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Multidisciplinary Approach To Fetal Neurology In Acibadem University and In The World

Year 2010, Issue: 1, 5 - 8, 01.03.2010

Abstract

Child health evaluation begins in the antenatal period, and fetal well being is now assessed in more detail than ever. Over the last few years, MRI has been increasingly used in conjunction with ultrasound, which is a proven method of antenatal diagnosis. Fetal MRI has been accepted as an eff ective method for the assessment of fetal central nervous system CNS structural abnormalities. Assessment of fetal CNS by an experienced multidisciplinary group of specialists can be more successful in this highly complex fi eld of medicine. Interdisciplinary cooperation and education should be a priority for clinical decision making and appropriate consultation of the families

References

  • Guibaud L. Contribution of fetal cerebral MRI for diagnosis of structural anomalies. Prenat Diagn. 2009 Apr;29(4):420-33.
  • Cannie M, Jani J, Dymarkowski S, Deprest J. Fetal magnetic resonance imaging: luxury or necessity? Ultrasound Obstet Gynecol. 2006 May;27(5):471-6.
  • Coakley FV, Glenn OA, Qayyum A, Barkovich AJ, Goldstein R, Filly RA. Fetal MRI: a developing technique for the developing patient. AJR Am J Roentgenol. 2004 Jan;182(1):243-52.
  • Levine D. Atlas of Fetal MRI. FL; 2005.
  • Dammann O, Leviton A. Neuroimaging and the prediction of outcomes in preterm infants. N Engl J Med. 2006 Aug 17;355(7):727-9.
  • Lan LM, Yamashita Y, Tang Y, Sugahara T, Takahashi M, Ohba T, et al. Normal fetal brain development: MR imaging with a half-Fourier rapid acquisition with relaxation enhancement sequence. Radiology. 2000 Apr;215(1):205-10.
  • Reeves MJ WE, Paley MNJ, Griffi ths PD. The Current Role of Fetal Magnetic Resonance Imaging. Fetal and Maternal Medicine Review. 2008;19(1):33-60.
  • Griffi ths PD, Reeves MJ, Morris JE, Mason G, Russell SA, Paley MN, et al. A Prospective Study of Fetuses with Isolated Ventriculomegaly Investigated by Antenatal Sonography and In Utero MR Imaging. AJNR Am J Neuroradiol. 2009 Sep 17.
  • Levine D, Barnes PD, Robertson RR, Wong G, Mehta TS. Fast MR imaging of fetal central nervous system abnormalities. Radiology. 2003 Oct;229(1):51-61.
  • Griffi ths PD, Paley MN, Whitby EH. MR imaging of the fetal brain and spine: a maturing technology. Ann Acad Med Singapore. 2003 Jul;32(4):483-9.
  • Whitby EH, Paley MN, Sprigg A, Rutter S, Davies NP, Wilkinson ID, et al. Comparison of ultrasound and magnetic resonance imaging in 100 singleton pregnancies with suspected brain abnormalities. BJOG. 2004 Aug;111(8):784-92.
  • Aksoy U YZ. Fetal Merkezi Sinir Sisteminin İncelenmesinde MRG’nin Yeri. Tanısal ve Girişimsel Radyoloji. 2001;7:307-14.
  • Twickler DM, Magee KP, Caire J, Zaretsky M, Fleckenstein JL, Ramus RM. Second-opinion magnetic resonance imaging for suspected fetal central nervous system abnormalities. Am J Obstet Gynecol. 2003 Feb;188(2):492-6.
  • Breysem L, Bosmans H, Dymarkowski S, Schoubroeck DV, Witters I, Deprest J, et al. The value of fast MR imaging as an adjunct to ultrasound in prenatal diagnosis. Eur Radiol. 2003 Jul;13(7):1538- 48.
  • Azoulay R, Fallet-Bianco C, Garel C, Grabar S, Kalifa G, Adamsbaum C. MRI of the olfactory bulbs and sulci in human fetuses. Pediatr Radiol. 2006 Feb;36(2):97-107.
  • Tilea B, Garel C, Menez F, Vuillard E, Elmaleh-Berges M, Delezoide AL, et al. Contribution of fetal MRI to the diagnosis of inner ear abnormalities: report of two cases. Pediatr Radiol. 2006 Feb;36(2):149-54.
  • Girard N. [Which diagnostics and which technics in fetal neuro-MRI?]. JBR-BTR. 2005 Sep-Oct;88(5):265-6.
  • Salomon LJ, Garel C. Magnetic resonance imaging examination of the fetal brain. Ultrasound Obstet Gynecol. 2007 Dec;30(7):1019-32.
  • Garel C, Chantrel E, Elmaleh M, Brisse H, Sebag G. Fetal MRI: normal gestational landmarks for cerebral biometry, gyration and myelination. Childs Nerv Syst. 2003 Aug;19(7-8):422-5.
  • Garel C, Chantrel E, Brisse H, Elmaleh M, Luton D, Oury JF, et al. Fetal cerebral cortex: normal gestational landmarks identified using prenatal MR imaging. AJNR Am J Neuroradiol. 2001 Jan;22(1):184-9.
  • Aksoy U YZ. Fetal Beyinde Sulkal Gelişimin ve Nöronal Migrasyonun MRG ile Değerlendirilmesi. Tanısal ve Girişimsel Radyoloji. 2002;8:388- 94.
  • Adamsbaum C, Moutard ML, Andre C, Merzoug V, Ferey S, Quere MP, et al. MRI of the fetal posterior fossa. Pediatr Radiol. 2005 Feb;35(2):124- 40.

