Seventeen years of prenatal magnetic resonance imaging at the Institute of Mother and Child in Warsaw
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Publication date: 2018-02-24
Pol J Radiol, 2018; 83: 94-102
The purpose of this paper is to summarise and to present the experience of the main Polish centre for prenatal magnetic resonance imaging (MRI) and to discuss the place and role of MRI in antenatal diagnosis, management, and counselling.

Material and methods:
Retrospective analysis of the examinations performed in the years 2001-2017.

In total, 1221 medical records and/or image files were collected. The full documentation of ultrasonography and MRI referrals, reports, and images was not available in every case. During the first three years 98 pregnant women were examined (approximately 33 per year, one study per fortnight). After purchase of own MR scanner, the number of examinations grew constantly, reaching 208 in 2017, which means almost one per day, and the highest number was eight in one day. We examined 45 pairs of twins, including three pairs of conjoined twins.

MRI at our Institute is a practically used second-line foetal imaging tool, necessary to confirm, complete, or correct sonographic diagnoses, with important impact on clinical decisions concerning management of pregnancy and of the neonate, termination of pregnancy, choice of the time, place, and mode of delivery, and neonatal care, as well as on counselling. In experienced hands, MRI is to date the last and the best non-invasive method of diagnosis in utero. It is frequently requested by the interdisciplinary team for foetal diagnosis and therapy and routinely performed in everyday practice.

