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胎儿脑部磁共振成像的诊断陷阱

Diagnostic pitfalls in fetal brain MRI.

作者信息

Al-Mukhtar Ali, Kasprian Gregor, Schmook Maria T, Brugger Peter C, Prayer Daniela

机构信息

Department of Radiology, Division of General and Pediatric Radiology, Medical University of Vienna, Vienna, Austria.

出版信息

Semin Perinatol. 2009 Aug;33(4):251-8. doi: 10.1053/j.semperi.2009.04.008.

DOI:10.1053/j.semperi.2009.04.008
PMID:19631085
Abstract

Recent technological advances in fetal magnetic resonance imaging (MRI) and increased reliability of MRI in depicting abnormalities and lesions, especially in the central nervous system, are increasingly bringing up challenging issues with regard to accurate diagnosis. There are also pitfalls not only attributable to image acquisition but also in clinical interpretation. The misinterpretation of findings because of insufficient knowledge about fetal brain development as visualized by MRI may also be regarded as an important limitation of fetal MRI. We provide an overview of the most common pitfalls experienced in fetal MRI in routine practice, demonstrate how to identify some of the factors that lead to imaging misinterpretation, and suggest ways to tackle these problems, with an emphasis on MR techniques and image calibration.

摘要

胎儿磁共振成像(MRI)的最新技术进展以及MRI在描绘异常和病变(尤其是中枢神经系统方面)的可靠性不断提高,在准确诊断方面日益带来具有挑战性的问题。不仅在图像采集方面存在陷阱,在临床解读中也存在。由于对MRI显示的胎儿大脑发育知识不足而导致对检查结果的错误解读,也可被视为胎儿MRI的一个重要局限性。我们概述了常规实践中胎儿MRI最常见的陷阱,展示了如何识别一些导致成像错误解读的因素,并提出解决这些问题的方法,重点是MR技术和图像校准。

相似文献

1
Diagnostic pitfalls in fetal brain MRI.胎儿脑部磁共振成像的诊断陷阱
Semin Perinatol. 2009 Aug;33(4):251-8. doi: 10.1053/j.semperi.2009.04.008.
2
[Which diagnostics and which technics in fetal neuro-MRI?].胎儿神经磁共振成像中使用哪些诊断方法和技术?
JBR-BTR. 2005 Sep-Oct;88(5):265-6.
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Fetal central nervous system malformations on MR images.磁共振成像上的胎儿中枢神经系统畸形
Brain Dev. 2009 Mar;31(3):185-99. doi: 10.1016/j.braindev.2008.07.007. Epub 2008 Aug 30.
4
Fetal brain MR imaging.胎儿脑部磁共振成像。
Magn Reson Imaging Clin N Am. 2001 Feb;9(1):19-56, vii.
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Fetal central nervous system MR imaging.胎儿中枢神经系统磁共振成像。
Neuroimaging Clin N Am. 2006 Feb;16(1):1-17, vii. doi: 10.1016/j.nic.2005.11.002.
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Contribution of fetal cerebral MRI for diagnosis of structural anomalies.胎儿脑磁共振成像在结构异常诊断中的作用
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[Diagnostic value of prenatal MRI in fetus with intracranial anomalies diagnosed by ultrasonography].[产前磁共振成像对超声诊断颅内异常胎儿的诊断价值]
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The current state and future of fetal imaging.胎儿成像的现状与未来。
Clin Perinatol. 2009 Sep;36(3):685-99. doi: 10.1016/j.clp.2009.07.004.
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Fetal magnetic resonance imaging of acquired and developmental brain anomalies.获得性和发育性脑异常的胎儿磁共振成像
Semin Perinatol. 2009 Aug;33(4):234-50. doi: 10.1053/j.semperi.2009.04.007.
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Fetal MR imaging.胎儿磁共振成像。
Magn Reson Imaging Clin N Am. 2006 Nov;14(4):503-22, vi. doi: 10.1016/j.mric.2007.01.009.

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