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Research ArticlePediatric NeuroimagingF

The Use of In Utero MR Imaging to Delineate Developmental Brain Abnormalities in Multifetal Pregnancies

P.D. Griffiths, S.A. Russell, G. Mason, J. Morris, E. Fanou and M.J. Reeves
American Journal of Neuroradiology February 2012, 33 (2) 359-365; DOI: https://doi.org/10.3174/ajnr.A2762
P.D. Griffiths
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S.A. Russell
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G. Mason
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J. Morris
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E. Fanou
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M.J. Reeves
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    Fig 1.

    Example of a triplet pregnancy in which all 3 fetuses had different brain findings, but sonography and iuMR findings were the same (study number 28). The fetuses underwent the original iuMR at 22 weeks, and this was repeated at 27 weeks. The results of the 2 studies were the same, but we show the 27-week study here. A–C, Sagittal, coronal, and axial images of the normal fetus. D–F, The fetus with severe VM. G–I, The anencephalic fetus.

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    Fig 2.

    A case of disagreement between sonography and iuMR (study number 45). Sonography had shown VM in 1 twin and a normal intracranial appearance in the other. A and B, Axial and coronal iuMR images of the twin reported as healthy on sonography also show healthy findings on iuMR. C–F, Axial and coronal iuMR images of the twin with VM on sonography (C and D) show ACC, which was confirmed by using the same ultrafast sequences postnatally (E and F).

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    Fig 3.

    A case of disagreement between sonography and iuMR (study number 30). Sonography had shown VM in 1 twin and a normal intracranial appearance in the other. A–C, Axial, coronal, and sagittal iuMR images of the twin reported as normal on sonography also show normal findings on iuMR. D–F, Axial, coronal, and sagittal iuMR images of the twin with VM on sonography show severe hypogenesis of the corpus callosum and type 1 interhemispheric cyst.

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    Fig 4.

    A case of discrepancy between sonography and iuMR (study number 46). Sonography depicted 1 twin with lumbar myelomeningocele and Chiari 2 malformation. A and B, In contrast, iuMR of the fetal spine showed a skin-covered abnormality (arrows) consistent with lipomyelomeningocele. C and D, Sagittal (C) and axial (D) images of the fetal brain show normal appearances.

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American Journal of Neuroradiology: 33 (2)
American Journal of Neuroradiology
Vol. 33, Issue 2
1 Feb 2012
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Cite this article
P.D. Griffiths, S.A. Russell, G. Mason, J. Morris, E. Fanou, M.J. Reeves
The Use of In Utero MR Imaging to Delineate Developmental Brain Abnormalities in Multifetal Pregnancies
American Journal of Neuroradiology Feb 2012, 33 (2) 359-365; DOI: 10.3174/ajnr.A2762

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The Use of In Utero MR Imaging to Delineate Developmental Brain Abnormalities in Multifetal Pregnancies
P.D. Griffiths, S.A. Russell, G. Mason, J. Morris, E. Fanou, M.J. Reeves
American Journal of Neuroradiology Feb 2012, 33 (2) 359-365; DOI: 10.3174/ajnr.A2762
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