The relationship between three signs of fetal magnetic resonance imaging and severity of congenital diaphragmatic hernia.
J Perinatol
; 37(3): 265-269, 2017 03.
Article
em En
| MEDLINE
| ID: mdl-27977015
ABSTRACT
OBJECTIVE:
To seek a simple approach for prenatally classifying congenital diaphragmatic hernia (CDH) severity using fetal magnetic resonance imaging (MRI) markers. STUDYDESIGN:
A retrospective, multicenter study using questionnaires to investigate fetal MRI findings. We included fetuses prenatally diagnosed with isolated left-sided CDH and delivered after 36 weeks of gestation. We focused on three fetal MRI morphological signs incomplete pulmonary baseline (IPB), liver up (LU) and retrocardiac stomach (RCS). We also evaluated the fetal MRI score defined as the total number of positive signs; the primary outcome was survival at discharge.RESULTS:
In 256 patients (from 56 institutions), IPB, LU and RCS findings correlated with lower survival odds ratio (95% confidence interval), 0.16 (0.08 to 0.33); 0.24 (0.12 to 0.51); and 0.14 (0.07 to 0.28); respectively. Patients with higher fetal MRI scores had a higher mortality rate.CONCLUSION:
IPB, LU and RCS on fetal MRI are related to CDH severity.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Diagnóstico Pré-Natal
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Imageamento por Ressonância Magnética
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Feto
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Hérnias Diafragmáticas Congênitas
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article