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胎儿脑部磁共振成像:技术要点与正常脑发育

Fetal magnetic resonance imaging of the brain: technical considerations and normal brain development.

作者信息

Huisman Thierry A G M, Martin Ernst, Kubik-Huch Rahel, Marincek Borut

机构信息

Institute of Diagnostic Radiology, University Hospital Zurich, Zurich, Switzerland.

出版信息

Eur Radiol. 2002 Aug;12(8):1941-51. doi: 10.1007/s00330-001-1209-x. Epub 2001 Dec 13.

Abstract

Fetal MRI examines non-invasively the unborn fetus. Ultrafast MRI sequences effectively suppress fetal motion. Multiple case reports and studies have shown that fetal MRI is particularly helpful in the evaluation of the central nervous system. The high contrast-to-noise ratio, the high spatial resolution, the multiplanar capabilities, the large field of view and the simultaneous visualisation of fetal and maternal structures have proven to be advantageous. Fetal MRI is particularly helpful in the evaluation of the normal and pathological development of the brain. Despite the fact that no side effects have been reported or are to be expected, the use of MRI during pregnancy is still limited to the second and third trimester of pregnancy. Magnetic resonance imaging contrast media are not to be used as it passes the placenta. Ultrasound remains the primary screening modality for fetal pathology; fetal MRI can serve as an adjunct or second-line imaging modality.

摘要

胎儿磁共振成像(MRI)可对未出生的胎儿进行非侵入性检查。超快MRI序列能有效抑制胎儿运动。多项病例报告和研究表明,胎儿MRI在评估中枢神经系统方面特别有帮助。其高对比噪声比、高空间分辨率、多平面成像能力、大视野以及能同时显示胎儿和母体结构已被证明具有优势。胎儿MRI在评估大脑的正常和病理发育方面特别有帮助。尽管尚未报告或预计不会有副作用,但孕期使用MRI仍限于妊娠中期和晚期。由于磁共振成像造影剂会通过胎盘,因此不得使用。超声仍然是胎儿病理学的主要筛查方式;胎儿MRI可作为辅助或二线成像方式。

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