Seventeen years of prenatal magnetic resonance imaging at the Institute of Mother and Child in Warsaw
| Autor: | Piotr Kwaśniewicz, Monika Bekiesińska-Figatowska, Agnieszka Duczkowska, Beata Iwanowska, Jarosław Mądzik, Marek Duczkowski, Astra Cabaj, Hanna Brągoszewska, Katarzyna Krupa, Sylwia Szkudlińska-Pawlak, Anna Romaniuk-Doroszewska |
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| Rok vydání: | 2018 |
| Předmět: |
Original Paper
Pregnancy Pediatrics medicine.medical_specialty magnetic resonance imaging (MRI) medicine.diagnostic_test business.industry Medical record Magnetic resonance imaging medicine.disease foetus 030218 nuclear medicine & medical imaging 03 medical and health sciences birth defects 0302 clinical medicine Imaging Tool Conjoined twins medicine Foetal diagnosis Medical diagnosis Ultrasonography business 030217 neurology & neurosurgery |
| Zdroj: | Polish Journal of Radiology |
| ISSN: | 1899-0967 |
| DOI: | 10.5114/pjr.2018.74431 |
| Popis: | Purpose The purpose of this paper is to summarise and to present the experience of the main Polish centre for prenatal magnetic resonance imaging (MRI) and to discuss the place and role of MRI in antenatal diagnosis, management, and counselling. Material and methods Retrospective analysis of the examinations performed in the years 2001-2017. Results In total, 1221 medical records and/or image files were collected. The full documentation of ultrasonography and MRI referrals, reports, and images was not available in every case. During the first three years 98 pregnant women were examined (approximately 33 per year, one study per fortnight). After purchase of own MR scanner, the number of examinations grew constantly, reaching 208 in 2017, which means almost one per day, and the highest number was eight in one day. We examined 45 pairs of twins, including three pairs of conjoined twins. Conclusions MRI at our Institute is a practically used second-line foetal imaging tool, necessary to confirm, complete, or correct sonographic diagnoses, with important impact on clinical decisions concerning management of pregnancy and of the neonate, termination of pregnancy, choice of the time, place, and mode of delivery, and neonatal care, as well as on counselling. In experienced hands, MRI is to date the last and the best non-invasive method of diagnosis in utero. It is frequently requested by the interdisciplinary team for foetal diagnosis and therapy and routinely performed in everyday practice. |
| Databáze: | OpenAIRE |
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