Prenatal diagnosis and outcome of fetal posterior fossa fluid collections

Colleoni, Giulia Gandolfi; Contro, E.; Carletti, A.; Ghi, T.; Campobasso, G.; Rembouskos, G.; Volpe, G.; Pilu, Gianluigi; Volpe, P.

doi:10.1002/uog.11071

Cited by 119 publications

(95 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1,11,22 Therefore, the exact diagnosis and accurate prognosis given to the soon-to-be parents are crucial for the their understanding of the consequences of these malformations. The establishment of a diagnosis of PF malformation is based on several parameters, including anatomy, morphology, and biometry.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, some previously reported studies showed no benefit in diagnosing PF malformations by using MR imaging compared with ultrasound. 4,22,25 However, the increasing use of fetal MR imaging examinations after ultrasound screening to diagnose cerebral pa- thologies enables us to expand our biometric data to finer structures such as the vermian lobes and the brain stem. The vermian primary fissure is difficult to recognize by using ultrasound, making it difficult to differentiate between the vermian lobes.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Normal Fetal Posterior Fossa in MR Imaging: New Biometric Data and Possible Clinical Significance

Ber¹,

Bar‐Yosef²,

Hoffmann

et al. 2015

AJNR Am J Neuroradiol

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Normal Fetal Posterior Fossa in MR Imaging: New Biometric Data and Possible Clinical Significance

Ber¹,

Bar‐Yosef²,

Hoffmann

et al. 2015

AJNR Am J Neuroradiol

View full text Add to dashboard Cite

show abstract

“…As distinct defects associated with various pregnancy outcomes may have similar ultrasonographic appearance, prenatal differentiation remains an issue for the sonographers [24]. Despite challenging diagnosis, the current classification of the posterior fossa defects is even more confusing -the terminology and the knowledge about this group of CNS defects continue to evolve [25,26].…”

Section: Posterior Fossa Abnormalitiesmentioning

confidence: 99%

“…Despite challenging diagnosis, the current classification of the posterior fossa defects is even more confusing -the terminology and the knowledge about this group of CNS defects continue to evolve [25,26]. Nonetheless, some studies report up to 90% accuracy of neurosonography, when performed by experts [24].…”

Section: Posterior Fossa Abnormalitiesmentioning

confidence: 99%

See 1 more Smart Citation

Three-dimensional neurosonography — a novel field in fetal medicine

Lipa¹,

Pooh²,

Wielgoś³

2017

Ginekol Pol

View full text Add to dashboard Cite

Neurosonography is a promising technique for prenatal diagnosis, combining features of ultrasound imaging with fetal neurology. The brain is a three-dimensional structure, therefore observing brain structure in the three basic planes (sagittal, coronal and axial) is mandatory. The anterior fontanelle and sagittal suture may serve as acoustic ultrasound windows in the transvaginal brain scan, allowing to obtain high-resolution neuroimages of the intracranial structures. Furthermore, three-dimensional (3D) ultrasound combined with the transvaginal brain approach provides detailed and sophisticated neuroimages. Three orthogonal planes of the brain, tomographic ultrasound imaging (TUI) and other off-line approaches (e.g. volume contrast imaging (VCI) or HDlive silhouette imaging) may be obtained from a single 3D dataset. 3D Doppler ultrasound enables visualization of the intracerebral vascularity, allowing to obtain more precise information on cerebral perfusion. Various abnormal brain conditions, including ventriculomegaly, agenesis of the corpus callosum, posterior fossa abnormalities and others, can be well-demonstrated. Due to high rates of the associated anomalies and uncertain prognosis, any suspicion of CNS abnormalities shall imply detailed ultrasonographic evaluation of the fetal anatomy to exclude the associated anomalies. Despite a growing number of neuroimaging modalities, prenatal counselling remains a challenge as prediction of brain functionality and the neurological prognosis often remain uncertain. New investigations on the relations between various migration disorders and gene mutations, as well as recent clinical research on the relations between neuroimaging detection of local migration disorders using sophisticated imaging technologies and the postnatal neurological prognosis will contribute to the development of maternal-fetal medicine as well as pediatric neurology.

show abstract