Type:
Educational Exhibit
Keywords:
Foetus, Congenital, Diagnostic procedure, Contrast agent-intravenous, Ultrasound, MR, CT, Paediatric, Neuroradiology brain, CNS
Authors:
I. Popescu, V. M. Marcu, M. C. Coman, S. Tarnoveanu, C. Cirstoveanu, S. Stoica ; Bucharest/RO
DOI:
10.1594/ecr2013/C-0882
Conclusion
1.
Congenital CNS tumors have a poor overall prognosis because of the rapid evolution and the ability of CSF spread.
The diagnosis is often associated with high mortality rate.
2.
The importance of imaging is to establish the tumoral extension as well as to differentiate between the posible curable tumors (such as choroid plexus papiloma) and the fatal outcome tumors.
3.
US is the gold standard for fetal evaluation.
Fetal MRI plays an important role in case of pregnancy and therapeutical management.
US and MRI have increased the rate of detection of congenital tumors in prenatal life.
During pregnancy and after birth,
the main role of imaging relies mainly in providing accurate information about the origin and the extent of the tumor,
the invasion of neighboring organs,
and the presence or absence of metastasis.
4.
CNS tumors represent a special part of the congenital pathology because the detection of a congenital brain tumor in a fetus is followed by serious ethical considerations related to the estimated prognosis,
postnatal quality of life,
therapy challenges and long-term consequences of the applied therapy.
5.
Regarding the fact that rural population in Romania represent about 44,80%,
in these areals the acces to healthcare system is limited and none of our patients was diagnosed before birth.