Daire A., Andronikou S., Boutall A., Constantatos S., Stewart C., Candy S.E.
Department of Radiology, Groote Schuur Hospital and University of Cape Town, South Africa; Departments of Radiology and Paediatrics, University of Cape Town, South Africa; Department of Radiology, University of Bristol and Bristol Royal Hospital for Children, United Kingdom; Department of Obstetrics and Gynaecology, Groote Schuur Hospital, University of Cape Town, South Africa
Daire, A., Department of Radiology, Groote Schuur Hospital and University of Cape Town, South Africa; Andronikou, S., Departments of Radiology and Paediatrics, University of Cape Town, South Africa, Department of Radiology, University of Bristol and Bristol Royal Hospital for Children, United Kingdom; Boutall, A., Department of Obstetrics and Gynaecology, Groote Schuur Hospital, University of Cape Town, South Africa; Constantatos, S., Department of Obstetrics and Gynaecology, Groote Schuur Hospital, University of Cape Town, South Africa; Stewart, C., Department of Obstetrics and Gynaecology, Groote Schuur Hospital, University of Cape Town, South Africa; Candy, S.E., Department of Radiology, Groote Schuur Hospital and University of Cape Town, South Africa
Background. The Department of Radiology at Groote Schuur Hospital, Cape Town, South Africa, has been performing fetal magnetic resonance imaging (MRI) since 2007. Fetal MRI findings have not previously been analysed to correlate them with antenatal and postnatal findings. Objectives. To determine the most common indication for fetal MRI, and to correlate antenatal MRI with antenatal ultrasound (US), postnatal imaging and postmortem findings. Methods. This was a retrospective study of imaging carried out between January 2006 and December 2011. Seventy fetal MRI cases with complete antenatal and postnatal medical records were included. Antenatal US and antenatal MRI were compared, and also compared with the postnatal imaging findings. Stata 12 was used to analyse the data, and Spearman’s test to test the agreement between the results. Results. Intracranial pathology was the most common indication for fetal MRI, with ventriculomegaly being the commonest indication determined from prenatal US. There was 72% agreement between antenatal US and fetal MRI. Postnatal findings showed 28% agreement with antenatal US and 39% agreement with fetal MRI. Conclusions. Intracranial pathology was the major indication for fetal MRI. There was good agreement between prenatal US and fetal MRI but poor agreement between antenatal and postnatal findings, largely as a result of resolution of ventriculomegaly. © 2015, South African Medical Journal. All Rights Reserved.
adult; angioosteohypertrophy syndrome; Article; brain ventricle dilatation; chromosome aberration; congenital diaphragm hernia; controlled study; cytomegalovirus infection; Dandy Walker syndrome; demography; diagnostic error; echoencephalography; female; fetal magnetic resonance imaging; fetus; genetic counseling; gestational age; holoprosencephaly; human; Klinefelter syndrome; major clinical study; nuclear magnetic resonance imaging; pregnancy termination; prenatal diagnosis; retrospective study; South Africa; trisomy 13