To evaluate the pregnancy management decisions made by adolescents who were found to be carrying fetuses with abnormalities. Adolescent women who were carrying fetuses with abnormalities detected in the second trimester of pregnancy were evaluated as to their decision to continue or terminate their pregnancies. The decision by these women to include parents, guardians, or partners in the counseling process was also evaluated. Twelve adolescent women 16 years old or younger who were found to be carrying fetuses with abnormalities.
Examination time was 27 to 51 minutes Results were correlated with postnatal MRI, ultrasound and clinical follow-up. Abnormalities suspected on fetal ultrasound were confirmed by fMRI in 8 cases.
These included 2 cases of aqueductal stenosis hydrocephalus, and 1 each of hemimegalencephaly, microlissencephaly, ventriculomegaly, schizencephaly, brain tumor, and corpus callosum agenesis. Additional diagnoses or exclusions of suspected findings were established in 13 cases.
The exclusions were corpus callosum agenesis in 4 cases and myelomeningocele, vermial aplasia, aqueductal stenosis, and Dandy-Walker malformation in 1 case each.
Diagnoses were completely revised by fMRI in 4 cases. The quality of fMRI is technically comparable to postnatal MRI, and surgical treatment options are better defined than with ultrasound alone.
In institutions with trained professionals, fMRI is recommended in addition to ultrasound in patients with suspected pathologies that may require surgical interventions and parent counseling.
Fetal MRI of the central nervous system: Childs Nerv Syst Feb 2: Pediatric Neurology Briefs, 23 2pp. Pediatric Neurology Briefs, 23 213—Prenatal screening and diagnosis are routinely offered for detection of neural tube defects (NTDs), Down syndrome, and trisomy Since the introduction of cell-free DNA testing, screening for trisomy 13 has also been offered.
BACKGROUND AND OBJECTIVE: Prenatal diagnosis allows improved perioperative outcomes for fetuses with certain forms of congenital heart disease (CHD). Variability in prenatal diagnosis has been demonstrated in other countries, leading to efforts to improve fetal imaging protocols and access to care, but has not been examined across the United States.
prenatal molecular diagnostics conference Cell-free DNA-based screening and the potential for cell-based screening has upended the field of prenatal testing.
While cell-free tests are being used more and more in the clinic, cell-based tests are still on the cusp of commercialization. With both types of tests still in need of improvements in order to truly replace invasive tests, the near-term timberdesignmag.com Congenital limb abnormalities have a live birth (LB) prevalence of approximately 1 in The prenatal detection of such malformations is important for parental education, counseling, initiating appropriate planning for postnatal evaluation and treatment and ruling out associated malformations, which may alter the management of the pregnancy.
· logic abnormalities with prenatal ultrasonog- PRENATAL DIAGNOSIS sis by Thomas" in revealed that the esti- DETECTION OF HYDRONEPHROSIS The normal fetal renal collecting system and ureter should not be visible by ultraso- nography.
When the timberdesignmag.com(05)/pdf. Introduction Current strategies for prenatal diagnosis of chromosome abnormalities (CA) focus on the selection of high-risk pregnancies, to perform invasive diagnostic procedures. Advanced maternal age was the main risk factor for Down syndrome (DS) and prenatal invasive procedure was routinely performed in women over 35 years [1,2]timberdesignmag.com /PRENATAL_DIAGNOSIS_OF_CHROMOSOME_ABNORMALITIES.