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宫内和产后大脑磁共振成像的比较:系统性审查

Anastasija Arechvo¹, Kypros H Nicolaides¹, Elspeth H Whitby²

¹Harris Birthright Research Centre of Fetal Medicine, King's College Hospital NHS Foundation Trust, London, UK.

Pediatric neurology

|March 18, 2025

概括

在胎儿MRI检测大脑异常后的产后MRI在20.2%的病例中是有用的,尽管证据质量有限. 需要进一步的研究来证实产后MRI在诊断胎儿大脑异常方面的临床价值.

科学领域:

神经成像是一种神经成像.
胎儿医学胎儿医学
儿科放射学儿科放射学

背景情况:

胎儿磁共振成像 (MRI) 与超声波相比,可以更好地检测胎儿大脑异常.
有限的数据存在于胎儿MRI诊断后产后MRI的实用性.
本综述评估了胎儿MRI后产后MRI的临床附加值.

研究的目的:

系统地审查文献,将胎儿MRI与产后MRI对胎儿大脑异常进行比较.
为了确定产后MRI是否提供了超出胎儿MRI发现的临床有用信息.

主要方法:

系统的文献搜索进行到2024年4月.
包括检查胎儿大脑异常的研究,包括胎儿和产后MRI.
通过Joanna Briggs研究所的检查清单来评估研究质量.

主要成果:

分析了24项涉及401名参与者的研究.
产后MRI证实了胎儿MRI发现的73.8%,反驳了6.2%,并确定了20.2%的新异常.
在52.9%的病例中,产后MRI改变了管理或预后.

结论:

目前关于胎儿大脑异常诊断后产后MRI价值的证据在范围和质量上是有限的.
需要进行进一步的前性研究,以确定关于其临床有用性的最终结论.

关键词:

脑子脑子脑子脑子诊断诊断诊断诊断诊断胎儿胎儿胎儿胎儿胎儿磁共振成像技术磁共振成像技术产前护理产前护理系统性审查系统性审查

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