Skip to main content

Advertisement

SpringerLink
Log in

MRI of the fetal spine

  • Minisymposium
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

Magnetic resonance imaging of the fetal spine is a vital complement to fetal sonographic examination. Assessing the wide spectrum of spinal dysraphism, as well as spinal neoplasia, allows for more correct prenatal diagnoses, patient care planning, and patient counselling. Proper appraisal of the value of experimental procedures, such as fetal myelomeningocoele repair, requires a high level of diagnostic accuracy for the selection and follow-up of appropriate candidates.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Simon EM, Goldstein RB, Coakley FV, et al (2000) Fast MR imaging of fetal CNS anomalies in utero. AJNR 21:1688–1698

    CAS  Google Scholar 

  2. Levine D, Barnes PD, Madsen JR, et al (1999) Central nervous system abnormalities assessed with prenatal magnetic resonance imaging. Obstet Gynecol 94:1011–1019

    Article  CAS  Google Scholar 

  3. Mevissen M, Buntenkotter S, Loscher W (1994) Effects of static and time-varying (50-Hz) magnetic fields on reproduction and fetal development in rats. Teratology 50:229–237

    CAS  PubMed  Google Scholar 

  4. Beers GJ (1989) Biological effects of weak electromagnetic fields from 0 Hz to 200 MHz: a survey of the literature with special emphasis on possible magnetic resonance effects. Magn Reson Imaging 7:309–331

    Article  CAS  PubMed  Google Scholar 

  5. Naidich T, Zimmerman RA, McLone DG, et al (2002) Congenital anomalies of the spine and spinal cord—embryology and malformations. In: Atlas S (ed) Magnetic resonance imaging of the brain and spine. Lippincott, Philadelphia, pp 1527–1631

  6. Mangels KJ, Tulipan N, Tsao LY, et al (2000) Fetal MRI in the evaluation of intrauterine myelomeningocele. Pediatr Neurosurg 32:124–131

    Article  CAS  PubMed  Google Scholar 

  7. Aaronson OS, Hernanz-Schulman M, Bruner JP, et al (2003) Myelomeningocele: prenatal evaluation—comparison between transabdominal US and MR imaging. Radiology 227:839–843

    PubMed  Google Scholar 

  8. Bruner JP, Tulipan N, Paschall RL, et al (1999) Fetal surgery for myelomeningocele and the incidence of shunt-dependent hydrocephalus. JAMA 282:1819–1825

    Article  CAS  PubMed  Google Scholar 

  9. Johnson MP, Adzick NS, Rintoul NE, et al (2003) Fetal myelomeningocele repair: short-term clinical outcomes. Am J Obstet Gynecol 189:482–487

    Article  PubMed  Google Scholar 

  10. Sutton LN, Adzick NS, Bilaniuk LT, et al (1999) Improvement in hindbrain herniation demonstrated by serial fetal magnetic resonance imaging following fetal surgery for myelomeningocele. JAMA 282:1826–1831

    Article  CAS  PubMed  Google Scholar 

  11. Tulipan N, Bruner JP, Hernanz-Schulman M, et al (1999) Effect of intrauterine myelomeningocele repair on central nervous system structure and function. Pediatr Neurosurg 31:183–188

    Article  CAS  PubMed  Google Scholar 

  12. Tulipan N, Sutton LN, Bruner JP, et al (2003) The effect of intrauterine myelomeningocele repair on the incidence of shunt-dependent hydrocephalus. Pediatr Neurosurg 38:27–33

    Article  PubMed  Google Scholar 

  13. Tulipan N, Hernanz-Schulman M, Lowe LH, et al (1999) Intrauterine myelomeningocele repair reverses preexisting hindbrain herniation. Pediatr Neurosurg 31:137–142

    Article  CAS  PubMed  Google Scholar 

  14. Mazzola CA, Albright AL, Sutton LN, et al (2002) Dermoid inclusion cysts and early spinal cord tethering after fetal surgery for myelomeningocele. N Engl J Med 347:256–259

    Article  PubMed  Google Scholar 

  15. Pierre-Kahn A, Zerah M, Renier D, et al (1997) Congenital lumbosacral lipomas. Childs Nerv Syst 13:298–334; discussion 5

    Article  CAS  PubMed  Google Scholar 

  16. Allen LM, Silverman RK (2000) Prenatal ultrasound evaluation of fetal diastematomyelia: two cases of type I split cord malformation. Ultrasound Obstet Gynecol 15:78–82

    Article  CAS  PubMed  Google Scholar 

  17. Tortori-Donati P, Fondelli MP, Rossi A, et al (1999) Segmental spinal dysgenesis: neuroradiologic findings with clinical and embryologic correlation. AJNR 20:445–456

    CAS  Google Scholar 

  18. Tortori-Donati P, Rossi A, Cama A (2000) Spinal dysraphism: a review of neuroradiological features with embryological correlations and proposal for a new classification. Neuroradiology 42:471–491

    Article  CAS  PubMed  Google Scholar 

  19. Kumar R, Chandra A (2002) Terminal myelocystocele. Indian J Pediatr 69:1083–1086

    PubMed  Google Scholar 

  20. Midrio P, Silberstein HJ, Bilaniuk LT, et al (2002) Prenatal diagnosis of terminal myelocystocele in the fetal surgery era: case report. Neurosurgery 50:1152–1154; discussion 4–5

    PubMed  Google Scholar 

  21. Dyson RL, Pretorius DH, Budorick NE, et al (2000) Three-dimensional ultrasound in the evaluation of fetal anomalies. Ultrasound Obstet Gynecol 16:321–328

    Article  CAS  PubMed  Google Scholar 

  22. Okamura M, Kurauchi O, Itakura A, et al (1999) Fetal sacrococcygeal teratoma visualized by ultra-fast T2 weighted magnetic resonance imaging. Int J Gynaecol Obstet 65:191–193

    Article  CAS  PubMed  Google Scholar 

  23. Westerburg B, Feldstein VA, Sandberg PL, et al (2000) Sonographic prognostic factors in fetuses with sacrococcygeal teratoma. J Pediatr Surg 35:322–325; discussion 5–6

    Article  CAS  PubMed  Google Scholar 

  24. Nievelstein RA, Valk J, Smit LM, et al (1994) MR of the caudal regression syndrome: embryologic implications. AJNR 15:1021–1029

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Departement of Radiology, The Children’s Hospital of Philadelphia, and Neuroradiology Suite, Wood Center, 2nd Floor, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104-4399, USA

    Erin M. Simon

Authors
  1. Erin M. Simon
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Erin M. Simon.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Simon, E.M. MRI of the fetal spine. Pediatr Radiol 34, 712–719 (2004). https://doi.org/10.1007/s00247-004-1245-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-004-1245-1

Keywords

Search

Navigation