"pre-interventional planning"
"Imaging in the first trimester was hystorically not recommended. The ACR states that no specific trimester is considered higher-risk than another for MR imaging, and no special precautions are advised based on gestational timing even in the first trimester 13. Pregnant patients may undergo MR imaging at any gestational stage provided a Level 2 MR personnel-designated attending radiologist determines that the risk–benefit ratio justifies the examination 13. While high levels of acoustic exposure have been linked to low birth weights, shorter gestations and hearing loss, the use of 1.5 T MRI in the 2nd and 3rd trimesters has not been associated with hearing abnormality in multiple studies."
"Imaging in the first trimester was hystorically not recommended. The ACR states that no specific trimester is considered higher-risk than another for MR imaging, and no special precautions are advised based on gestational timing even in the first trimester 13. Pregnant patients may undergo MR imaging at any gestational stage provided a Level 2 MR personnel-designated attending radiologist determines that the risk–benefit ratio justifies the examination 13. While high levels of acoustic exposure have been linked to low birth weights, shorter gestations and hearing loss, the use of 1.5 T MRI in the 2nd and 3rd trimesters has not been associated with hearing abnormality in multiple studies."
"check cranial vault, BPD, OFD and HC"
"check cranial vault, BPD, OFD and HC"
"OFD measured outer to outer"
"HC = (OFD + BPD)/2*π"
"HC = (OFD + BPD)/2*π"
"correct plane slightly above the BPD/HC plane"
"the correct plane is just below the BPD/HC plane, tilted to the posterior fossa"
"renal pelvis 5 mm AP or less"
"Cerebellum and cisterna magna"
"Dandy-Walker spectrum"
"Pierre Robin, cleft lip and palate"
"35 weeks: T1 images show hyperintensity in the basal ganglia (due to myelin in ventrolateral nuclei, posterior internal capsule, and globus pallidus). T2 images show hypointensity in ventrolateral nuclei, lateral lentiform nuclei, and posterior internal capsule, with the globus pallidus also possibly hypointense around 33-34 weeks 12"
Expected headings
"General indications"
"Specific indications"
"Limitations"
"Standard sequences"
"Biosafety"
"Practical approach"
"Review pregnancy structures"
"Review fetal signs of life"
"Review central nervous system"
"Review face and calvarium"
"Review spine"
"Review body"
"Review limbs"
"Review imaged maternal structures"
"Fetal MRI allows for detailed imaging of the developing fetus in utero. Fast sequences are required due to fetal movement 1. Fetal MRI is most commonly utilised when ultrasound findings are equivocal. Fetal anatomy can be evaluated in detail including the brain, upper aerodigestive tract, thorax, pelvis and abdomen. Imaging can be performed from the second trimester 2. Biosafety and small fetal size in the first trimester makes fetal MRI of equivocal/controversial use prior to the second trimester 2."
"assessment of suspected masses, malformations or dysplasias"
"check cranial vault, BPD, OFD and HC"
"familial disorders (e.g. tuberous sclerosis, lissencephaly, corpus callosal dysgenesis)"
"suspected genitourinary anomaly, inadequately assessed by ultrasound (e.g. secondary to severe oligohydramnios)"