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胎儿脑与脊柱的磁共振成像:产前诊断中日益重要的工具:第2部分

Magnetic resonance imaging of the fetal brain and spine: an increasingly important tool in prenatal diagnosis: part 2.

作者信息

Glenn O A, Barkovich J

机构信息

University of California, San Francisco, Department of Radiology, Box 0628, 505 Parnassus Ave, L-358, San Francisco, CA 94143-0628, USA.

出版信息

AJNR Am J Neuroradiol. 2006 Oct;27(9):1807-14.

Abstract

Fetal MR imaging is an increasingly available technique used to evaluate the fetal brain and spine. This is made possible by recent advances in technology, such as rapid pulse sequences, parallel imaging, and advances in coil design. This provides a unique opportunity to evaluate processes that cannot be approached by any other current imaging technique, and it affords a unique opportunity for studying in vivo brain development and early diagnosis of congenital abnormalities inadequately visualized or undetectable by prenatal sonography. This 2-part review summarizes some of the latest developments in MR imaging of the fetal brain and spine and its application to prenatal diagnosis. The first part discussed the utility, safety, and technical aspects of fetal MR imaging; the appearance of normal fetal brain development; and the role of fetal MR imaging in the evaluation of fetal ventriculomegaly. In this second part, we focus on additional clinical applications of fetal MR imaging, including suspected abnormalities of the corpus callosum, malformations of cortical development, and spine abnormalities.

摘要

胎儿磁共振成像(MR成像)是一种越来越常用的技术,用于评估胎儿的脑和脊柱。技术上的最新进展,如快速脉冲序列、并行成像以及线圈设计的进步,使得这一技术成为可能。这提供了一个独特的机会来评估目前任何其他成像技术都无法触及的过程,并且为研究活体脑发育以及产前超声难以清晰显示或无法检测到的先天性异常的早期诊断提供了独特的机会。这篇分为两部分的综述总结了胎儿脑和脊柱MR成像的一些最新进展及其在产前诊断中的应用。第一部分讨论了胎儿MR成像的效用、安全性和技术方面;正常胎儿脑发育的表现;以及胎儿MR成像在评估胎儿脑室扩大中的作用。在第二部分中,我们将重点关注胎儿MR成像的其他临床应用,包括胼胝体可疑异常、皮质发育畸形和脊柱异常。

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