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Published in: Pediatric Radiology 3/2011

01-03-2011 | Pictorial Essay

Prenatal US evaluation of the spinal cord using high-frequency linear transducers

Authors: Eléonore Blondiaux, Eldad Katorza, Jonathan Rosenblatt, Catherine Nahama-Allouche, Marion Lenoir, Hubert Ducou le Pointe, Catherine Garel

Published in: Pediatric Radiology | Issue 3/2011

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Abstract

We illustrate the contribution of high-frequency linear abdominal transducers in the prenatal US examination of the spinal cord. After birth, such transducers are commonly used in US examination of the spinal cord. During the third trimester of gestation, the fetal spine is commonly facing anteriorly and US images of the spinal cord can be acquired using a high-frequency linear abdominal transducer. Images of the normal spinal cord, normal variants (ventriculus terminalis, cyst of filum terminale) and spinal cord abnormalities (myelomeningocele, meningocele, diastematomyelia, tethered spinal cord and caudal regression syndrome) are presented. In this pictorial essay, comparison between images acquired with low- and high-frequency transducers are provided as well as correlation with postnatal data. In the normal spine, anatomical details such as the conus medullaris, the filum terminale and the nerve root bundles are exquisitely depicted, making it possible to differentiate normal variants from abnormalities. In abnormal cases, the position of the conus medullaris, its shape and the nerve roots can be analyzed in detail. We describe the benefits of using high-frequency linear transducers in US examination of the spinal cord, which is common after birth but has not been hitherto reported in fetuses.
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Literature
1.
go back to reference International Society of Ultrasound in Obstetrics & Gynecology Education Committee (2007) Sonographic examination of the fetal central nervous system: guidelines for performing the ‘basic examination’ and the ‘fetal neurosonogram’. Ultrasound Obstet Gynecol 29:109–116CrossRef International Society of Ultrasound in Obstetrics & Gynecology Education Committee (2007) Sonographic examination of the fetal central nervous system: guidelines for performing the ‘basic examination’ and the ‘fetal neurosonogram’. Ultrasound Obstet Gynecol 29:109–116CrossRef
2.
go back to reference Barkovich AJ (2005) Normal development of the neonatal and infant brain, skull and spine. In: Barkovich AJ (ed) Pediatric neuroimaging, 4th edn. Lippincott Williams § Wilkins, Philadelphia, pp 17–75 Barkovich AJ (2005) Normal development of the neonatal and infant brain, skull and spine. In: Barkovich AJ (ed) Pediatric neuroimaging, 4th edn. Lippincott Williams § Wilkins, Philadelphia, pp 17–75
3.
go back to reference De Biasio P, Ginocchio G, Aicardi G et al (2003) Ossification timing of sacral vertebrae by ultrasound in the mid-second trimester of pregnancy. Prenat Diagn 23:1056–1059CrossRefPubMed De Biasio P, Ginocchio G, Aicardi G et al (2003) Ossification timing of sacral vertebrae by ultrasound in the mid-second trimester of pregnancy. Prenat Diagn 23:1056–1059CrossRefPubMed
4.
go back to reference Barkovich AJ (2005) Congenital anomalies of the spine. In: Barkovich AJ (ed) Pediatric neuroimaging, 4th edn. Lippincott Williams § Wilkins, Philadelphia, pp 704–772 Barkovich AJ (2005) Congenital anomalies of the spine. In: Barkovich AJ (ed) Pediatric neuroimaging, 4th edn. Lippincott Williams § Wilkins, Philadelphia, pp 704–772
5.
go back to reference Zalel Y, Lehavi O, Aizenstein O et al (2006) Development of the fetal spinal cord: time of ascendance of the normal conus medullaris as detected by sonography. J Ultrasound Med 25:1397–1401, quiz 1402–3PubMed Zalel Y, Lehavi O, Aizenstein O et al (2006) Development of the fetal spinal cord: time of ascendance of the normal conus medullaris as detected by sonography. J Ultrasound Med 25:1397–1401, quiz 1402–3PubMed
6.
