Andrzej Urbanik MD, Presenter: Nothing to Disclose

Izabela Herman-Sucharska MD, PhD, Abstract Co-Author: Nothing to Disclose

A. Glen, Abstract Co-Author: Nothing to Disclose

A. Mamak-Balaga, Abstract Co-Author: Nothing to Disclose

D. Pawlik, Abstract Co-Author: Nothing to Disclose

Amira Bryll MD, Abstract Co-Author: Nothing to Disclose

R. Lauterbach, Abstract Co-Author: Nothing to Disclose

00030490-DMT et al, Abstract Co-Author: Nothing to Disclose

The purpose of the study was to determine a diagnostic value of the MR foetus lungs volume measuring in prognoses for cardiovascular and respiratory insufficiencies after the delivery.  

150 MR were performed in pregnant women with suspected foetus defects. MR was performed with the 1.5T Excite (GE), torso surface coil, SSFSET2 sequence. The Functool software has been used to determine a volume of foetus lungs referred to the pertinent volume standard parameters for respective weeks of the foetus age. Obtained results were compared with infants' clinical state after the delivery: birth weight, APGAR scale, the use of respiratory support system or, in case of death, pathomorphological examination.  

The lungs volume in 119 foetuses has matched their age standards, in 31 cases was smaller. In MR diagnosis of the latter suffered: 22 lung hypoplasias, 2 lung congestion and dystrophy, 5 cardiomegaly, 1 cardiac tumour, 1 teratoma and 2 diaphragmatic hernias. After the delivery 9 of these 31 foetuses died, 22 had cardiovascular and respiratory defect symptoms. In the newborns with proper lung volumes on foetal MR, only 3 showed a respiratory and cardiovascular insufficiency, most likely resulted from a coexistent defect of the CSN.  

In cases where foetal MR indicated to a lowered volume of lungs, infants after the delivery suffered cardiovascular and respiratory insufficiencies. The prenatal MR evaluation of a foetus lungs volume can become a prognostic factor in the planning of postnatal care at risk possible cardiovascular and respiratory insuffitiency.  

 

Urbanik, A, Herman-Sucharska, I, Glen, A, Mamak-Balaga, A, Pawlik, D, Bryll, A, Lauterbach, R, et al, 0, Foetus Lungs Volume in MR Examinations as Prognostic Factor for Cardiovascular and Respiratory Defects of Neonates.  Radiological Society of North America 2009 Scientific Assembly and Annual Meeting, November 29 - December 4, 2009 ,Chicago IL. http://archive.rsna.org/2009/8010583.html