Acıbadem Üniversitesinde ve Dünyada Fetal Nörolojiye Multidisipliner Yaklaşım

Year 2010, Issue: 1, 5 - 8, 01.03.2010

Abstract

Çocuk sağlığı değerlendirmesi günümüzde antenatal dönemde başlamakta ve fetus sağlığı daha ayrıntılı ele alınmaktadır. Antenatal tanıda etkinliğini kanıtlamış ve değişmez yerini almış bir yöntem olan ultrasonografi ye ek olarak son yıllarda sıklıkta MR görüntüleme kullanılmaktadır. Fetal MRG günümüzde fetal beynin yapısal bozukluklarının değerlendirilmesinde etkin bir yöntem olarak kabul görmüştür. Fetal santral sinir sisteminin SSS , konusunda uzmanlaşmış multidisipliner bir ekip tarafından incelenmesi, bu karmaşık tıp konusunda daha çok önem kazanmıştır. Ailelerin uygun şekilde bilgilendirilmesi ve klinik kararların doğrulukla verilebilmesi amacıyla interdisipliner işbirliğine ve eğitime öncelik verilmelidir

References

  • Guibaud L. Contribution of fetal cerebral MRI for diagnosis of structural anomalies. Prenat Diagn. 2009 Apr;29(4):420-33.
  • Cannie M, Jani J, Dymarkowski S, Deprest J. Fetal magnetic resonance imaging: luxury or necessity? Ultrasound Obstet Gynecol. 2006 May;27(5):471-6.
  • Coakley FV, Glenn OA, Qayyum A, Barkovich AJ, Goldstein R, Filly RA. Fetal MRI: a developing technique for the developing patient. AJR Am J Roentgenol. 2004 Jan;182(1):243-52.
  • Levine D. Atlas of Fetal MRI. FL; 2005.
  • Dammann O, Leviton A. Neuroimaging and the prediction of outcomes in preterm infants. N Engl J Med. 2006 Aug 17;355(7):727-9.
  • Lan LM, Yamashita Y, Tang Y, Sugahara T, Takahashi M, Ohba T, et al. Normal fetal brain development: MR imaging with a half-Fourier rapid acquisition with relaxation enhancement sequence. Radiology. 2000 Apr;215(1):205-10.
  • Reeves MJ WE, Paley MNJ, Griffi ths PD. The Current Role of Fetal Magnetic Resonance Imaging. Fetal and Maternal Medicine Review. 2008;19(1):33-60.
  • Griffi ths PD, Reeves MJ, Morris JE, Mason G, Russell SA, Paley MN, et al. A Prospective Study of Fetuses with Isolated Ventriculomegaly Investigated by Antenatal Sonography and In Utero MR Imaging. AJNR Am J Neuroradiol. 2009 Sep 17.
  • Levine D, Barnes PD, Robertson RR, Wong G, Mehta TS. Fast MR imaging of fetal central nervous system abnormalities. Radiology. 2003 Oct;229(1):51-61.
  • Griffi ths PD, Paley MN, Whitby EH. MR imaging of the fetal brain and spine: a maturing technology. Ann Acad Med Singapore. 2003 Jul;32(4):483-9.