go back to reference Unsinn KM, Geley T, Freund MC et al (2000) US of the spinal cord in newborns: spectrum of normal findings, variants, congenital anomalies, and acquired diseases. Radiographics 20:923–938PubMed Unsinn KM, Geley T, Freund MC et al (2000) US of the spinal cord in newborns: spectrum of normal findings, variants, congenital anomalies, and acquired diseases. Radiographics 20:923–938PubMed
7.
go back to reference Lam WW, Ai V, Wong V et al (2004) Ultrasound measurement of lumbosacral spine in children. Pediatr Neurol 30:115–121CrossRefPubMed Lam WW, Ai V, Wong V et al (2004) Ultrasound measurement of lumbosacral spine in children. Pediatr Neurol 30:115–121CrossRefPubMed
8.
go back to reference Sohaey R, Oh KY, Kennedy AM et al (2009) Prenatal diagnosis of tethered spinal cord. Ultrasound Q 25:83–7, quiz 93–5CrossRefPubMed Sohaey R, Oh KY, Kennedy AM et al (2009) Prenatal diagnosis of tethered spinal cord. Ultrasound Q 25:83–7, quiz 93–5CrossRefPubMed
9.
go back to reference Kriss VM, Kriss TC, Coleman RC (2000) Sonographic appearance of the ventriculus terminalis cyst in the neonatal spinal cord. J Ultrasound Med 19:207–209PubMed Kriss VM, Kriss TC, Coleman RC (2000) Sonographic appearance of the ventriculus terminalis cyst in the neonatal spinal cord. J Ultrasound Med 19:207–209PubMed
10.
go back to reference Irani N, Goud AR, Lowe LH (2006) Isolated filar cyst on lumbar spine sonography in infants: a case-control study. Pediatr Radiol 36:1283–1288CrossRefPubMed Irani N, Goud AR, Lowe LH (2006) Isolated filar cyst on lumbar spine sonography in infants: a case-control study. Pediatr Radiol 36:1283–1288CrossRefPubMed
12.
go back to reference Cameron M, Moran P (2009) Prenatal screening and diagnosis of neural tube defects. Prenat Diagn 29:402–411CrossRefPubMed Cameron M, Moran P (2009) Prenatal screening and diagnosis of neural tube defects. Prenat Diagn 29:402–411CrossRefPubMed
13.
go back to reference Ghi T, Pilu G, Falco P et al (2006) Prenatal diagnosis of open and closed spina bifida. Ultrasound Obstet Gynecol 28:899–903CrossRefPubMed Ghi T, Pilu G, Falco P et al (2006) Prenatal diagnosis of open and closed spina bifida. Ultrasound Obstet Gynecol 28:899–903CrossRefPubMed
14.
go back to reference Allen LM, Silverman RK (2000) Prenatal ultrasound evaluation of fetal diastematomyelia: two cases of type I split cord malformation. Ultrasound Obstet Gynecol 15:78–82CrossRefPubMed Allen LM, Silverman RK (2000) Prenatal ultrasound evaluation of fetal diastematomyelia: two cases of type I split cord malformation. Ultrasound Obstet Gynecol 15:78–82CrossRefPubMed
15.
go back to reference Has R, Yuksel A, Buyukkurt S et al (2007) Prenatal diagnosis of diastematomyelia: presentation of eight cases and review of the literature. Ultrasound Obstet Gynecol 30:845–849CrossRefPubMed Has R, Yuksel A, Buyukkurt S et al (2007) Prenatal diagnosis of diastematomyelia: presentation of eight cases and review of the literature. Ultrasound Obstet Gynecol 30:845–849CrossRefPubMed
16.
go back to reference Sonigo-Cohen P, Schmit P, Zerah M et al (2003) Prenatal diagnosis of diastematomyelia. Childs Nerv Syst 19:555–560CrossRefPubMed Sonigo-Cohen P, Schmit P, Zerah M et al (2003) Prenatal diagnosis of diastematomyelia. Childs Nerv Syst 19:555–560CrossRefPubMed
17.
go back to reference Stroustrup Smith A, Grable I, Levine D (2004) Case 66: caudal regression syndrome in the fetus of a diabetic mother. Radiology 230:229–233CrossRefPubMed Stroustrup Smith A, Grable I, Levine D (2004) Case 66: caudal regression syndrome in the fetus of a diabetic mother. Radiology 230:229–233CrossRefPubMed
Metadata
Title
Prenatal US evaluation of the spinal cord using high-frequency linear transducers
Authors
Eléonore Blondiaux
Eldad Katorza
Jonathan Rosenblatt
Catherine Nahama-Allouche
Marion Lenoir
Hubert Ducou le Pointe
Catherine Garel
Publication date
01-03-2011
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 3/2011
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-010-1922-1

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