Download PDF
Radiologie up2date 2012; 12(04): E1-E21
DOI: 10.1055/s-0032-1324892
Geburtshilfe und Perinatalmedizin
Georg Thieme Verlag KG Stuttgart · New York

Fetale MRT-Diagnostik

F. W. Hirsch
,
I. Sorge
Further Information

Publication History

Publication Date:
04 December 2012 (online)

Also available at
   Permissions and Reprints All articles of this category
Kernaussagen

Die erweiterten Möglichkeiten der morphologischen MRT-Diagnostik bei Feten gehören in das moderne Diagnostikspektrum jedes Fetalzentrums.

Die in der Fetaldiagnostik verwendeten MRT-Sequenzen sind ultraschnelle T2- und T1-gewichtete Spezialprotokolle. Die fetale MR-Untersuchung erfolgt durch speziell geschultes Personal, da die Untersuchung interaktiv erfolgt, um sich der ständig wechselnden Lage des Feten anzupassen.

Der komplementäre Informationszuwachs durch das MRT beruht auf der deutlich höheren Kontrastauflösung und damit einer besseren Gewebedifferenzierung im Vergleich zum Ultraschall.

Jede MRT-Untersuchung benötigt eine vorausgehende qualifizierte Ultraschalluntersuchung und eine präzise formulierte Fragestellung, die auch mit der MR-Methode beantwortet werden kann.

In Einzelfällen können auch schlechte Schallbedingungen bei der Mutter – wie Adipositas per magna oder Oligohydramnion – eine fetale MRT-Diagnostik rechtfertigen, da diese Kriterien eine MRT-Untersuchung in ihrer Bildqualität nicht beeinträchtigen.

 

