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Child's Nervous System
Published in: Child's Nervous System 12/2017

01-12-2017 | Original Paper

Different information by MRI compare to ultrasound in fetal intracranial space occupying lesions

Authors: Wei Xia, Gregor Kasprian, Daoyu Hu, Peng Xiao, Wenzhong Yang, Xinlin Chen

Published in: Child's Nervous System | Issue 12/2017

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Abstract

Purpose

The purpose of this study was to evaluate the value of prenatal magnetic resonance imaging (MRI) in characterizing fetal intracranial space occupying lesions in comparison to prenatal ultrasound.

Methods

This retrospective study included 50 fetuses (mean age 26 years, mean gestational weeks 31 + 1 GW) with intracranial space occupying lesions, suspected by prenatal screening ultrasound. T2-weighted, T1-weighted, SSFP, and diffusion-weighted sequences of the fetal brain were obtained on a 1.5 T unit. Pathology (n = 5), postmortem MRI (n = 3), or postnatal US (n = 42) was available as standard of reference.

Results

The fetal MRI provided correct diagnosis in 49 cases (98%), while 35 (70%) by ultrasound, and MRI failed in 1 case (2%), while ultrasound failed in 15 cases (30%). Fetal MR and ultrasound were concordant in 35 of 50 cases (70%), completely discordant in 4 (8%), and partially discordant in 11 (22%) cases.

Conclusions

MRI could provide detailed information about the minor lesions, such as focal hemorrhage and periventricular nodules. Meanwhile, it could provide whole view of the lesion in order to delineate the surrounding anatomical structure. But there are still some limitations of its soft-tissue resolution in a case with teratoma; more effort is needed to improve the sequences.
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Metadata
Title
Different information by MRI compare to ultrasound in fetal intracranial space occupying lesions
Authors
Wei Xia
Gregor Kasprian
Daoyu Hu
Peng Xiao
Wenzhong Yang
Xinlin Chen
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 12/2017
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-017-3505-z

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