Real-Life Diagnostic Accuracy of MRI in Prenatal Diagnosis
There is some controversy about the value of fetal MRI in prenatal diagnosis, and most of the studies examine its accuracy in central nervous system (CNS) pathology. The objective of this retrospective study was to assess the diagnostic accuracy and usefulness of fetal MRI in the prenatal diagnosis...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Radiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2020/4085349 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832551249949491200 |
|---|---|
| author | Manuel Recio Rodríguez Cristina Andreu-Vázquez Israel J. Thuissard-Vasallo Raquel Cano Alonso Carmina Bermejo López Ines Tamarit Degenhardt Pilar Martínez Ten |
| author_facet | Manuel Recio Rodríguez Cristina Andreu-Vázquez Israel J. Thuissard-Vasallo Raquel Cano Alonso Carmina Bermejo López Ines Tamarit Degenhardt Pilar Martínez Ten |
| author_sort | Manuel Recio Rodríguez |
| collection | DOAJ |
| description | There is some controversy about the value of fetal MRI in prenatal diagnosis, and most of the studies examine its accuracy in central nervous system (CNS) pathology. The objective of this retrospective study was to assess the diagnostic accuracy and usefulness of fetal MRI in the prenatal diagnosis of central nervous system (CNS) pathology and non-CNS pathology. Patients referred to the Radiology Department between 2007 and 2018 for a fetal MRI after detection of an anomaly in the fetal ultrasound, a high-risk pregnancy, or an inconclusive fetal ultrasound (n = 623) were included in the study. Postnatal diagnosis was used to assess the diagnostic accuracy of MRI. Fetal MRI was considered to provide additional information over fetal ultrasound when findings of the fetal MRI were not detected in the fetal ultrasound or when established a pathological condition that was not detected in the fetal ultrasound. Fetal MRI provided useful information for the perinatal management and prognosis over fetal ultrasound when findings of the fetal MRI changed the postnatal prognosis, leaded to the decision to legally terminate the pregnancy, changed prenatal or postnatal follow-up, or helped in the planning of prenatal or postnatal treatment. Fetal MRI offered an accurate diagnosis in 97% of cases (compared to 90.4% of fetal ultrasound; p<0.001). Concordance between fetal ultrasound and fetal MRI was 92.1%. Fetal MRI provided additional information over fetal ultrasound in 23.1% of cases. In 11.6% of cases, the information was useful for the perinatal management and prognosis. In 45 cases (7.2%), fetal MRI was the only accurate diagnosis. In conclusion, fetal MRI has a superior diagnostic accuracy, especially in CNS pathology, and provides additional useful information in CNS, thoracic, and abdominal pathology. |
| format | Article |
| id | doaj-art-4efd6fe59fe647ec8d82f8519873fc69 |
| institution | Kabale University |
| issn | 2090-1941 2090-195X |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Radiology Research and Practice |
| spelling | doaj-art-4efd6fe59fe647ec8d82f8519873fc692025-02-03T06:04:36ZengWileyRadiology Research and Practice2090-19412090-195X2020-01-01202010.1155/2020/40853494085349Real-Life Diagnostic Accuracy of MRI in Prenatal DiagnosisManuel Recio Rodríguez0Cristina Andreu-Vázquez1Israel J. Thuissard-Vasallo2Raquel Cano Alonso3Carmina Bermejo López4Ines Tamarit Degenhardt5Pilar Martínez Ten6Departamento de Diagnóstico por Imagen, Hospital Universitario Quironsalud Madrid, Madrid, SpainDepartamento de Medicina, Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, Madrid, SpainDepartamento de Medicina, Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, Madrid, SpainDepartamento de Diagnóstico por Imagen, Hospital Universitario Quironsalud Madrid, Madrid, SpainDelta Ecografía, Madrid, SpainDepartamento de Obstetricia y Ginecología, Hospital Universitario Quironsalud Madrid, Madrid, SpainDelta Ecografía, Madrid, SpainThere is some controversy about the value of fetal MRI in prenatal diagnosis, and most of the studies examine its accuracy in central nervous system (CNS) pathology. The objective of this retrospective study was to assess the diagnostic accuracy and usefulness of fetal MRI in the prenatal diagnosis of central nervous system (CNS) pathology and non-CNS pathology. Patients referred to the Radiology Department between 2007 and 2018 for a fetal MRI after detection of an anomaly in the fetal ultrasound, a high-risk pregnancy, or an inconclusive fetal ultrasound (n = 623) were included in the study. Postnatal diagnosis was used to assess the diagnostic accuracy of MRI. Fetal MRI was considered to provide additional information over fetal ultrasound when findings of the fetal MRI were not detected in the fetal ultrasound or when established a pathological condition that was not detected in the fetal ultrasound. Fetal MRI provided useful information for the perinatal management and prognosis over fetal ultrasound when findings of the fetal MRI changed the postnatal prognosis, leaded to the decision to legally terminate the pregnancy, changed prenatal or postnatal follow-up, or helped in the planning of prenatal or postnatal treatment. Fetal MRI offered an accurate diagnosis in 97% of cases (compared to 90.4% of fetal ultrasound; p<0.001). Concordance between fetal ultrasound and fetal MRI was 92.1%. Fetal MRI provided additional information over fetal ultrasound in 23.1% of cases. In 11.6% of cases, the information was useful for the perinatal management and prognosis. In 45 cases (7.2%), fetal MRI was the only accurate diagnosis. In conclusion, fetal MRI has a superior diagnostic accuracy, especially in CNS pathology, and provides additional useful information in CNS, thoracic, and abdominal pathology.http://dx.doi.org/10.1155/2020/4085349 |
| spellingShingle | Manuel Recio Rodríguez Cristina Andreu-Vázquez Israel J. Thuissard-Vasallo Raquel Cano Alonso Carmina Bermejo López Ines Tamarit Degenhardt Pilar Martínez Ten Real-Life Diagnostic Accuracy of MRI in Prenatal Diagnosis Radiology Research and Practice |
| title | Real-Life Diagnostic Accuracy of MRI in Prenatal Diagnosis |
| title_full | Real-Life Diagnostic Accuracy of MRI in Prenatal Diagnosis |
| title_fullStr | Real-Life Diagnostic Accuracy of MRI in Prenatal Diagnosis |
| title_full_unstemmed | Real-Life Diagnostic Accuracy of MRI in Prenatal Diagnosis |
| title_short | Real-Life Diagnostic Accuracy of MRI in Prenatal Diagnosis |
| title_sort | real life diagnostic accuracy of mri in prenatal diagnosis |
| url | http://dx.doi.org/10.1155/2020/4085349 |
| work_keys_str_mv | AT manuelreciorodriguez reallifediagnosticaccuracyofmriinprenataldiagnosis AT cristinaandreuvazquez reallifediagnosticaccuracyofmriinprenataldiagnosis AT israeljthuissardvasallo reallifediagnosticaccuracyofmriinprenataldiagnosis AT raquelcanoalonso reallifediagnosticaccuracyofmriinprenataldiagnosis AT carminabermejolopez reallifediagnosticaccuracyofmriinprenataldiagnosis AT inestamaritdegenhardt reallifediagnosticaccuracyofmriinprenataldiagnosis AT pilarmartinezten reallifediagnosticaccuracyofmriinprenataldiagnosis |