Bookstein Shai, Nachmias Noy, Katorza Eldad
Antenatal Diagnostic Unit, Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel-Hashomer, Derech Sheba 2, Ramat Gan 5262000, Israel.
Faculty of Medicine, Tel Aviv University, Klatchkin 35, Tel Aviv 6139001, Israel.
Diagnostics (Basel). 2024 Feb 7;14(4):366. doi: 10.3390/diagnostics14040366.
As the use of magnetic resonance imaging of the fetal brain has evolved, the need to understand its efficiency in the biometry of the fetal brain has broadened. This study aimed to assess the level of agreement and correlation between the two cardinal imaging methods of fetal neuroimaging, ultrasonography (US) and magnetic resonance imaging (MRI), by measuring the corpus callosum (CC) and transverse cerebellar diameter (TCD) in terms of length and percentile. Measurements of CC and TCD length and percentile were documented over a 7-year span in a tertiary referral medical center. All US and MRI examinations were performed in the customary planes and subcategorized by valid reference charts. Exclusion and inclusion criteria were set before the collection and processing of the data. A total of 156 fetuses out of 483 were included in the study. A positive, strong correlation and agreement were found (r = 0.78; ICC = 0.76) between US and MRI in TCD measurements. For CC length measurement, a moderate correlation and moderate agreement (r = 0.51; ICC = 0.49) between US and MRI was observed. TCD and CC percentiles had lower levels of correlation and agreement compared with the length variables. Our study indicates good agreement between MRI and US in the assessment of TCD measurement as a part of antenatal neuroimaging. Furthermore, while the two techniques are not always compatible, they are complementary methods.
随着胎儿脑部磁共振成像技术的不断发展,人们对于了解其在胎儿脑生物测量方面的效率的需求也日益增加。本研究旨在通过测量胼胝体(CC)和小脑横径(TCD)的长度和百分位数,评估胎儿神经影像学的两种主要成像方法——超声检查(US)和磁共振成像(MRI)之间的一致性水平和相关性。在一家三级转诊医疗中心,对CC和TCD长度及百分位数的测量记录持续了7年。所有的超声检查和磁共振成像检查均在常规平面进行,并根据有效的参考图表进行分类。在数据收集和处理之前设定了排除和纳入标准。483例胎儿中共有156例被纳入研究。在TCD测量中,超声检查和磁共振成像之间发现了显著的、强相关性和一致性(r = 0.78;组内相关系数ICC = 0.76)。对于CC长度测量,超声检查和磁共振成像之间观察到中等相关性和中等一致性(r = 0.51;ICC = 0.49)。与长度变量相比,TCD和CC百分位数的相关性和一致性水平较低。我们的研究表明,作为产前神经影像学的一部分,磁共振成像和超声检查在TCD测量评估方面具有良好的一致性。此外,虽然这两种技术并不总是兼容,但它们是互补的方法。