By Ritsuko K. Pooh
Complicated imaging applied sciences corresponding to transvaginal sonography, 3D know-how, and MRIs have spread out a brand new period within the prenatal prognosis and administration of significant anxious method (CNS) abnormalities. An Atlas of Fetal crucial anxious procedure affliction: analysis and administration comprises over a hundred photographs of congenital CNS anomalies and mind accidents in utero. It covers tips to use complex neuroimaging applied sciences for exact CNS analysis and obstetrical administration, offers targeted illustrations of the techniques for postnatal neurosurgical administration, and is helping resolution questions on the timing of mind insult in utero and in cerebral palsy.
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Extra info for An Atlas of Fetal Central Nervous System Disease: Diagnosis and Management
3 Suture width change during normal pregnancy. The change of suture width between 12 and 28 weeks of gestation. Sagittal suture is the widest suture. This fact indicates that transvaginal sonography is a reasonable way to approach the fetal brain INTRACRANIAL STRUCTURE As described in Chapter 2, the brain should be understood as a three-dimensional structure. 9 show normal fetal brain images in the same cutting section at different gestational ages. By use of transvaginal three-dimensional sonography as des cribed in Chapter 3, serial tomographic images in the three orthogonal sections can be demonstrated.
Image courtesy of Dr N. 10). 11). MAGNETIC RESONANCE IMAGING Recently, MRI has frequently been used in the obstetric field for maternal and fetal imaging diagnosis. 12 Magnetic resonance imaging of the fetus ionizing radiation, provides excellent soft tissue contrast; has multiple planes for reconstruction, and a large field of view 22 . 5-signal-acquired single-shot fast spin-echo (SE), halfFourier rapid acquisition with relaxation enhancement (RARE) sequences, has remarkably improved the T2-weighted image resolution despite a short acquisition time, and has minimized fetal and/or maternal respiratory motion artifacts without need of fetal sedation 23 .
Eur Radiol 2002;12:1931–40 25. Kubik-Huch RA, Huisman TA, Wisser J, et al Ultrafast MR imaging of the fetus. AJR 2000;174:1599–606 26. Levine D, Barnes PD. Cortical maturation in normal and abnormal fetuses as assessed with prenatal MR imaging. Radiology 1999;210:751–8 27. Huppert BJ, Brandt KR, Ramin KD, et al Single-shot fast spin-echo MR imaging of the fetus: a pictorial essay. Radiographics 1999; 19:S215–27 28. Amin RS, Nikolaidis P, Kawashima A, et al. Normal anatomy of the fetus at MR imaging.