03-08 |
Journal Detail:
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Title: Pediatric radiology Volume: 41 ISSN: 1432-1998 ISO Abbreviation: Pediatr Radiol Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-06-28 Completed Date: 2011-11-02 Revised Date: 2012-01-09 |
Medline Journal Info:
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Nlm Unique ID: 0365332 Medline TA: Pediatr Radiol Country: Germany |
Other Details:
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Languages: eng Pagination: 884-9 Citation Subset: IM |
Affiliation:
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Department of Radiology, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19103, USA. victoria@email.chop.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Case-Control Studies Female Fetal Death* Gestational Age Humans Magnetic Resonance Imaging / methods* Maternal Age Pregnancy Prenatal Diagnosis / methods* Retrospective Studies |
| Comments/Corrections | |
Comment In:
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Pediatr Radiol. 2011 Dec;41(12):1598; author reply 1599
[PMID:
22037932
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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