Antenatal ultrasound compared to MRI evaluation of fetal myelomeningocele: A prenatal and postnatal evaluation

Jessian L. Munoz, Elaine Bishop, Mitchell Reider, Milena Radeva, Katherine Singh

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Spina bifida affects 0.5-1 in 1000 pregnancies in the United States and is often diagnosed in the mid-second trimester. The objective of the study was to directly compare ultrasounds (US) and magnetic resonance imaging (MRI) obtained in the antenatal period in the diagnosis and localization of fetal myelomeningocele (MMC) and compare these with the postnatal outcomes of these infants A retrospective analysis of patients referred to the Fetal Care Center at the Cleveland Clinic from 2005 to 2017. US and MRIs were obtained from the Cleveland Clinic electronic medical record. Infants were followed-up at an interdisciplinary myelomeningocele pediatrics clinic. MRI and US varied in correlation with physical exam at the time of birth and surgery. While no differences were detected in demographics, pregnancy outcomes or pediatric outcomes, it was noted that the majority of patients developed neurogenic bladders irrespective of the lesion level. MRI is not superior to US in the diagnosis of MMC. Pregnancies complicated by MMC do not vary in morbidity, and pediatric outcomes remain similar regardless of the lesion level. This data provides additional information for the counseling of patients when faced with this antenatal diagnosis.

Original languageEnglish (US)
Pages (from-to)771-774
Number of pages4
JournalJournal of Perinatal Medicine
Volume47
Issue number7
DOIs
StatePublished - Sep 1 2019
Externally publishedYes

Keywords

  • fetal MRI
  • fetal therapy
  • myelomeningocele
  • ultrasound

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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