Exploration of the fetal skeleton by ultra-low-dose computed tomography: guidelines from the Fetal Imaging Task Force of the European Society of Paediatric Radiology

Skeletal anomalies are rare, requiring a systematic ultrasound (US) examination of each skeletal part when there is suspicion of a skeletal dysplasia. Although US examination can provide good evaluation of the fetal bones and cartilage, ultra-low-dose three-dimensional (3-D) multi-detector computed...

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Bibliographic Details
Published in:Pediatric radiology 2023-04, Vol.53 (4), p.621-631
Main Authors: Bach, Pascale, Cassart, Marie, Chami, Myriam, Garel, Catherine, Panuel, Michel
Format: Article
Language:English
Subjects:
Algorithms
Anomalies
Bone and Bones
Bone dysplasia
Bones
Cancer
Cartilage
Child
Computed tomography
Consent
Dysplasia
Espr
Female
Fetuses
Gestational age
Guidelines
Humans
Imaging
Intellectual disabilities
Magnetic resonance imaging
Medical diagnosis
Medical imaging
Medicine
Medicine & Public Health
Multidetector Computed Tomography
Neuroradiology
Nuclear Medicine
Oncology
Osteochondrodysplasias
Pediatrics
Pregnancy
Prenatal Diagnosis - methods
Protocol
Radiation
Radiology
Skeleton
Task forces
Tomography
Ultrasound
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Summary:Skeletal anomalies are rare, requiring a systematic ultrasound (US) examination of each skeletal part when there is suspicion of a skeletal dysplasia. Although US examination can provide good evaluation of the fetal bones and cartilage, ultra-low-dose three-dimensional (3-D) multi-detector computed tomography (CT) is a useful complementary tool that can significantly improve prenatal diagnostic accuracy in select cases. Given that ultra-low-dose fetal CT remains an irradiating technique, indications should result from a multidisciplinary consensus, acquisition protocols should be optimized and the reporting standardized. In this paper we discuss guidelines from the Fetal Imaging Task Force of the European Society of Paediatric Radiology for indications, protocols and reporting of ultra-low-dose fetal CT.
ISSN:1432-1998
0301-0449
1432-1998
DOI:10.1007/s00247-022-05487-4