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中华妇幼临床医学杂志(电子版) ›› 2017, Vol. 13 ›› Issue (03) : 276 -280. doi: 10.3877/cma.j.issn.1673-5250.2017.03.006

所属专题: 指南与规范 文献 指南共识

标准·方案·指南

《美国胎儿影像指南(2014)》胎儿MRI检查部分解读
张恒1, 宁刚1,()   
  1. 1. 610041 成都,四川大学华西第二医院放射科、出生缺陷与相关妇儿疾病教育部重点实验室
  • 收稿日期:2017-01-15 修回日期:2017-05-12 出版日期:2017-06-01
  • 通信作者: 宁刚

Interpretation on the fetal MRI section in American Fetal Imaging Guide (2014)

Heng Zhang1, Gang Ning1,()   

  1. 1. Department of Radiology, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2017-01-15 Revised:2017-05-12 Published:2017-06-01
  • Corresponding author: Gang Ning
  • About author:
    Corresponding author: Ning Gang, Email:
引用本文:

张恒, 宁刚. 《美国胎儿影像指南(2014)》胎儿MRI检查部分解读[J]. 中华妇幼临床医学杂志(电子版), 2017, 13(03): 276-280.

Heng Zhang, Gang Ning. Interpretation on the fetal MRI section in American Fetal Imaging Guide (2014)[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2017, 13(03): 276-280.

产前超声检查是筛查胎儿异常及针对性检查的主要方式。胎儿MRI检查的安全性和软组织分辨率均较高,当产前超声检查对胎儿疾病无法确切诊断时,胎儿MRI检查可提供更多的诊断信息,而这些信息可为胎儿疾病治疗及分娩方式的选择等提供依据,尤其是在胎儿神经系统疾病诊断方面,胎儿MRI检查具有明显优势。笔者拟对《美国胎儿影像指南(2014)》中胎儿MRI检查部分进行解读,旨在指导产前诊断、超声、产科及影像学医师的相关临床工作。

Prenatal ultrasonography is the routine prenatal examination method. Fetal MRI, due to its safety, multi-planar capabilities, excellent soft tissues contrast, large fields of views and independence of ionizing radiation, has been used in prenatal diagnosis, and can provide useful additional fetal informations when prenatal ultrasonography is inadequate. The additional information provided by fetal MRI may have an impact on pretreatment communication, the choices of treatment and delivery. Fetal MRI is especially useful in diagnosing fetal nervous system diseases. This review aims to interpret the fetal MRI section of American Fetal Imaging Guide (2014), in order to guide clinical works for antenatal specialists, obstetricians, ultrasound doctors and radiologists.

[1]
Reddy UM, Abuhamad AZ, Levine D, et al. Fetal imaging: executive summary of a joint Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal-fetal Medicine, American Institute of Ultrasound in Medicine, American College of Obstetricians and Gynecologists, American College of Radiology, Society for Pediatric Radiology, and Society of Radiologists in Ultrasound Fetal Imaging Workshop[J]. J Ultrasound Med, 2014, 33(5): 745-757.
[2]
Sefidbakht S, Dehghani S, Safari M, et al. Fetal central nervous system anomalies detected by magnetic resonance imaging: a two-year experience[J]. Iran J Pediatr, 2016, 26(4): e4589.
[3]
Achiron R, Schimmel M, Achiron A, et al. Fetal mild idiopathic lateral ventriculomegaly: is there a correlation with fetal trisomy?[J]. Ultrasound Obstet Gynecol, 1993, 3(2): 89-92.
[4]
Melchiorre K, Bhide A, Gika AD, et al. Counseling in isolated mild fetal ventriculomegaly[J]. Ultrasound Obstet Gynecol, 2009, 34(2): 212-224.
[5]
Kandula T, Fahey M, Chalmers R, et al. Isolated ventriculomegaly on prenatal ultrasound: what does fetal MRI add?[J]. J Med Imaging Radiat Oncol, 2015, 59(2): 154-162.
[6]
Levine D. Atlas of fetal MRI[M]. Boca Raton: Taylor & Francis Group, 2005: 25.
[7]
Hilpert PL, Hall BE, Kurtz AB. The atria of the fetal lateral ventricles: a sonographic study of normal atrial size and choroid plexus volume[J]. Am J Roentgenol, 1995, 164(3): 731-734.
[8]
Rossi AC, Prefumo F. Additional value of fetal magnetic resonance imaging in the prenatal diagnosis of central nervous system anomalies: a systematic review of the literature[J]. Ultrasound Obstet Gynecol, 2014, 44(4): 388-393.
[9]
ISUOG(国际妇产超声协会). 胎儿中枢神经系统的超声检查操作指南[J/CD]. 中国产前诊断杂志(电子版), 2011, 3(1): 37-43.
[10]
Glenn OA, Goldstein RB, Li KC, et al. Fetal magnetic resonance imaging in the evaluation of fetuses referred for sonographically suspected abnormalities of the corpus callosum[J]. J Ultrasound Med, 2005, 24(6): 791-804.
[11]
焦北鱼. 中孕期胎儿透明隔腔消失的超声与MR诊断价值的相关性研究[D]. 济南:山东大学,2012.
[12]
Blondiaux E, Garel C. Fetal cerebral imaging - ultrasound vs MRI: an update[J]. Acta Radiol, 2013, 54(9): 1046-1054.
[13]
Malinger G, Kidron D, Schreiber L, et al. Prenatal diagnosis of malformations of cortical development by dedicated neurosonography[J]. Ultrasound Obstet Gynecol, 2007, 29(2): 178-191.
[14]
Glenn OA, Cuneo AA, Barkovich AJ, et al. Malformations of cortical development: diagnostic accuracy of fetal MR imaging[J]. Radiol, 2012, 263(3): 843-855.
[15]
American College of Radiology. ACR-SPR practice parameter for the safe and optimal performance of fetal magnetic resonance imaging (MRI). Revised 2015 (resolution 11)[DB/OL]. (2015-11)[2017-02-17].

URL    
[16]
Simon EM. MRI of the fetal spine[J]. Pediatr Radiol, 2004, 34(9): 712-719.
[17]
Zucker EJ, Epelman M, Newman B. Perinatal thoracic mass lesions: pre- and postnatal imaging[J]. Semin Ultrasound CT MR, 2015, 36(6): 501-521.
[18]
Twickler DM, Magee KP, Caire J, et al. Second-opinion magnetic resonance imaging for suspected fetal central nervous system abnormalities[J]. Am J Obstet Gynecol, 2003, 188(2): 492-496.
[19]
Teresa V, Ann MJ, Christopher E, et al. Comparison between 1.5-T and 3-T MRI for fetal imaging: is there an advantage to imaging with a higher field strength?[J]. AJR Am J Roentgenol, 2016, 206(1): 195-201.
[20]
Ray JG, Vermeulen MJ, Bharatha A, et al. Association between MRI exposure during pregnancy and fetal and childhood outcomes[J]. JAMA, 2016, 316(9): 952-961.
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