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Fetal MRI for dummies: what the fetal medicine specialist should know about acquisitions and sequences
Michael Aertsen1, Mariana C Diogo2, Steven Dymarkowski1
1Department of Imaging and Pathology, Clinical Department of Radiology, University Hospitals KU Leuven, Leuven, Belgium.
Abstract:
Fetal MRI is an increasingly used tool in the field of prenatal diagnosis. While US remains the first line screening tool, as an adjuvant imaging tool, MRI has been proven to increase diagnostic accuracy and change patient counseling. Further, there are instances when US may not be sufficient for diagnosis. As a multidisciplinary field, it is important that every person involved in the referral, diagnosis, counseling and treatment of the patients is familiar with the basic principles, indications and findings of fetal MRI. The purpose of the current paper is to equip radiologists and non-radiologists with basic MRI principles and essential topics in patient preparation and provide illustrative examples of when fetal MRI may be used. This aims to aid the referring clinician in better selecting and improve patient counseling prior to arrival in the radiology department and, ultimately, patient care.
Insights
Fetal MRI enhances prenatal diagnosis accuracy when ultrasound is insufficient. This guide helps clinicians understand fetal MRI principles, improving patient selection and care.
Area of Science:
- Prenatal Diagnosis
- Medical Imaging
- Radiology
Background:
- Ultrasound (US) is the primary screening tool in prenatal diagnosis.
- Fetal MRI serves as an adjuvant imaging tool, improving diagnostic accuracy.
- US may be insufficient for diagnosis in certain complex cases.
Purpose of the Study:
- To provide radiologists and non-radiologists with fundamental fetal MRI principles.
- To cover essential patient preparation topics for fetal MRI.
- To offer illustrative examples of fetal MRI applications.
Main Methods:
- Review of basic principles of fetal MRI.
- Discussion of patient preparation protocols.
- Presentation of clinical scenarios and imaging findings.
Main Results:
- Fetal MRI increases diagnostic accuracy beyond ultrasound alone.
- Fetal MRI can significantly alter patient counseling and management plans.
- Familiarity with fetal MRI aids in appropriate patient selection and referral.
Conclusions:
- Fetal MRI is a valuable tool for prenatal diagnosis, especially when ultrasound is limited.
- Educating healthcare professionals on fetal MRI improves patient care and outcomes.
- This paper serves as a foundational resource for understanding and utilizing fetal MRI effectively.
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