Perinatal Thoracic Mass Lesions: Pre- and Postnatal Imaging
Evan J Zucker1, Monica Epelman2, Beverley Newman1
1Department of Radiology, Stanford University School of Medicine, Lucile Packard Children's Hospital, Stanford, CA.
Seminars in Ultrasound, CT, and MR
|November 29, 2015
Summary
Prenatal imaging detects fetal chest masses, often bronchopulmonary malformations. Differentiating these from other thoracic pathologies using clinical and imaging features aids in timely infant management and prognostication.
Area of Science:
- Perinatal medicine
- Pediatric radiology
- Thoracic imaging
Background:
- Chest masses are common in newborns, requiring accurate diagnosis.
- Prenatal ultrasound and fetal MRI enable early detection of thoracic lesions.
- Bronchopulmonary malformations are the most frequent cause of fetal chest masses.
Purpose of the Study:
- To review the diagnostic approaches for fetal chest masses.
- To highlight the differentiation between bronchopulmonary malformations and other thoracic pathologies.
- To emphasize the importance of clinical and imaging features for management.
Main Methods:
- Review of current literature on fetal thoracic imaging.
- Analysis of clinical presentations and imaging characteristics of various chest masses.
- Discussion of diagnostic algorithms for perinatal chest lesions.
Main Results:
- Prenatal imaging allows for detailed characterization of thoracic lesions.
- Postnatal imaging may be deferred in asymptomatic infants.
- Accurate differentiation of mass types is crucial for surgical planning and outcomes.
Conclusions:
- Understanding key differentiating features is essential for optimizing prognostication.
- Timely and accurate diagnosis of fetal chest masses improves infant management.
- Multimodality imaging plays a critical role in evaluating congenital thoracic abnormalities.
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