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Comparison between US and MRI in the prenatal assessment of lung malformations

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Abstract

Background

The contribution of MRI in the prenatal evaluation of congenital lung abnormalities (CLA) has not been extensively investigated.

Objective

(1) To compare diagnostic accuracy and assessment of prognostic factors between US and MRI in CLA and (2) to assess the diagnosis agreement between prenatal imaging and postnatal diagnosis.

Materials and methods

We included 23 consecutive fetuses who underwent concomitant US and MRI during gestation as well as postnatal CT and surgery (n = 22).

Results

US-MRI sets were performed at median gestational age of 26 (n = 16) and 34 (n = 22) weeks. Postnatal diagnoses were 11 congenital pulmonary airway malformations (CPAM), 4 bronchopulmonary sequestrations (BPS), 6 hybrid lesions and 2 cysts. US and MRI agreement was significantly better during the second trimester than during the third one (P = 0.02). Disagreements were related to missed cysts (n = 5), mediastinal shift (n = 6) and vessels (n = 5). US and MRI diagnosis agreement was present in 20 cases, including 5 cases of misdiagnosis. US and MRI were concordant with postnatal diagnosis in 17 and 16 cases, respectively.

Conclusion

In our series, no clear superiority of MRI over US in the prenatal evaluation of CLA was demonstrated, but US better demonstrated systemic feeding vessels and MRI cysts and normal lung adjacent to the lesion.

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Authors and Affiliations

  1. Assistance Publique Hôpital de Paris (APHP), Unité Fonctionnelle de Physiologie-Explorations Fonctionnelles Respiratoires (EFR), Hôpital Armand-Trousseau, 26 Avenue du Docteur, Arnold Netter, 75571, Paris Cedex 12, France

    Nicole Beydon

  2. APHP Service de Chirurgie Viscérale, Hôpital Armand-Trousseau, Paris, France

    Michèle Larroquet

  3. Université Pierre et Marie Curie, Paris, France

    Aurore Coulomb, Jean-Marie Jouannic, Hubert Ducou le Pointe & Annick Clément

  4. APHP Service d’Anatomo-Pathologie, Hôpital Armand-Trousseau, Paris, France

    Aurore Coulomb

  5. APHP Service de Gynéco-Obstétrique, Hôpital Armand-Trousseau, Paris, France

    Jean-Marie Jouannic

  6. APHP Service de Radiologie, Hôpital Armand-Trousseau, Paris, France

    Hubert Ducou le Pointe & Catherine Garel

  7. APHP Unité Fonctionnelle de Pneumologie Pédiatrique, Hôpital Armand-Trousseau, Paris, France

    Annick Clément

Authors
  1. Nicole Beydon
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  2. Michèle Larroquet
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  3. Aurore Coulomb
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  4. Jean-Marie Jouannic
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  5. Hubert Ducou le Pointe
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  6. Annick Clément
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  7. Catherine Garel
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Correspondence to Nicole Beydon.

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Beydon, N., Larroquet, M., Coulomb, A. et al. Comparison between US and MRI in the prenatal assessment of lung malformations. Pediatr Radiol 43, 685–696 (2013). https://doi.org/10.1007/s00247-012-2596-7

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  • DOI: https://doi.org/10.1007/s00247-012-2596-7

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