Wermeński K, Wagiel K, Bekiesińska-Figatowska M et al. Magnetic resonance imaging in prenatal diagnosis. Ginekol Pol 2002; 73: 142-149.
Jurkiewicz E, Bekiesińska-Figatowska M, Romaniuk-Doroszewska A et al. Brain MRI in fetuses with cardiac tumours. Neuroradiol J 2007; 20: 494-499.
Herman-Sucharska I, Bekiesińska-Figatowska M, Urbanik A. Fetal central nervous system malformations on MR images. Brain Dev 2009; 31: 185-199.
Jurkiewicz E, Bekiesińska-Figatowska M, Duczkowski M et al. Antenatal diagnosis of the congenital craniopharyngioma. Pol J Radiol 2010; 75: 98-102.
Duczkowska A, Bekiesinska-Figatowska M, Herman-Sucharska I et al. Magnetic resonance imaging in the evaluation of the fetal spinal canal contents. Brain Dev 2011; 33: 10-20.
Bekiesińska-Figatowska M, Herman-Sucharska I, Romaniuk-Doroszew­ska A et al. Brain development of the human fetus in magnetic resonance imaging. Med Wieku Rozwoj 2010; 14: 5-14.
Bekiesinska-Figatowska M, Jurkiewicz E, Duczkowski M et al. Congenital CNS tumors diagnosed on prenatal MRI. Neuroradiol J 2011; 24: 477-481.
de Laveaucoupet J, Bekiesińska-Figatowska M, Rutkowska M. What is the impact of fetal magnetic resonance imaging (MRI) on prenatal diagnosis of cerebral anomalies. Med Wieku Rozwoj 2011; 15 (3 Pt 2): 376-384.
Bekiesinska-Figatowska M, Herman-Sucharska I, Romaniuk-Doroszewska A et al. Diagnostic problems in case of twin pregnancies: US vs. MRI study. J Perinat Med 2013; 41: 535-541.
Bekiesińska-Figatowska M, Herman-Sucharska I, Duczkowska A et al. Prenatal MRI as a method of controlling fetal pathology. Ginekol Pol 2013; 84: 436-443.
Helwich E, Bekiesińska-Figatowska M, Bokiniec R. Recommendations regarding imaging of the central nervous system in fetuses and neonates. J Ultrason 2014; 14: 203-216.
Bekiesińska-Figatowska M, Brągoszewska H, Romaniuk-Doroszew­ska A et al. The role of magnetic resonance imaging in the prenatal diagnosis of cleft lip and palate. Dev Period Med 2014; 18: 27-32.
Bekiesinska-Figatowska M, Romaniuk-Doroszewska A, Duczkowska A et al. Fetal MRI versus postnatal imaging in the MR-compatible incubator. Radiol Med 2016; 121: 719-728.
Bekiesińska-Figatowska M. Prenatalne badania metodą rezonansu magnetycznego. In: Położnictwo. Vol. 4. Diagnostyka biofizyczna i biochemiczna w medycynie perinatalnej. Bręborowicz GH, Wiel-goś M (eds.). Wydawnictwo Lekarskie PZWL, Warsaw 2012; 239-247.
Bekiesinska-Figatowska M. MR Imaging of Multiple Gestations. In: MRI of Fetal and Maternal Diseases in Pregnancy. Masselli G (ed.). Springer International Publishing, Switzerland 2016; 231-244.
Bekiesińska-Figatowska M, Herman-Sucharska I, Urbanik A (eds.). Atlas MR wad płodu. Katedra Radiologii Collegium Medicum UJ i Okręgowa Izba Lekarska w Krakowie, Krakow 2013.
Prayer D, Malinger G, Brugger PC et al. ISUOG Practice Guidelines: performance of fetal magnetic resonance imaging. Ultrasound.
Obstet Gynecol 2017; 49: 671-680.
Levine D. Ultrasound versus magnetic resonance imaging in fetal evaluation. Top Magn Reson Imaging 2001; 12: 25-38.
American College of Radiology (ACR), Society for Pediatric Radio­logy (SPR). ACR-SPR practice guideline for the safe and optimal performance of fetal magnetic resonance imaging (MRI). [online publication]. Reston (VA): American College of Radiology (ACR); 2010. p. 10. Available from: http://www.guidelines.gov/cont....
Miller E, Ben-Sira L, Constantini S et al. Impact of prenatal magnetic resonance imaging on postnatal neurosurgical treatment. J Neurosurg 2006; 105 (3 Suppl): 203-209.
Brugger PC, Stuhr F, Lindner C et al. Methods of fetal MR: beyond T2-weighted imaging. Eur J Radiol 2006; 57: 172-181.
Yamashita Y, Namimoto T, Abe Y et al. MR imaging of the fetus by a HASTE sequence. Am J Roentgenol 1997; 168: 513-519.
Bekiesińska-Figatowska M. Fetal MRI: is it safe? J Pediatr Neuroradiol 2012; 1: 155-159.
Glenn OA, Barkovich AJ. Magnetic resonance imaging of the fetal brain and spine: an increasingly important tool in prenatal diagnosis, Part 1. Am J Neuroradiol 2006; 27: 1604-1611.
Adzick NS, Thom EA, Spong CY et al. A randomized trial of prenatal versus postnatal repair of myelomeningocele. N Engl J Med 2011; 364: 993-1004.
Savelli S, Di Maurizio M, Perrone A et al. MRI with diffusion-weighted imaging (DWI) and apparent diffusion coefficient (ADC) assessment in the evaluation of normal and abnormal fetal kidneys: preliminary experience. Prenat Diagn 2007; 27: 1104-1111.
Huisman TAGM. Foreword. J Pediatr Neuroradiol 2012; 1: 145.
Saleem SN, Said AH, Abdel-Raouf M et al. Fetal MRI in the evaluation of fetuses referred for sonographically suspected neural tube defects (NTDs): impact on diagnosis and management decision. Neuroradiology 2009; 51: 761-772.
Kasprian G, Balassy C, Brugger P et al. MRI of normal and pathological fetal lung development. Eur J Radiol 2006; 57: 261-270.
Hagelstein C, Weidner M, Kilian AK et al. Repetitive MR measurements of lung volume in fetuses with congenital diaphragmatic hernia: individual development of pulmonary hypoplasia during pregnancy and calculation of weekly lung growth rates. Eur Radiol 2014; 24: 312-319.
Wielgoś M, Kosiński P. FETO – fetoscopic endotracheal balloon occlusion. Ginekol Pol 2014; 85: 651.
Donofrio MT, Moon-Grady AJ, Hornberger LK et al. Diagnosis and treatment of fetal cardiac disease: a scientific statement from the American Heart Association. Circulation 2014; 129: 2183-2242.
Farhataziz N, Engels J, Ramus R et al. Fetal MRI of urine and meconium by gestational age for the diagnosis of genitourinary and gastrointestinal abnormalities. Am J Roentgenol 2005; 184: 1891-1897.
Brugger PC. MRI of fetal abdomen. In: Fetal MRI. Prayer D (ed.). Springer-Verlag, Berlin 2011; 361-401.
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