Additive Effect of Fetal Magnetic Resonance Imaging to Prenatal Ultrasonography in Fetal Congenital Anomalies

OBJECTIVES: In this study, we aimed to assess the diagnostic accuracy of prenatal Ultrasonography (USG) and Magnetic Resonance Imaging (MRI) in fetal congenital anomalies. STUDY DESIGN: A retrospective cross-sectional analysis was conducted on 148 patients who had previously undergone prenatal MR...

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Main Authors: Emine Kirtis, Gul Alkan Bulbul, Hulya Kandemir, Cem Yasar Sanhal, Kamil Karaali, Ibrahim Inanc Mendilcioglu
Format: Article
Language:English
Published: Medical Network 2024-04-01
Series:Gynecology Obstetrics & Reproductive Medicine
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Online Access:https://gorm.com.tr/index.php/GORM/article/view/1438
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author Emine Kirtis
Gul Alkan Bulbul
Hulya Kandemir
Cem Yasar Sanhal
Kamil Karaali
Ibrahim Inanc Mendilcioglu
author_facet Emine Kirtis
Gul Alkan Bulbul
Hulya Kandemir
Cem Yasar Sanhal
Kamil Karaali
Ibrahim Inanc Mendilcioglu
author_sort Emine Kirtis
collection DOAJ
description OBJECTIVES: In this study, we aimed to assess the diagnostic accuracy of prenatal Ultrasonography (USG) and Magnetic Resonance Imaging (MRI) in fetal congenital anomalies. STUDY DESIGN: A retrospective cross-sectional analysis was conducted on 148 patients who had previously undergone prenatal MRI between January 2013 and May 2023. A total of 185 anomalies in 148 fetuses were evaluated using USG and MRI. The prenatal diagnoses were compared with definitive diagnoses and were classified as diagnosed, partially correct, questionable, or undiagnosed. In addition, USG and MRI findings were compared in terms of their consistency and consolidation. RESULTS: The postnatal evaluation revealed a total of 185 anomalies in 148 fetuses. USG diagnosed 94% of these anomalies, while MRI diagnosed 95.1% of them. Both USG and fetal MRI were able to diagnose 91.9% (n=170) of anomalies during the prenatal period. Fetal MRI provided an additional contribution to USG in the diagnosis of six anomalies (3.24%). CONCLUSION: In fetuses undergoing detailed ultrasonography and specialized neurosonography by experienced professionals, additional fetal anomalies exclusively detected through MRI are now found to be lower than previously documented. However, fetal MRI is presently employed to offer supplementary information, and advice, and assist in clinical decision-making. In the future, extensive prospective studies with standardized protocols for ultrasound imaging of the fetal brain are necessary to better understand the true role of fetal MRI in cases where fetal neurosonography has already been performed.
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issn 1300-4751
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publishDate 2024-04-01
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series Gynecology Obstetrics & Reproductive Medicine
spelling doaj-art-b6f89f9410cc4bf3afa40cda5963a97e2025-02-11T21:18:16ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182024-04-0130110.21613/GORM.2023.1438Additive Effect of Fetal Magnetic Resonance Imaging to Prenatal Ultrasonography in Fetal Congenital Anomalies Emine Kirtis0Gul Alkan Bulbul1Hulya Kandemir2Cem Yasar Sanhal3Kamil Karaali4Ibrahim Inanc Mendilcioglu5Akdeniz University Hospital, Gynecology and Obstetrics ClinicAkdeniz University Akdeniz University Akdeniz University Akdeniz University Akdeniz University OBJECTIVES: In this study, we aimed to assess the diagnostic accuracy of prenatal Ultrasonography (USG) and Magnetic Resonance Imaging (MRI) in fetal congenital anomalies. STUDY DESIGN: A retrospective cross-sectional analysis was conducted on 148 patients who had previously undergone prenatal MRI between January 2013 and May 2023. A total of 185 anomalies in 148 fetuses were evaluated using USG and MRI. The prenatal diagnoses were compared with definitive diagnoses and were classified as diagnosed, partially correct, questionable, or undiagnosed. In addition, USG and MRI findings were compared in terms of their consistency and consolidation. RESULTS: The postnatal evaluation revealed a total of 185 anomalies in 148 fetuses. USG diagnosed 94% of these anomalies, while MRI diagnosed 95.1% of them. Both USG and fetal MRI were able to diagnose 91.9% (n=170) of anomalies during the prenatal period. Fetal MRI provided an additional contribution to USG in the diagnosis of six anomalies (3.24%). CONCLUSION: In fetuses undergoing detailed ultrasonography and specialized neurosonography by experienced professionals, additional fetal anomalies exclusively detected through MRI are now found to be lower than previously documented. However, fetal MRI is presently employed to offer supplementary information, and advice, and assist in clinical decision-making. In the future, extensive prospective studies with standardized protocols for ultrasound imaging of the fetal brain are necessary to better understand the true role of fetal MRI in cases where fetal neurosonography has already been performed. https://gorm.com.tr/index.php/GORM/article/view/1438Fetal anomalyFetal magnetic resonance imaging Fetal ultrasonography Fetus
spellingShingle Emine Kirtis
Gul Alkan Bulbul
Hulya Kandemir
Cem Yasar Sanhal
Kamil Karaali
Ibrahim Inanc Mendilcioglu
Additive Effect of Fetal Magnetic Resonance Imaging to Prenatal Ultrasonography in Fetal Congenital Anomalies
Gynecology Obstetrics & Reproductive Medicine
Fetal anomaly
Fetal magnetic resonance imaging
Fetal ultrasonography
Fetus
title Additive Effect of Fetal Magnetic Resonance Imaging to Prenatal Ultrasonography in Fetal Congenital Anomalies
title_full Additive Effect of Fetal Magnetic Resonance Imaging to Prenatal Ultrasonography in Fetal Congenital Anomalies
title_fullStr Additive Effect of Fetal Magnetic Resonance Imaging to Prenatal Ultrasonography in Fetal Congenital Anomalies
title_full_unstemmed Additive Effect of Fetal Magnetic Resonance Imaging to Prenatal Ultrasonography in Fetal Congenital Anomalies
title_short Additive Effect of Fetal Magnetic Resonance Imaging to Prenatal Ultrasonography in Fetal Congenital Anomalies
title_sort additive effect of fetal magnetic resonance imaging to prenatal ultrasonography in fetal congenital anomalies
topic Fetal anomaly
Fetal magnetic resonance imaging
Fetal ultrasonography
Fetus
url https://gorm.com.tr/index.php/GORM/article/view/1438
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AT hulyakandemir additiveeffectoffetalmagneticresonanceimagingtoprenatalultrasonographyinfetalcongenitalanomalies
AT cemyasarsanhal additiveeffectoffetalmagneticresonanceimagingtoprenatalultrasonographyinfetalcongenitalanomalies
AT kamilkaraali additiveeffectoffetalmagneticresonanceimagingtoprenatalultrasonographyinfetalcongenitalanomalies
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