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• Clinical Article •
The diagnosis and prognosis of the fetal nervous system abnormalities by the ultrasound combined with MRI
ZHANG Xu-hui  CHEN Xiao-rong  ZHANG Shan-shan 

DOI:10.12015/issn.1674-8034.2016.07.002.


[Abstract] Objective: To investigate the diagnosis values of the fetal nervous system abnormalities by the ultrasound combined with MRI and analysis the relevant prognosis.Materials and Methods: From february 2011 to january 2015, selected 28 cases of fetal central nervous system abnormalities ultrasonic tips or suspicious abnormalities in pregnant women in our hospital, all the pregnant women were given the both ultrasound and MRI for diagnosis and to investigate the situation on the prognosis.Results: By the ultrasound diagnosis, there were 20 cases of tips fossa abnormalities (which 16 cases with cisterna widened, 2 cases with Dandy-walker malformation, 2 cases with cerebellar hypoplasia). Four case with cystic intracranial space-occupying four cases, 3 cases with microcephaly, 1 case with septum cavity abnormal. By the MRI diagnosis, there were 4 cases with normal fetal nervous system, 19 cases of tips fossa abnormalities (which 15 cases with cisterna widened, 2 cases with Dandy-walker malformation, 2 cases with cerebellar hypoplasia). Three case with cystic intracranial space-occupying four cases, 2 cases with microcephaly. Through investigation and followed-up contrast, The ultrasound diagnosis consistent rates was 78.6%, so that were 100.0% by the MRI diagnosis that compared were significantly difference (P<0.05). Twenty-eight cases of 19 cases of normal birth, 7 cases were abortion , 2 cases of fetal death.Conclusion: Relative to the ultrasound, MRI of the fetal nervous system abnormalities has better consistent rates of diagnosis, prognosis is conducive to both joint use is important basis for the clinician to determine the treatment program.
[Keywords] Ultrasound；MRI；fetal nervous system abnormalities；prognosis

ZHANG Xu-hui Department of Imaging, Dongfeng Hospital, Hubei University of Medicine, Shiyan 442008, China

CHEN Xiao-rong Department of Imaging, Dongfeng Hospital, Hubei University of Medicine, Shiyan 442008, China

ZHANG Shan-shan Department of Imaging, Dongfeng Hospital, Hubei University of Medicine, Shiyan 442008, China

Conflicts of interest   None.

ACKNOWLEDGMENTS  Science and technology research project of Shiyan City No. 14Y52
Received  2016-03-16
Accepted  2016-05-06
DOI: 10.12015/issn.1674-8034.2016.07.002
DOI:10.12015/issn.1674-8034.2016.07.002.

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