Document Detail


Role of fetal MRI in the diagnosis of cerebral ventriculomegaly assessed by ultrasonography.
MedLine Citation:
PMID:  19756948     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the additional diagnostic value of fetal MRI to evaluate cerebral ventriculomegaly assessed by ultrasonography (US) for the possibility to change the diagnosis, the counseling and the management of pregnancy. MATERIALS AND METHODS: From february 2006 to october 2008, we studied 55 pregnant women by fetal MRI (mean age 28 years), 4 with twin pregnancy, for a total of 59 fetuses with mean gestational age of 27 weeks. The number of fetuses affected by ventriculomegaly assessed by US was 55. All fetuses had a US diagnosis of ventriculomegaly: 29 fetuses with isolated ventriculomegaly and 26 fetuses with ventriculomegaly associated with CNS (central nervous system) abnormalities (18) and with no CNS abnormalities (8). RESULTS: The findings showed that the two techniques are substantially in agreement in defining the degree of VM, with the exception of some cases in which the disagreement could be attributed to the possible progression of the dilatation between the US and MRI examinations, which sway between two days and two weeks. We proved a low correlation between US and MRI in the evaluation of ventriculomegaly associated either with CNS or non-CNS anomalies: in fact while fetal MRI detected 26/55 (47,3%) VM associated with CNS anomalies, US demonstrated only 18/55(32,7%). Referring to VM associated with non-CNS anomalies, MRI diagnosed 10/55 cases (18,2%) compared to 8/55 fetuses (14,5%) showed by US. CONCLUSIONS: Our experience demonstrated that fetal MRI has an important role as adjunctive tool to sonography in the evaluation of cerebral ventriculomegaly for the additional informations given to parents and for the possibility to change the diagnosis, the counseling and the management of pregnancy.
Authors:
L Manganaro; S Savelli; A Francioso; M Di Maurizio; F Coratella; G Vilella; G Noia; A Giancotti; A Tomei; F Fierro; L Ballesio
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-09-05
Journal Detail:
Title:  La Radiologia medica     Volume:  114     ISSN:  1826-6983     ISO Abbreviation:  Radiol Med     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-02-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0177625     Medline TA:  Radiol Med     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  1013-23     Citation Subset:  IM    
Affiliation:
Dipartimento di Scienze Radiologiche, Policlinico Umberto I, Universit? Sapienza di Roma, Roma, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cerebral Ventricles / abnormalities*,  ultrasonography*
Female
Humans
Image Enhancement / methods*
Magnetic Resonance Imaging*
Pregnancy
Pregnancy Trimester, Second
Pregnancy Trimester, Third
Reproducibility of Results
Retrospective Studies
Sensitivity and Specificity
Ultrasonography, Prenatal / methods*

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