Fetal MR imaging of congenital diaphragmatic hernia.

Fetal magnetic resonance (MR) imaging plays a number of roles in the evaluation and management of congenital diaphragmatic hernia (CDH). Fetal MR imaging has proved valuable for anatomic assessment, determination of the specific type of CDH on the basis of which organs are involved and the effect of the hernia contents on adjacent structures, evaluation and exclusion of hernia-related complications and associated malformations (some of which may suggest an underlying syndrome), calculation of lung volume and liver herniation measurements, and calculation of the diameters of the pulmonary arteries and aorta. All of these parameters may aid the fetal care team in terms of prenatal counseling and perinatal planning. In addition, fetal MR imaging plays a role in guiding experimental fetal therapy (eg, tracheal balloon occlusion), with preliminary results showing an increase in observed-to-expected lung-to-head ratio and total fetal lung volume during the tracheal occlusion period, leading to improved neonatal survival.

[1]  C. Cassady,et al.  Jugular Vein Hypoplasia Can Preclude Extracorporeal Membrane Oxygenation Cannulation in the Neonate with Congenital Diaphragmatic Hernia: Potential Identification of the Neonate at Risk by Fetal Magnetic Resonance Imaging , 2011, Fetal Diagnosis and Therapy.

[2]  K. Moise,et al.  Impact of prenatal evaluation and protocol-based perinatal management on congenital diaphragmatic hernia outcomes. , 2011, Journal of pediatric surgery.

[3]  T. Crombleholme,et al.  Prenatal pulmonary hypertension index: novel prenatal predictor of severe postnatal pulmonary artery hypertension in antenatally diagnosed congenital diaphragmatic hernia. , 2010, Journal of pediatric surgery.

[4]  J. Jani,et al.  Diagnosis of Congenital Diaphragmatic Hernia , 2010 .

[5]  Peter C. Brugger,et al.  Methods of Fetal MRI , 2010 .

[6]  J. Langer,et al.  Surgical conditions of the diaphragm: posterior diaphragmatic hernias in infants. , 2009, Thoracic surgery clinics.

[7]  S. Dymarkowski,et al.  Evidence and patterns in lung response after fetal tracheal occlusion: clinical controlled study. , 2009, Radiology.

[8]  E. Brownlee,et al.  The hidden mortality of congenital diaphragmatic hernia: a 20-year review. , 2009, Journal of pediatric surgery.

[9]  K. Nicolaides,et al.  Value of prenatal magnetic resonance imaging in the prediction of postnatal outcome in fetuses with diaphragmatic hernia , 2008, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[10]  S. Dymarkowski,et al.  Quantification of intrathoracic liver herniation by magnetic resonance imaging and prediction of postnatal survival in fetuses with congenital diaphragmatic hernia , 2008, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[11]  G. Marchal,et al.  Prenatal prediction of survival in isolated diaphragmatic hernia using observed to expected total fetal lung volume determined by magnetic resonance imaging based on either gestational age or fetal body volume , 2008, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[12]  T. Schaible,et al.  MR lung volume in fetal congenital diaphragmatic hernia: logistic regression analysis--mortality and extracorporeal membrane oxygenation. , 2008, Radiology.

[13]  P. Chiu,et al.  Postnatal management and long‐term outcome for survivors with congenital diaphragmatic hernia , 2008, Prenatal diagnosis.

[14]  S. Dymarkowski,et al.  Fetal body volume at MR imaging to quantify total fetal lung volume: normal ranges. , 2008, Radiology.

[15]  A. Benachi,et al.  Predicting perinatal outcome in isolated congenital diaphragmatic hernia using fetal pulmonary artery diameters. , 2008, Journal of pediatric surgery.

[16]  C. Weiss,et al.  Reliability and validity of MR image lung volume measurement in fetuses with congenital diaphragmatic hernia and in vitro lung models. , 2008, Radiology.

