Keywords:
Obstetrics, Haemorrhage, Foetus, Medico-legal issues, Intrauterine diagnosis, Diagnostic procedure, Ultrasound-Colour Doppler, Ultrasound, MR, Obstetrics (Pregnancy / birth / postnatal period), Neuroradiology brain, Foetal imaging
Authors:
L. F. LONDOÑO VILLA, R. Llorens Salvador, G. Montoliu, A. Picado Bermúdez; VALENCIA/ES
DOI:
10.26044/ecr2019/C-1743
Conclusion
Based on the results of our study and what has been published in the literature,
it has been seen that fetal MRI facilitates the diagnosis of fetal ICH and better depicts the location and extent of ICH compared to US,
although MRI also has its limitations.
Due to the small number of cases and publications on fetal ICH,
the role of fetal MRI in this entity is not well established.
More studies are needed to be able to unify diagnostic criteria,
define key findings and standardize ICH patterns,
in order to continue assessing their sensitivity and specificity in the management of this pathology.
MRI protocols have changed with the development of new sequences.
Currently,
it is advised to use diffusion-weighted imaging (DWI) and gradient echo T2*-weighted MRI sequences (GRE T2*) in addition to ultrafast T2 and T1 sequences for the assessment of the fetal brain,
especially if there is suspicion of ICH.