Robert Y, Cuilleret V, Vaast P, Devisme L, Mestdagh P, Boyer C, Storme L
Service de radiologie et d'imagerie de l'hôpital Jeanne-de-Flandre, centre hospitalier universitaire (CHRU) Lille, rue Eugène-Avinée, 59037 cedex, Lille, France.
Arch Pediatr. 2003 Apr;10(4):340-6. doi: 10.1016/s0929-693x(03)00333-6.
Ultrasonography is the method of choice for prenatal malformation screening, but it does not always provide sufficient informations to allow a correct diagnosis or an adequate abnormality evaluation. Fetal MRImaging (MRI) indications are increasing in order to complete sonographic findings. It has been initially used for evaluation of cerebral abnormalities, but it is more and more applied to other fetal areas. An adequate analysis of fetal chest and abdomen can be obtained with fast T2 and T1 weighted sequences. This allows an easy diagnosis of congenital diaphragmatic hernia and an evaluation of the consequences on pulmonary growth. Other pulmonary malformations can be also easily identified (cystic adenoid malformation, sequestration, bronchogenic cyst, tracheal or bronchial atresia). Therefore, fetal thoracic MRI contributes to a better understanding and evaluation of fetal thoracic malformations, which is particularly useful for their postnatal management.
超声检查是产前畸形筛查的首选方法,但它并不总是能提供足够的信息以进行正确诊断或充分评估异常情况。为完善超声检查结果,胎儿磁共振成像(MRI)的应用指征正在增加。它最初用于评估脑部异常,但现在越来越多地应用于胎儿的其他部位。通过快速T2加权和T1加权序列可以对胎儿胸部和腹部进行充分分析。这有助于轻松诊断先天性膈疝,并评估其对肺生长的影响。其他肺部畸形也能很容易地被识别出来(囊性腺瘤样畸形、肺隔离症、支气管囊肿、气管或支气管闭锁)。因此,胎儿胸部MRI有助于更好地理解和评估胎儿胸部畸形,这对其出生后的治疗尤为有用。