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畸形胎儿的放射影像学检查:我们能了解到什么?

Radiological imaging of teratological fetuses: what can we learn?

作者信息

Boer Lucas L, Schepens-Franke A N, van Asten J J A, Bosboom D G H, Kamphuis-van Ulzen K, Kozicz T L, Ruiter D J, Oostra R-J, Klein W M

机构信息

Department of Anatomy and Museum for Anatomy and Pathology, Radboud University Medical Centre, Geert Grooteplein Noord 21, 6525 EZ, Nijmegen, The Netherlands.

Department of Radiology and Nuclear Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands.

出版信息

Insights Imaging. 2017 Jun;8(3):301-310. doi: 10.1007/s13244-017-0551-8. Epub 2017 Apr 24.

DOI:10.1007/s13244-017-0551-8
PMID:28439719
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5438317/
Abstract

OBJECTIVES

To determine the advantages of radiological imaging of a collection of full-term teratological fetuses in order to increase their scientific and educational value. BACKGROUND : Anatomical museums around the world exhibit full-term teratological fetuses. Unfortunately, these museums are regularly considered as "morbid cabinets". Detailed dysmorphological information concerning the exhibited specimens is often lacking. Moreover, fetuses with severe and complex congenital anomalies are frequently diagnosed incompletely, incorrectly or not at all.

METHODS

In order to verify diagnoses and to enrich their educational and scientific value, we imaged 41 out of the 72 teratological specimens present in the collection of our Anatomy and Pathology Museum in Nijmegen (The Netherlands) by means of magnetic resonance imaging (MRI) and computed tomography (CT). Additionally, contemporary dysmorphological insights and 3D models are implemented in the teratology education of medical students and residents.

CONCLUSIONS

Full-term teratological fetuses have become increasingly rare and deserve a prominent place in every anatomical museum; they are suitable for contemporary teratological research and education. Modern radiological techniques markedly enhance their scientific and didactic value.

TEACHING POINTS

• To explore the scientific and educational potential of institutionalised teratological collections • To understand the additional value of radiological imaging in diagnosing teratological specimens • To learn about the specific settings of MRI parameters when scanning fixed specimens • To recognise specific internal dysmorphology in several congenital anomalies.

摘要

目的

确定对足月畸形胎儿进行影像学检查的优势,以提高其科学和教育价值。背景:世界各地的解剖博物馆都陈列有足月畸形胎儿标本。遗憾的是,这些博物馆常被视为“病态陈列柜”。展出标本的详细畸形学信息往往缺失。此外,患有严重复杂先天性异常的胎儿常常诊断不完整、不正确或根本未被诊断。

方法

为了核实诊断并丰富其教育和科学价值,我们对荷兰奈梅亨解剖与病理博物馆收藏的72例畸形标本中的41例进行了磁共振成像(MRI)和计算机断层扫描(CT)检查。此外,在医学生和住院医师的畸形学教育中融入了当代畸形学见解和三维模型。

结论

足月畸形胎儿越来越罕见,在每个解剖博物馆都应占据显著位置;它们适用于当代畸形学研究和教育。现代放射技术显著提高了它们的科学和教学价值。

教学要点

• 探索机构化畸形标本收藏的科学和教育潜力 • 了解放射成像在诊断畸形标本中的附加价值 • 学习扫描固定标本时MRI参数的具体设置 • 识别几种先天性异常中的特定内部畸形。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/30dfd5c03bb1/13244_2017_551_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/f06c4b49bc37/13244_2017_551_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/e94b20c5922d/13244_2017_551_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/27fd8231afce/13244_2017_551_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/e8af67479992/13244_2017_551_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/7650e05ec067/13244_2017_551_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/f18897ae2c5b/13244_2017_551_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/30dfd5c03bb1/13244_2017_551_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/f06c4b49bc37/13244_2017_551_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/e94b20c5922d/13244_2017_551_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/27fd8231afce/13244_2017_551_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/e8af67479992/13244_2017_551_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/7650e05ec067/13244_2017_551_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/f18897ae2c5b/13244_2017_551_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1d/5438317/30dfd5c03bb1/13244_2017_551_Fig7_HTML.jpg

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