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Human Fetal Blood Flow Quantification with Magnetic Resonance Imaging and Motion Compensation
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Fetal Cardiovascular MR Imaging.

Samer Maher1, Mike Seed2

  • 1Department of Physiology, University of Toronto, 1 King's College Circle, Toronto, Ontario, Canada.

Magnetic Resonance Imaging Clinics of North America
|June 29, 2024
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Prenatal diagnosis of congenital heart disease using fetal MRI aids in planning delivery and informing families. This advanced imaging offers insights into complex heart conditions, potentially improving perinatal outcomes.

Keywords:
Congenital heart diseaseFetal cardiovascular imagingFetal hemodynamicsMR imagingPrenatal diagnosis

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Area of Science:

  • Medical Imaging
  • Cardiology
  • Prenatal Medicine

Background:

  • Prenatal diagnosis of congenital heart disease (CHD) is crucial for delivery planning and family counseling.
  • Ultrasound is the standard diagnostic tool, but limitations exist for complex cases.
  • Advances in imaging prompt exploration of fetal MRI for enhanced diagnostic capabilities.

Purpose of the Study:

  • To review technical innovations in fetal cardiovascular magnetic resonance (CMR).
  • To explore the clinical utility of CMR in diagnosing and managing complex fetal heart conditions.
  • To discuss the future role of CMR in predicting perinatal physiology and guiding delivery.

Main Methods:

  • Review of technical advancements in fetal CMR.
  • Analysis of clinical applications and utility of CMR in diagnosing fetal cardiac malformations.
  • Exploration of current literature on CMR's role in intervention planning.

Main Results:

  • Fetal CMR offers high-resolution anatomical detail for diagnosing complex CHD.
  • CMR can provide functional information, aiding in risk stratification and management decisions.
  • Technical innovations are expanding the capabilities and accessibility of fetal CMR.

Conclusions:

  • Fetal CMR is a valuable tool complementing ultrasound for prenatal diagnosis of CHD.
  • It plays a significant role in planning interventions and improving perinatal outcomes for complex cardiac conditions.
  • Future research in fetal CMR holds promise for predicting perinatal physiology and optimizing delivery strategies.