[17]  K. Nicolaides,et al.  Fetal lung volume after endoscopic tracheal occlusion in the prediction of postnatal outcome. , 2008, American journal of obstetrics and gynecology.

[18]  T. Schaible,et al.  Prediction of mortality and need for neonatal extracorporeal membrane oxygenation in fetuses with congenital diaphragmatic hernia: logistic regression analysis based on MRI fetal lung volume measurements. , 2007, AJR. American journal of roentgenology.

[19]  S. Dymarkowski,et al.  Lung volumes in fetuses with congenital diaphragmatic hernia: comparison of 3D US and MR imaging assessments. , 2007, Radiology.

[20]  C. Barnewolt,et al.  Percent predicted lung volumes as measured on fetal magnetic resonance imaging: a useful biometric parameter for risk stratification in congenital diaphragmatic hernia. , 2007, Journal of pediatric surgery.

[21]  G. Marchal,et al.  Fetal body volume: use at MR imaging to quantify relative lung volume in fetuses suspected of having pulmonary hypoplasia. , 2006, Radiology.

[22]  K. Nicolaides,et al.  Fetal lung-to-head ratio in the prediction of survival in severe left-sided diaphragmatic hernia treated by fetal endoscopic tracheal occlusion (FETO). , 2006, American journal of obstetrics and gynecology.

[23]  L. Hornberger,et al.  Fetal pulmonary artery diameter measurements as a predictor of morbidity in antenatally diagnosed congenital diaphragmatic hernia: a prospective study. , 2006, American journal of obstetrics and gynecology.

[24]  Daniela Prayer,et al.  Methods of fetal MR: beyond T2-weighted imaging , 2006 .

[25]  T. Honna,et al.  Liver position in fetal congenital diaphragmatic hernia retains a prognostic value in the era of lung-protective strategy. , 2005, Journal of pediatric surgery.

[26]  C. Garel,et al.  Prenatal prognosis of congenital diaphragmatic hernia using magnetic resonance imaging measurement of fetal lung volume , 2005, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[27]  J. Graziano.  Cardiac anomalies in patients with congenital diaphragmatic hernia and their prognosis: a report from the Congenital Diaphragmatic Hernia Study Group. , 2005, Journal of pediatric surgery.

[28]  Jan Deprest,et al.  Fetoscopic tracheal occlusion (FETO) for severe congenital diaphragmatic hernia: evolution of a technique and preliminary results , 2004, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[29]  K. Palmér,et al.  Neonates with congenital diaphragmatic hernia have smaller neck veins than other neonates-An alternative route for ECMO cannulation. , 2002, Journal of pediatric surgery.

[30]  J. Smallhorn,et al.  Fetal pulmonary artery diameters and their association with lung hypoplasia and postnatal outcome in congenital diaphragmatic hernia. , 2002, American journal of obstetrics and gynecology.

[31]  D. Timmerman,et al.  Associated malformations and chromosomal anomalies in 42 cases of prenatally diagnosed diaphragmatic hernia. , 2001, American journal of medical genetics.

[32]  T. Metens,et al.  Fetal lung volume: estimation at MR imaging-initial results. , 2001, Radiology.

[33]  Deborah Levine,et al.  Fast Fetal Magnetic Resonance Imaging Techniques , 2001, Topics in magnetic resonance imaging : TMRI.

[34]  A. Hubbard,et al.  Assessment of fetal lung volumes and liver herniation with magnetic resonance imaging in congenital diaphragmatic hernia. , 2000, American journal of obstetrics and gynecology.

[35]  R. Goldstein,et al.  Fetal liver position and perinatal outcome for congenital diaphragmatic hernia , 1998, Prenatal diagnosis.

[36]  R. Filly,et al.  Sonographic predictors of survival in fetal diaphragmatic hernia. , 1996, Journal of pediatric surgery.

[37]  D. Fauza,et al.  Congenital diaphragmatic hernia and associated anomalies: their incidence, identification, and impact on prognosis. , 1994, Journal of pediatric surgery.