  • Literatur

  • 1 Weston MJ. Magnetic resonance imaging in fetal medicine: a pictorial review of current and developing indications. Postgrad Med J 2010; 86: 41-51
    PubMedGoogle Scholar
  • 2 Girard NJ. Magnetic resonance imaging of fetal developmental anomalies. Top Magn Reson Imaging 2011; 22: 11-23
    CrossrefPubMedGoogle Scholar
  • 3 Kul S, Korkmaz HA, Cansu A et al. Contribution of MRI to ultrasound in the diagnosis of fetal anomalies. J Magn Reson Imaging 2012; 35: 882-890
    CrossrefPubMedGoogle Scholar
  • 4 Wright C, Sibley CP, Baker PN. The role of fetal magnetic resonance imaging. Arch Dis Child Fetal Neonatal Ed 2010; 95: F137-F141
    CrossrefPubMedGoogle Scholar
  • 5 Al-Mukhtar A, Kasprian G, Schmook MT et al. Diagnostic pitfalls in fetal brain MRI. Semin Perinatol 2009; 33: 251-258
    CrossrefPubMedGoogle Scholar
  • 6 Prayer D ed. Fetal MRI. Berlin, Heidelberg: Springer-Verlag; 2011
    CrossrefGoogle Scholar
  • 7 Weston MJ. Magnetic resonance imaging in fetal medicine: a pictorial review of current and developing indications. Postgrad Med J 2010; 86: 42-51
    CrossrefPubMedGoogle Scholar
  • 8 Jokhi RP, Whitby EH. Magnetic resonance imaging of the fetus. Dev Med Child Neurol 2011; 53: 18-28
    CrossrefPubMedGoogle Scholar
  • 9 Vazquez E, Mayolas N, Delgado I, Higueras T. Fetal neuroimaging: US and MRI. Pediatr Radiol 2009; 39 Suppl 3: 422-435
    PubMedGoogle Scholar
  • 10 Glenn OA. MR imaging of the fetal brain. Pediatr Radiol 2010; 40: 68-81
    PubMedGoogle Scholar
  • 11 Kostovic I, Vasung L. Insights from in vitro fetal magnetic resonance imaging of cerebral development. Semin Perinatol 2009; 33: 220-233
    CrossrefPubMedGoogle Scholar
  • 12 Rutherford MA. Magnetic resonance imaging of the fetal brain. Curr Opin Obstet Gynecol 2009; 21: 180-186
    CrossrefPubMedGoogle Scholar
  • 13 Li Y, Sansgiri RK, Estroff JA et al. Outcome of fetuses with cerebral ventriculomegaly and septum pellucidum leaflet abnormalities. Am J Roentgenol 2011; 196: W83-92
    CrossrefPubMedGoogle Scholar
  • 14 Yin X, Na Q, Chen J et al. Contribution of MRI to detect further anomalies in fetal ventriculomegaly. Fetal Diagn Ther 2010; 27: 20-24
    CrossrefPubMedGoogle Scholar
  • 15 Reiss-Zimmermann M, Weber D, Sorge I et al. Heterotopie, Polymikrogyrie, Lissenzephalie und Co-Malformationen der kortikalen Hirnentwicklung. Fortschr Röntgenstr 2010; 182: 472-478
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Bulas D. Fetal evaluation of spine dysraphism. Pediatr Radiol 2010; 40: 1029-1037
    CrossrefPubMedGoogle Scholar
  • 17 Herman-Sucharska I, Bekiesińska-Figatowska M, Urbanik A. Fetal central nervous system malformations on MR images. Brain Dev 2009; 31: 185-199
    CrossrefPubMedGoogle Scholar
  • 18 Girard N, Chaumoitre K, Chapon F et al. Fetal magnetic resonance imaging of acquired and developmental brain anomalies. Semin Perinatol 2009; 33: 234-250
    CrossrefPubMedGoogle Scholar
  • 19 Liu YP, Chen CP, Shih SL et al. Fetal cystic lung lesions: evaluation with magnetic mesonance imaging. Pediatr Pulmonol 2010; 45: 592-600
    PubMedGoogle Scholar
  • 20 Bulas D, Egloff AM. Fetal chest ultrasound and magnetic resonance imaging: recent advances and current clinical applications. Radiol Clin North Am 2011; 49: 805-823
    CrossrefPubMedGoogle Scholar
  • 21 Busin KA, Kilian AK, Schaible T et al. Reliability and validity of MR image lung volume measurement in fetuses with congenital diaphragmatic hernia and in vitro lung models. Radiology 2008; 246: 553-561
    CrossrefPubMedGoogle Scholar
  • 22 Jani J, Cannie M, Peralta CFA et al. Lung volumes in fetuses with congenital diaphragmatic hernia: comparison of 3D US and MR imaging assessments. Radiology 2007; 244: 575-582
    CrossrefPubMedGoogle Scholar
  • 23 Jani J, Cannie M, Sonigo P et al. Value of prenatal magnetic resonance imaging in the prediction of postnatal outcome in fetuses with diaphragmatic hernia. Ultrasound Obstet Gynecol 2008; 32: 793-799
    CrossrefPubMedGoogle Scholar
  • 24 Daltro P, Werner H, Gasparetto TD et al. Congenital chest malformations: a multimodality approach with emphasis on fetal MR imaging. Radiographics 2010; 30: 385-395
    CrossrefPubMedGoogle Scholar
  • 25 Brugger PC, Prayer D. Fetal abdominal magnetic resonance imaging. Eur J Radiol 2006; 57: 278-293
    CrossrefPubMedGoogle Scholar
  • 26 Huisman TA, Kellenberger CJ. MR imaging characteristics of the normal fetal gastrointestinal tract and abdomen. Eur J Radiol 2008; 65: 170-181
    CrossrefPubMedGoogle Scholar
  • 27 Gupta P, Sharma R, Kumar S et al. Role of MRI in fetal abdominal cystic masses detected on prenatal sonography. Arch Gynecol Obstet 2010; 281: 519-526
    CrossrefPubMedGoogle Scholar
  • 28 Garel C, Dreux S, Philippe-Chomette P et al. Contribution of fetal magnetic resonance imaging and amniotic fluid digestive enzyme assays to the evaluation of gastrointestinal tract abnormalities. Ultrasound Obstet Gynecol 2006; 28: 282-291
    CrossrefPubMedGoogle Scholar
  • 29 Makin E, Davenport M. Fetal and neonatal liver tumours. Early Hum Dev 2010; 86: 637-642
    CrossrefPubMedGoogle Scholar
  • 30 Abdelazim IA, Abdelkarzak KM, Ramy ARM, Mounib AM. Complementary roles of prenatal sonography and magnetic resonance imaging in diagnosis of fetal renal anomalies. Austr NZ J Obstet Gynaecol 2010; 50: 237-241
    PubMedGoogle Scholar
  • 31 Chapman T. Fetal genitourinary imaging. Pediatric Radiology 2012; 42: 115-123
    CrossrefPubMedGoogle Scholar