Fetal body MRI and its application to fetal and neonatal treatment: an illustrative review.

Fetal body MRI and its application to fetal and neonatal treatment: an illustrative review.
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胎体磁共振及其在胎儿和新生儿治疗中的应用

DOI:
10.1016/s2352-4642(20)30313-8
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发表时间:
2021-06
期刊:
The Lancet. Child & adolescent health
影响因子:
--
通讯作者:
Rutherford MA
Rutherford MA
中科院分区:
其他
文献类型:
--
作者:
Davidson JR;Uus A;Matthew J;Egloff AM;Deprez M;Yardley I;De Coppi P;David A;Carmichael J;Rutherford MA

文献摘要

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本综述描述了 MRI 在胎儿身体异常(包括头颈、胸部、腹部和脊柱)的诊断和预测中不断变化的作用。对用于先天性异常诊断和预测的产前成像最新进展的当前文献进行了回顾,并结合了真实放射学平面上的说明性案例以及可视的三维视频模型,显示了获得后重建方案的潜力。我们讨论了胎儿 MRI 的优点和局限性,从异常检测到分类和预测,并定义了成像在决定是否进行胎儿干预的过程中的作用,涵盖了各种情况。我们还考虑了超声的当前功能,并探讨了 MRI 和超声如何在未来的胎儿成像中相互补充。
This Review depicts the evolving role of MRI in the diagnosis and prognostication of anomalies of the fetal body, here including head and neck, thorax, abdomen and spine. A review of the current literature on the latest developments in antenatal imaging for diagnosis and prognostication of congenital anomalies is coupled with illustrative cases in true radiological planes with viewable three-dimensional video models that show the potential of post-acquisition reconstruction protocols. We discuss the benefits and limitations of fetal MRI, from anomaly detection, to classification and prognostication, and defines the role of imaging in the decision to proceed to fetal intervention, across the breadth of included conditions. We also consider the current capabilities of ultrasound and explore how MRI and ultrasound can complement each other in the future of fetal imaging.