The prognostic role of prenatal MRI volumetric assessment in fetuses with isolated ventriculomegaly
The prognostic role of prenatal MRI volumetric assessment in fetuses with isolated ventriculomegaly
Gezer NS, Güleryüz H, Gezer C, Koçyiğit A, Yeşilırmak D, Ekin A, Bilgin M, Ertaş İE. The prognostic role of prenatal MRI volumetric assessment in fetuses with isolated ventriculomegaly. Turk J Pediatr 2015; 57: 266-271. In this prospective study, we aimed to establish the value of volumetric assessment by prenatal brain MRI in determining the prognosis of fetuses with isolated VM. A total of 23 fetuses with isolated VM were included in the study. Supratentorial cerebral parenchyma volume (PV) and ventricular volume (VV) were measured, and supratentorial ventricular/parenchymal volume (VV/PV) ratios were calculated. Pregnancy and postnatal neurodevelopmental outcomes up to two years of age were obtained and correlated with the volumetric measurements. VV was found to be strongly and positively correlated with ventricular dimension. There was a statistically significant difference between the VV/PV ratios of the good and poor prognosis groups into which the cases had been categorized. The fetuses with a poor prognosis had a significantly higher VV/PV ratio.Volumetric parenchymal and ventricular measurements obtained by fetal brain MRI may contribute to future clinical studies concerning the evaluation of fetuses with VM and provide an important indicator in cases where management dilemmas arise.
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- 1. Kelly EN, Allen VM, Seaward G, Windrim R, Ryan G. Mild ventriculomegaly in the fetus, natural history, associated findings and outcome of isolated mild ventriculomegaly: a literature review. Prenat Diagn 2001; 21: 697-700.
- 2. Salomon LJ, Ouahba J, Delezoide AL, et al. Thirdtrimester fetal MRI in isolated 10- to 12-mm ventriculomegaly: is it worth it? BJOG 2006; 113: 942-947.
- 3. Siegelman ES. Body MRI. Philadelphia, PA: Elsevier Saunders 2005; 343-369.
- 4. Hilpert PL, Hall BE, Kurtz AB. The atria of the fetal lateral ventricles: a sonographic study of normal atrial size and choroid plexus volume. AJR Am J Roentgenol 1995; 164: 731-734.
- 5. Durfee SM, Kim FM, Benson CB. Postnatal outcome of fetuses with the prenatal diagnosis of asymmetric hydrocephalus. J Ultrasound Med 2001; 20: 263-268.
- 6. Gupta JK, Bryce FC, Lilford RJ. Management of apparently isolated fetal ventriculomegaly. Obstet Gynecol Surv 1994; 49: 716-721.
- 7. Lipitz S, Yagel S, Malinger G, Meizner I, Zalel Y, Achiron R. Outcome of fetuses with isolated borderline unilateral ventriculomegaly diagnosed at mid-gestation. Ultrasound Obstet Gynecol 1998; 12: 23-26.
- 8. Senat MV, Bernard JP, Schwärzler P, Britten J, Ville Y. Prenatal diagnosis and follow-up of 14 cases of unilateral ventriculomegaly. Ultrasound Obstet Gynecol 1999; 14: 327-332.
- 9. Kinzler WL, Smulian JC, McLean DA, Guzman ER, Vintzileos AM. Outcome of prenatally diagnosed mild unilateral cerebral ventriculomegaly. J Ultrasound Med 2001; 20: 257-262.
- 10. Kazan-Tannus JF, Dialani V, Kataoka ML, et al. MR volumetry of brain and CSF in fetuses referred for ventriculomegaly. AJR Am J Roentgenol 2007; 189: 145-151.
- 11. Leitner Y, Stolar O, Rotstein M, et al. The neurocognitive outcome of mild isolated fetal ventriculomegaly verified by prenatal magnetic resonance imaging. Am J Obstet Gynecol 2009; 201: 215.e1-e6.
- 12. Ouahba J, Luton D, Vuillard E, et al. Prenatal isolated mild ventriculomegaly: outcome in 167 cases. BJOG 2006; 113: 1072-1079.
- 13. Grossman R, Hoffman C, Mardor Y, Biegon A. Quantitative MRI measurements of human fetal brain development in utero. Neuroimage 2006; 33: 463-470.
- 14. Pier DB, Levine D, Kataoka ML, et al. Magnetic resonance volumetric assessments of brains in fetuses with ventriculomegaly correlated to outcomes. J Ultrasound Med 2011; 30: 595-603.