Ultrasound imaging is the primary fetal monitoring modality during
pregnancy, nevertheless fetal
MRI is increasingly used to image anatomical regions and structures difficult to see with
sonography. Given its long record of
safety, utility, and cost-effectiveness,
ultrasound will remain the modality of first choice in fetal screening. However,
MRI is beginning to fill a niche in situations where
ultrasound does not provide enough information to diagnose abnormalities before the baby's birth.
Magnetic resonance imaging of the fetus provides
multiplanar views also in sub-optimal positions, better characterization of anatomic details of e.g. the fetal
brain, and information for planning the mode of delivery and airway management at birth.
Indications:
•
Examinations of the placenta
Modern fetal
MRI requires no sedatives or muscle relaxants to control fetal movement. Ultrafast
MRI techniques (e.g.,
single shot techniques like
Half Fourier Acquisition Single shot Turbo spin Echo HASTE) enable images to be acquired in less than one
second to eliminate fetal motion. Such technology has led to increased usage of fetal
MRI, which can lead to earlier diagnosis of conditions affecting the baby and has proven useful in planning fetal surgery and designing postnatal treatments. As MR technology continues to improve, more advances in the prenatal diagnosis and treatment of fetal abnormalities are to expect. More advances in in-utero interventions are likely as well. Eventually, fetal
MRI may replace even some prenatal tests that require invasive procedures such as amniocentesis.
For Ultrasound Imaging (USI) see
Fetal Ultrasound at
Medical-Ultrasound-Imaging.com.