22 feb. IMPACT OF PRENATAL MAGNETIC RESONANCE IMAGING AT 3.0 TESLA IN THE OBSTETRICAL AND NEONATAL MANAGEMENT OF FETUSES WITH SUSPECTED CENTRAL NERVOUS SYSTEM ANOMALIES
Roxana Popa-Stanila*, Tunde Kovacs**, D. Muresan***, Georgeta Rusu*, S.Sfrangeu*, F.Stamatian**
*IMOGEN center – Radiology department, Cluj-Napoca, Romania
**IMOGEN center – Obstetrics department, Cluj-Napoca, Romania
*** UMF Iuliu Haţieganu
Rezumat: Rolul imagisticii prin rezonanta magneticala 3.0 Tesla in managementul sarcinii si planificarii terapeutice postnatale la fetii cu suspiciune de afectare a sistemului nervos central
Obiectivul acestui studiu este de a evalua impactul imagisticii prin rezonanta magnetica (IRM), in camp magnetic de 3 Tesla, asupra conduitei obstetricale si neonatale in cazurile de anomalii cerebrale fetale, diagnosticate sau suspicionate la ultrasonografie (US).
S-au efectuat 38 de investigatii IRM fetale, cu indicatia de suspiciune de afectare a sistemului nervos central, in perioada ianuarie 2013 – august 2015.
In 12 cazuri rezultatele US si IRM au fost echivalente. In 7 cazuri IRM a adus un aport de informatii, insa fara sa modifice diagnosticul principal sau managementul obstetrical, in timp ce in 4 cazuri informatiile aditionale au fost relevante pentru managementul sarcinii. In 15 cazuri IRM a schimbat diagnosticul, cu efect asupra mangementului si/sau consilierii obstetricale.
IRM fetal a avut un impact relevant in jumatate (19/38) din cazuri, prin confirmarea, completarea sau corectarea diagnosticului US, si a permis adaptarea consilierii parintilor si a conduitei obstetricale si neonatale.
Abstract
The purpose of this study is to evaluate the impact of fetal magnetic resonance imaging (MRI) at 3 T, in the management of fetuses with cerebral anomalies detected or suspected by ultrasound.
Thirty-eight women with fetal cerebral anomalies suspected by prenatalultrasonography (US) were referred to our department from January 2013 to August2015 for fetal MRI.
In 12 cases, US and MRIfindings were comparable. In 7 cases, MRI specified the diagnosis without changing management or counseling, while in 4 cases, additional findings led to a change in management and/or counseling. In 15 cases, the diagnosis was made based onMRI findings.
Fetal MRI has proven to have a significant impact in half the cases (19/38) by confirming, completing or correcting US diagnoses, enabling adequate management and counseling.
Keywords: RMN fetal, ecografie fetală, malformaţii cerebrale, sistem nervos central, malformaţii fetale, diagnostic prenatal
