Moradi Behnaz, Ardestani Reihaneh Mortazavi, Shirazi Mahboobeh, Eslamian Laleh, Kazemi Mohammad Ali
Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Tehran, Iran.
Department of Radiology, Yas Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Eur J Obstet Gynecol Reprod Biol X. 2024 Nov 6;24:100351. doi: 10.1016/j.eurox.2024.100351. eCollection 2024 Dec.
Early detection of fetal intracranial hemorrhage and infarct during pregnancy is crucial for preventing lethal and debilitating complications in neonatal life. Every radiologist must be aware of the imaging features of these conditions to refer patients to specialists. Sonographic and MRI features of fetal intracranial hemorrhage and infarct have been discussed in many previous articles. The aim of this article is to organize and categorize these findings into a practical guideline for improved application in diagnosing these diseases. The use of MRI sequences, such as DWI and multiplanar EPI should be developed for suspected prenatal infarct and intracranial hemorrhage and can serve as additional tools for early detection. In this review article, we first explain possible etiologic factors contributing to the development of fetal IVH and infarct. Then we discuss the different imaging features of these disorders on sonography and MRI separately, as well as their differential diagnosis. Finally, the mortality and morbidity associated with these two concerning fetal abnormalities will be addressed.
孕期早期检测胎儿颅内出血和梗死对于预防新生儿期的致命性和致残性并发症至关重要。每位放射科医生都必须了解这些病症的影像学特征,以便将患者转诊给专科医生。之前已有许多文章讨论过胎儿颅内出血和梗死的超声及磁共振成像(MRI)特征。本文旨在对这些发现进行整理和分类,形成一份实用指南,以更好地应用于这些疾病的诊断。对于疑似产前梗死和颅内出血,应开发使用如扩散加权成像(DWI)和多平面回波平面成像(EPI)等MRI序列,它们可作为早期检测的辅助手段。在这篇综述文章中,我们首先解释导致胎儿脑室内出血(IVH)和梗死发生的可能病因。然后我们分别讨论这些病症在超声和MRI上的不同影像学特征及其鉴别诊断。最后,我们将探讨与这两种令人担忧的胎儿异常相关的死亡率和发病率。