The Necessity of Magnetic Resonance Imaging in Congenital Diaphragmatic Hernia

This is a retrospective study investigating the relationship between ultrasound and magnetic resonance imaging (MRI) examinations in congenital diaphragmatic hernia (CDH). CDH is a rare cause of pulmonary hypoplasia that increases the mortality and morbidity of patients. Inclusion criteria were: pat...

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Bibliographic Details
Published in:Diagnostics (Basel) 2022-07, Vol.12 (7), p.1733
Main Authors: Neștianu, Erick George, Brădeanu, Cristina Guramba, Alexandru, Dragoș Ovidiu, Vlădăreanu, Radu
Format: Article
Language:English
Subjects:
Amniotic fluid
Births
congenital diaphragmatic hernia
Fetuses
Hernias
In vitro fertilization
lung to head ratio
Magnetic resonance imaging
Medical prognosis
Morphology
Mortality
Pregnancy
Software
total lung volume
Ultrasonic imaging
ultrasound
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Summary:This is a retrospective study investigating the relationship between ultrasound and magnetic resonance imaging (MRI) examinations in congenital diaphragmatic hernia (CDH). CDH is a rare cause of pulmonary hypoplasia that increases the mortality and morbidity of patients. Inclusion criteria were: patients diagnosed with CDH who underwent MRI examination after the second-trimester morphology ultrasound confirmed the presence of CDH. The patients came from three university hospitals in Bucharest, Romania. A total of 22 patients were included in the study after applying the exclusion criteria. By analyzing the total lung volume (TLV) using MRI, and the lung to head ratio (LHR) calculated using MRI and ultrasound, we observed that LHR can severely underestimate the severity of the pulmonary hypoplasia, even showing values close to normal in some cases. This also proves to be statistically relevant if we eliminate certain extreme values. We found significant correlations between the LHR percentage and herniated organs, such as the left and right liver lobes and gallbladder. MRI also provided additional insights, indicating the presence of pericarditis or pleurisy. We wish to underline the necessity of MRI follow-up in all cases of CDH, as the accurate measurement of the TLV is important for future treatment and therapeutic strategy.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics12071733