Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2024, 168(4):326-331 | DOI: 10.5507/bp.2024.008

Fetal magnetic resonance imaging in the confirmation of congenital anomalies found on routine mid-trimester ultrasound

Ishraq Dhaifalah1, 2, Marek Godava1, Jana Havalova2, Pavla Hanzlikova3, Kamila Michalkova4, Lenka Bakaj Zbrozkova4, Jakub Civrny4, Howard Cuckle5
1 FETMED (Fetal Medicine Center, Genetics and Gynecology), Olomouc, Czech Republic
2 Department of Obstetrics and Gynecology, Tomas Bata Regional Hospital, Zlin, Czech Republic
3 Department of Imaging Methods, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic
4 Department of Imaging Methods, Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic
5 Department of Obstetrics and Gynaecology, Faculty of Medicine, Tel Aviv University, Israel

Objective: To determine the added value of fetal magnetic resonance imaging (MRI) when clarifying a suspected anomaly detected by mid-trimester scan.

Methods: Women attending two centers of fetal medicine between January 2017 and December 2021 were identified. The centers carried out routine mid-trimester ultrasound scans to detect fetal anomalies. Those with a suspected anomaly which required further clarification were referred for fetal magnetic resonance imaging (MRI). The medical records of all referred women were examined to determine the anomalies found at scan, MRI and termination of pregnancy or delivery. A total of 9571 women had a routine mid-trimester scan and an anomaly was either diagnosed or suspected in 449 (4.7%); an MRI examination was made in 76 cases (0.79%).

Results: MRI confirmed the presence of an abnormality in 61 referrals (80%) and failed to yield a result in one case. Outcome information was available for 69 cases: the MRI confirmation rate was 89% (48/54) in those with abnormal outcome and 40% (6/15) if the outcome was normal, P

Keywords: magnetic resonance imaging, anomaly scan, mid-trimester, prenatal diagnosis, developmental

Received: November 20, 2023; Revised: February 29, 2024; Accepted: February 29, 2024; Prepublished online: March 4, 2024; Published: November 22, 2024  Show citation

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Dhaifalah, I., Godava, M., Havalova, J., Hanzlikova, P., Michalkova, K., Bakaj Zbrozkova, L., Civrny, J., & Cuckle, H. (2024). Fetal magnetic resonance imaging in the confirmation of congenital anomalies found on routine mid-trimester ultrasound. Biomedical papers, 168(4), 326-331. doi: 10.5507/bp.2024.008
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