Iruretagoyena Jesus Igor, Shah Dinesh, Malinger Gustavo
a Maternal Fetal Medicine Division, Obstetrics and Gynecology Department , University of Wisconsin , Madison , WI , USA and.
b Ob-Gyn Ultrasound Unit , Lis Maternity Hospital, Tel-Aviv Sourasky Medical Center and Sackler School of Medicine, Tel-Aviv University , Tel-Aviv , Israel.
J Matern Fetal Neonatal Med. 2016;29(3):482-6. doi: 10.3109/14767058.2015.1006623. Epub 2015 Jan 30.
Fetal malformations of the central nervous system are among the most common major birth defects encounter during prenatal ultrasound screening. Patients with fetal intracranial findings require further work-up for improving the accuracy of the sonographic diagnosis. We developed and advanced fetal neurosonography and related services to improve clinical care and to positively impact the fetal outcome. Currently, dedicated neurosonography in the prenatal period is not routinely offered across all prenatal diagnostic centers. We propose that dedicated neurosonography done in advanced prenatal diagnostic centers improves fetal outcomes. This is directly related to proper counseling, pediatric and neonatal involvement during the prenatal period. We present here our model of dedicated neurosonography adapted to our center in the last 4 years to improve diagnosis and better understand fetal CNS pathology. With commitment of resources and coordination of services, this model is easy to implement and benefits not only parents and babies but also provides the maternal fetal medicine fellows advanced training in fetal neurosonography.
胎儿中枢神经系统畸形是产前超声筛查中最常见的主要出生缺陷之一。有胎儿颅内检查结果的患者需要进一步检查，以提高超声诊断的准确性。我们开发并推进了胎儿神经超声检查及相关服务，以改善临床护理并对胎儿结局产生积极影响。目前，并非所有产前诊断中心都常规提供产前专用神经超声检查。我们认为，在先进的产前诊断中心进行专用神经超声检查可改善胎儿结局。这与产前适当的咨询、儿科和新生儿科的参与直接相关。我们在此展示我们在过去4年中为适应本中心而建立的专用神经超声检查模式，以改善诊断并更好地了解胎儿中枢神经系统病理学。通过资源投入和服务协调，该模式易于实施，不仅使父母和婴儿受益，还为母胎医学研究员提供了胎儿神经超声检查方面的高级培训。
