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胎儿神经超声检查中的潜在陷阱。

Potential pitfalls in fetal neurosonography.

作者信息

Correa Flavia F, Lara Coral, Bellver José, Remohí José, Pellicer Antonio, Serra Vicente

机构信息

Unidad de Pediatría, Instituto Universitario Valenciano de Infertilidad, Universidad de Valencia, Valencia, Spain.

出版信息

Prenat Diagn. 2006 Jan;26(1):52-6. doi: 10.1002/pd.1348.

DOI:10.1002/pd.1348
PMID:16378322
Abstract

OBJECTIVE

To present anatomic variants of the fetal brain and artifacts related to scanning techniques that could be misinterpreted as abnormalities on prenatal neurosonographic studies.

METHODS

The findings were derived from fetal neurosonographic studies performed routinely from 16 to 36 weeks' gestation during the last 3 years, supervised by a sonologist specialized in neonatal cranial sonography.

RESULTS

The pitfalls were divided into three groups: brain parenchyma, ventricular system and choroid plexus. We provide images of these pseudolesions and clues to their differentiation from true brain pathology.

CONCLUSIONS

Knowledge of misleading images seen on fetal neurosonographic studies that could be misinterpreted as lesions is essential for the proper interpretation of these studies and will help avoid the use of more invasive diagnostic tests. To the best of our knowledge, the majority of the pitfalls presented here have only been described in neonates.

摘要

目的

介绍胎儿脑部的解剖变异以及与扫描技术相关的伪像,这些在产前神经超声检查中可能被误判为异常。

方法

研究结果源自过去3年中在超声专家监督下,于妊娠16至36周期间常规进行的胎儿神经超声检查。

结果

这些陷阱分为三组:脑实质、脑室系统和脉络丛。我们提供了这些假病变的图像以及将它们与真正脑部病变区分开来的线索。

结论

了解胎儿神经超声检查中可能被误判为病变的误导性图像,对于正确解读这些检查至关重要,有助于避免使用侵入性更强的诊断测试。据我们所知,此处呈现的大多数陷阱仅在新生儿中有所描述。

相似文献

1
Potential pitfalls in fetal neurosonography.胎儿神经超声检查中的潜在陷阱。
Prenat Diagn. 2006 Jan;26(1):52-6. doi: 10.1002/pd.1348.
2
Potential pitfalls in cranial sonography.头颅超声检查中的潜在陷阱。
Pediatr Radiol. 2003 Feb;33(2):110-7. doi: 10.1007/s00247-002-0836-y. Epub 2002 Nov 22.
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Bifid choroid plexus: always a normal fetal brain structure variant?双侧脉络丛:始终是一种正常的胎儿脑结构变异吗?
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[Prenatal diagnosis and treatment of fetal choroid plexus cysts].[胎儿脉络丛囊肿的产前诊断与治疗]
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Choroid plexus cysts in the fetal brain.
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Examination of the fetal brain by transabdominal three-dimensional ultrasound: potential for routine neurosonographic studies.经腹三维超声检查胎儿脑部:常规神经超声检查的潜力
Ultrasound Obstet Gynecol. 2006 May;27(5):503-8. doi: 10.1002/uog.2750.
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Isolated choroid plexus cysts in the second-trimester fetus: is amniocentesis really indicated?孕中期胎儿孤立性脉络丛囊肿:真的需要进行羊水穿刺检查吗?
Radiology. 1992 Nov;185(2):545-8. doi: 10.1148/radiology.185.2.1410370.

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