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胎儿磁共振成像及其在胎儿和新生儿治疗中的应用:一个说明性的综述。

Fetal body MRI and its application to fetal and neonatal treatment: an illustrative review.

机构信息

Prenatal Cell and Gene Therapy, Elizabeth Garrett Anderson Institute of Women's Health, University College London, London, UK; UCL Great Ormond Street Institute of Child Health, University College London, London, UK.

Stem Cells and Regenerative Medicine; Perinatal Imaging, School of Biomedical Engineering & Imaging Sciences, King's College London, London, UK.

出版信息

Lancet Child Adolesc Health. 2021 Jun;5(6):447-458. doi: 10.1016/S2352-4642(20)30313-8. Epub 2021 Mar 12.

Abstract

This Review depicts the evolving role of MRI in the diagnosis and prognostication of anomalies of the fetal body, here including head and neck, thorax, abdomen and spine. A review of the current literature on the latest developments in antenatal imaging for diagnosis and prognostication of congenital anomalies is coupled with illustrative cases in true radiological planes with viewable three-dimensional video models that show the potential of post-acquisition reconstruction protocols. We discuss the benefits and limitations of fetal MRI, from anomaly detection, to classification and prognostication, and defines the role of imaging in the decision to proceed to fetal intervention, across the breadth of included conditions. We also consider the current capabilities of ultrasound and explore how MRI and ultrasound can complement each other in the future of fetal imaging.

摘要

本综述描绘了 MRI 在胎儿身体异常的诊断和预后中的作用的演变,这里包括头颈部、胸部、腹部和脊柱。本文回顾了目前关于产前成像在先天性异常诊断和预后方面的最新进展的文献,并结合真实放射学平面的说明性病例和可查看三维视频模型,展示了后采集重建方案的潜力。我们讨论了胎儿 MRI 的优点和局限性,从异常检测到分类和预后,并定义了成像在决定进行胎儿干预中的作用,涵盖了所有纳入的情况。我们还考虑了超声的当前能力,并探讨了 MRI 和超声如何在未来的胎儿成像中互补。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa97/7614154/248f144b4ab8/EMS157888-f001.jpg

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