Share:
Share this content in WeChat
X
Clinical Article
Application of MRI in the nonimmune hydrops fetalis
WANG Jing-shi  YU Hong  HAN Fang  WANG Li-jun 

DOI:10.12015/issn.1674-8034.2017.03.009.


[Abstract] Objective: To investigate the clinical value of prenatal MRI in the diagnosis of nonimmune hydrops fetalis.Materials and Methods: The retrospective analysis of 8 cases of fetal nonimmune hydrops MRI images from May, 2015 to October, 2016.Results: Eight cases were diagnosed of typical nonimmune hydrops fetalis after the autopsy or diagnosed after birth. The causes of the disease included: fetal lung congenital cystic adenomatoid malformation (CCAM) 25% (2/8), congenital chylothorax (25%, 2/8), meconium peritonitis (25%, 2/8), cardiovascular abnormalities (12.5%, 1/8) and of intrauterine hypoxia (12.5%, 1/8). Four cases have shown favorable prognosis after treatment or surgery, while 4 cases died after the birth (including induced labour).Conclusions: The causes of nonimmunologic hydrops fetalis are complex. Evaluation on MRI diagnosis can effectively indicate the causes and degree of fetal hydrops, which is an important test means for prenatal evaluation on nonimmune hydrops fetalis.
[Keywords] Fetus;Hydrops fetalis;Magnetic resonance imaging

WANG Jing-shi Department of Radiology, Dalian Municipal Women and Children’s Medical Center, Dalian 116000, China

YU Hong Department of Radiology, Dalian Municipal Women and Children’s Medical Center, Dalian 116000, China

HAN Fang Department of Radiology, Affiliated Zhongshan Hospital of Dalian University, Dalian 116011, China

WANG Li-jun* Department of Radiology, The First Affiliated Hospital of Dalian Medical University, Dalian 116033, China

*Correspondence to: Wang LJ, E-mail: wanglj345@163.com

Conflicts of interest   None.

Received  2016-11-14
Accepted  2017-01-25
DOI: 10.12015/issn.1674-8034.2017.03.009
DOI:10.12015/issn.1674-8034.2017.03.009.

[1]
汝承林,王峰,雷进.超声诊断胎儿脐带水肿1例.中国医学影像技术, 2011, 27(3): 478-478
[2]
陈丽英,蔡爱露.胎儿影像诊断学.北京:人民卫生出版社, 2014: 113, 202.
[3]
Turgal M, Ozyuncu O, Boyraz G, et al. Non-immune hydrops fetalis as a diagnostic andsurvival problems: what do we tell the parents? J Perinat Med, 2015, 43(3): 353-358.
[4]
Norton E, Chauhan SP, Dashe JS. Society for maternal-fetal medicine (SMFM) clinical guideline: nonimmune hydrops fetalis. Am J Obstet Gynecol, 2015, 212(2): 127-139.
[5]
李静,王二利,王丽娜.超声诊断胎儿水囊状淋巴瘤伴胎儿水肿一例.中华医学超声杂志(电子版), 2011, 8(12): 2613-2614.
[6]
林莲恩.超声诊断胎儿水肿的临床价值(附545例分析).微创医学, 2011, 6(3): 257-258
[7]
Bianchi DW, Crombleholme TM, D' Alton ME, et al. Fetology: diagnosis and management of the fetal patient. United States: McGraw-Hill Education/Medical, 2007: 840-845.
[8]
Randenberg AL. Nonimmune hydrops fetalis part Ⅱ: does etiology influence mortality? Neonatal Netw, 2010, 29(6): 367.
[9]
Donofrio MT, Moon-Grady AJ, Hornberger LK, et al. Diagnosis and treatment of fetal cardiac disease: a scientific statement from the American Heart Association. Circulation, 2014, 129(21): 2183-2242.
[10]
董素贞,朱铭,李奋,等.胎儿先天性心脏病MRI诊断的初步探讨.中华临床医师杂志(电子版), 2012, 6(22): 7156-7160.
[11]
董素贞,朱铭,钟玉敏,等.胎儿先天性膈疝MRI诊断的探讨.中华放射学杂志, 2009, 43(11): 1148-1151.
[12]
董素贞,朱铭,毛建平,等.胎儿继发性肺发育不良的MRI评价.临床放射学杂志, 2008, 27(10): 1378-1382.
[13]
Crombleholme TM, Leichtly KW, Howell LJ, et al. Cystic adenomatoid malformation volume ratio predicts outcome in prenatally diagnosed cystic adenomatoid malformation of the lung. J Pediatr Surg, 2002, 37(3): 331-338.
[14]
A1-Tawil K, Ahmed G, AL-Hathal M, et al. Congenital chylothorax. Am J Perinatol, 2000, 17(3): 121-126.
[15]
Yeang CH, Ma GC, Shih JC, et al. Genome-wide gene expression analysis implicates the immune response and lymphangiogenesis in the pathogenesis of fetal chylothorax. Plos One, 2012, 7(4): e34901-e34901.
[16]
马继东,冯翠竹,王莹,等. 30例胎粪性腹膜炎患儿的产前诊断、围产期管理与治疗效果.中华围产医学杂志, 2013, 16(11): 668-672.
[17]
黄轩,方群,刘钧澄,等.复杂性胎粪性腹膜炎胎儿产前超声征象与新生儿结局的探讨.中国新生儿科杂志, 2009, 24(2): 85-88.
[18]
邵剑波,马慧静,郑楠楠,等. MRI在诊断胎儿肠梗阻中的临床应用.中华放射学杂志, 2014, 48(12): 982-986.
[19]
Bellini C, Hennekam RC, Fulcher E, et al. Etiology of nonimmune hydrops fetalis: a systematic review. Am J Med Genet A, 2009, 149A(5): 844-851.
[20]
Florence H, Coralie D, Pierre B, et al. Does prenatal MRI enhance fetal diagnosis of intra-abdominal cysts? Prenat Diagn, 2015, 35(7): 669-674.
[21]
Saguintaah M, Couture A, Veyrac C, et al. MRI of the fetal gastrointestinal tract. Pediatr Radiol, 2002, 32(6): 395-404.
[22]
Yinon Y, Grisaru-Granovsky S, Chaddha V, et al. Perinatal outcome following fetal chest shunt insertion for pleural effusion. Ultrasound Obstet Gynecol, 2010, 36(1):58-64.

PREV A fMRI study on the amplitude of low-frequency fluctuation and functional connectivity in resting-state of sensorimotor network of primary hyperthyroidism individuals
NEXT Value of magnetic resonance imaging combined with diffusion-weighted MR tumor volumetry in the diagnosis of TN staging for rectal cancer
  



Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn