TY - JOUR T1 - Prenatal Tanıda Fetal Manyetik Rezonans Görüntülemenin Rolü TT - The Role of Fetal Magnetic Resonance Imaging in Prenatal Diagnosis AU - Özalp, Miraç AU - Demir, Ömer AU - Dinç, Gülseren AU - Şal, Hidayet AU - Aran, Turhan AU - Osmanağaoğlu, Mehmet Armağan AU - Kul, Sibel PY - 2020 DA - June DO - 10.16948/zktipb.611941 JF - Zeynep Kamil Tıp Bülteni PB - Zeynep Kamil Kadın ve Çocuk Hastalıkları EAH WT - DergiPark SN - 1300-7971 SP - 73 EP - 77 VL - 51 IS - 2 LA - tr AB - ÖZETAmaçÜçüncü basamakmerkezimizde klinisyenler tarafından tercih edilen fetal MRG endikasyonlarınınincelenmesi ve MRG’nin ultrasonbulgularına olan ek tanısal katkısının ortaya konmasıdır.Gereç ve Yöntem2016-2018 yıllarıarasında fetal MRG yapılan 322 olgu retrospektif olarak incelendi. Fetallezyonlar organ sistemlerine göre sınıflandırıldı ve klinisyenlerinendikasyonları belirlendi. Prenatal dönemde yapılan fetal ultrason ve MRGsonuçları değerlendirildi. BulgularMRG çekilen 322fetüsün endikasyonlarının dağılımı; 138’inde (%42.8) santral sinir sistemianomalileri, 99’unda (%30.7) plasental anomaliler, 36’sında (%11.2) genitoürinersistem anomalileri, 18’inde (%5.6) solunum sistemi anomalileri, 17’sinde (%5.3)maternal faktör, 13’ünde (%4) baş, boyun, yüz anomalileri ve 1’inde (%0.4)fetal faktör olarak belirlendi.Tüm endikasyonlarincelendiğinde MRG ile ek bulgu saptanan olgu sayısı 13’tür (%4.03). Santralsinir sistemi anomalileri 7 olgu ile en sık ek bulgu saptanan gruptur, bu grupiçerisinde fetal MRG %5.07 oranında ek katkı sunmuştur. Sırasıyla genitoürinersistem anomalileri olan grupta 3 ek bulgu (%8.33 oranında ek katkı), maternalendikasyonlar grubunda 2 ek bulgu (%11.7 oranında ek katkı) ve solunum sistemianomalileri olan grupta 1 ek bulgu (%5.55 oranında ek katkı) olduğu görüldü.SonuçUltrasonografininyetersiz kaldığı hallerde uygun perinatal yönetim ve danışmanlık için fetal MRGgiderek artan sıklıkta kullanılmaktadır. MR cihazlarının daha ulaşılabilirolması, bu alandaki uzmanlığın artması ve MRG teknolojisindeki ileri gelişmeler,bu modalitenin perinatoloji alanında daha yaygın kullanımı ile sonuçlanacaktır. KW - Prenatal tanı KW - fetal manyetik rezonans görüntüleme KW - fetal ultrasonografi N2 - ABSTRACTObjectiveThe aim of thisstudy is to investigate the fetal MRI indications preferred by clinicians inour tertiary care center and to reveal the additional diagnostic contributionof MRI to ultrasound findings.Material and MethodBetween2016-2018, 322 cases who underwent fetal MRI were evaluated retrospectively.Fetal lesions were classified according to organ systems and indications ofclinicians were determined. Prenatal fetal ultrasound and MRI results wereevaluated.ResultsDistribution ofindications of 322 fetuses with fetal MRI; Central nervous system anomalies in138 (42.8%), placental anomalies in 99 (30.7%), genitourinary system anomaliesin 36 (11.2%), respiratory system anomalies in 18 (5.6%), 17 (5.3%) maternalfactor, 13 (4.0%) head, neck, face anomalies and 1 (0.4%) fetal factor.When allindications were examined, 13 (4.03%) patients had additional findings withMRI. Central nervous system anomalies were the most common additional findingwith 7 cases, fetal MRI contributed 5.07% in this group. There were 3additional findings (8.33% additional contribution) in the group withgenitourinary system abnormalities, 2 additional findings (11.7% additionalcontribution) in the maternal indications group and 1 additional finding (5.55%additional contribution) in the group with respiratory system anomalies,respectively.ConclusionFetal MRI is increasinglyused for proper perinatal management and counseling in cases whereultrasonography is inadequate. The availability of MRI devices, the increase inexpertise in this field and the advancements in MRI technology will result inthe more widespread use of this modality in the field of Perinatology. CR - Patenaude Y, Pugash D, Lim K, Morin L, Lim K, Bly S, et al.; Diagnostic Imaging Committee, The use of magnetic resonance imaging in the obstetric patient. J Obstet Gynaecol Can. 2014;36(4):349-63. CR - Palladini D, Volpe P. Anatomic survey of the fetus and early diagnosis of fetal anomaly. In: Ville edit. 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