  • Whitby EH, Paley MN, Sprigg A, Rutter S, Davies NP, Wilkinson ID, et al. Comparison of ultrasound and magnetic resonance imaging in 100 singleton pregnancies with suspected brain abnormalities. BJOG. 2004 Aug;111(8):784-92.
  • Aksoy U YZ. Fetal Merkezi Sinir Sisteminin İncelenmesinde MRG’nin Yeri. Tanısal ve Girişimsel Radyoloji. 2001;7:307-14.
  • Twickler DM, Magee KP, Caire J, Zaretsky M, Fleckenstein JL, Ramus RM. Second-opinion magnetic resonance imaging for suspected fetal central nervous system abnormalities. Am J Obstet Gynecol. 2003 Feb;188(2):492-6.
  • Breysem L, Bosmans H, Dymarkowski S, Schoubroeck DV, Witters I, Deprest J, et al. The value of fast MR imaging as an adjunct to ultrasound in prenatal diagnosis. Eur Radiol. 2003 Jul;13(7):1538- 48.
  • Azoulay R, Fallet-Bianco C, Garel C, Grabar S, Kalifa G, Adamsbaum C. MRI of the olfactory bulbs and sulci in human fetuses. Pediatr Radiol. 2006 Feb;36(2):97-107.
  • Tilea B, Garel C, Menez F, Vuillard E, Elmaleh-Berges M, Delezoide AL, et al. Contribution of fetal MRI to the diagnosis of inner ear abnormalities: report of two cases. Pediatr Radiol. 2006 Feb;36(2):149-54.
  • Girard N. [Which diagnostics and which technics in fetal neuro-MRI?]. JBR-BTR. 2005 Sep-Oct;88(5):265-6.
  • Salomon LJ, Garel C. Magnetic resonance imaging examination of the fetal brain. Ultrasound Obstet Gynecol. 2007 Dec;30(7):1019-32.
  • Garel C, Chantrel E, Elmaleh M, Brisse H, Sebag G. Fetal MRI: normal gestational landmarks for cerebral biometry, gyration and myelination. Childs Nerv Syst. 2003 Aug;19(7-8):422-5.
  • Garel C, Chantrel E, Brisse H, Elmaleh M, Luton D, Oury JF, et al. Fetal cerebral cortex: normal gestational landmarks identified using prenatal MR imaging. AJNR Am J Neuroradiol. 2001 Jan;22(1):184-9.
  • Aksoy U YZ. Fetal Beyinde Sulkal Gelişimin ve Nöronal Migrasyonun MRG ile Değerlendirilmesi. Tanısal ve Girişimsel Radyoloji. 2002;8:388- 94.
  • Adamsbaum C, Moutard ML, Andre C, Merzoug V, Ferey S, Quere MP, et al. MRI of the fetal posterior fossa. Pediatr Radiol. 2005 Feb;35(2):124- 40.
There are 22 citations in total.

Details

Primary Language Turkish
Journal Section Collection
Authors

Ümit Aksoy Özcan

Uğur Işık

Atilla Damlacık

Arda Lembet

Harika Bodur

Canan Erzen

Aydın Sav

Publication Date March 1, 2010
Published in Issue Year 2010Issue: 1

Cite

EndNote Özcan ÜA, Işık U, Damlacık A, Lembet A, Bodur H, Erzen C, Sav A (March 1, 2010) Acıbadem Üniversitesinde ve Dünyada Fetal Nörolojiye Multidisipliner Yaklaşım. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 1 5–8.