Mutambuze Jean,  Marine Megan

Final Pr. ID: Poster #: EDU-024

Fetal neck masses are a complex and diverse group of anomalies that can present diagnostic and management challenges for clinicians. In addition to prenatal ultrasound, fetal magnetic resonance imaging (MRI) has emerged as a powerful tool for the evaluation of these masses due to its high soft tissue contrast and ability to provide detailed anatomical information, especially with respect to the fetal airway and mediastinum. This educational exhibit explores the use of fetal MRI in the assessment of 7 different head and neck masses encountered at our institution, including providing a diagnostic approach, describing imaging features, and demonstrating the utility of fetal MRI in predicting the level of airway management the fetus may need, providing important implications for prenatal counseling and delivery management. Read More

Authors:  Mutambuze Jean , Marine Megan

Keywords:  Fetal Imaging, Fetal Masses, Fetal MRI

Pena Trujillo Valeria,  Alkhadrawi Adham,  Gallo Sebastian,  Langarica Saul,  Jaimes Camilo,  Gee Michael,  Do Synho,  Victoria Teresa

Final Pr. ID: Poster #: SCI-001

To develop an AI-based automatic tool for Amniotic fluid volume (AFV) and fetal weight (FW) quantification that easily integrates into everyday diagnostic workflow Read More

Authors:  Pena Trujillo Valeria , Alkhadrawi Adham , Gallo Sebastian , Langarica Saul , Jaimes Camilo , Gee Michael , Do Synho , Victoria Teresa

Keywords:  Fetal MRI, Artificial Intelligence, Diagnostic

Barhaghi Krystle,  Schuchardt Eleanor,  Schafer Michal,  Meyers Mariana,  Behrendt Nicholas,  Barker Alex,  Cuneo Bettina,  Friesen Richard,  Browne Lorna

Final Pr. ID: Paper #: 102

Previous studies show that phase contrast MRI (PC-MRI) can successfully measure fetal blood flow in late gestation singleton fetuses. To date there is a paucity of data quantifying fetal blood flow of twin or early gestational age pregnancies (~19 weeks). Twin-twin transfusion syndrome (TTTS) is a rare complication of monochorionic pregnancies that is believed to result from inequal flow distribution between fetuses. In this novel investigation, we utilized PC-MRI to investigate fetal aortic flow in early gestational age fetuses with TTTS or selective Intrauterine Growth Restriction (sIUGR). We compared flow distribution between the smaller and larger fetus in each twin pair. Read More

Authors:  Barhaghi Krystle , Schuchardt Eleanor , Schafer Michal , Meyers Mariana , Behrendt Nicholas , Barker Alex , Cuneo Bettina , Friesen Richard , Browne Lorna

Keywords:  Fetal MRI, Twins, Phase Contrast MRI

Dorigatti Soldatelli Matheus,  Calixto Camilo,  Jaimes Camilo,  Warfield Simon,  Gholipour Ali,  Karimi Davood

Final Pr. ID: Poster #: SCI-015

Diffusion-weighted Magnetic Resonance Imaging (dMRI) is increasingly used to study the fetal brain in utero. dMRI enables streamlined tractography, a computation with unique applications such as white matter tract-specific analysis and structural connectivity assessment. However, due to low fetal dMRI data quality and the challenging nature of tractography, existing methods often produce highly inaccurate results. This study addresses these challenges by proposing an anatomically constrained tractography method that accurately segments fetal brain tissue directly within dMRI. Read More

Authors:  Dorigatti Soldatelli Matheus , Calixto Camilo , Jaimes Camilo , Warfield Simon , Gholipour Ali , Karimi Davood

Keywords:  Diffusion MRI, Fetal MRI, Neural Network

Ayyala Rama,  Maddocks Alexis,  Anupindi Sudha,  Victoria Teresa

Final Pr. ID: Poster #: SCI-041

Intraabdominal cystic lesions are relatively common prenatal diagnoses. Determining its etiology and diagnosis can be challenging on prenatal imaging. Fetal MR is a helpful imaging modality that can provide additional anatomic and physiologic information. The purpose of this study is to evaluate MR imaging findings of fetal intraabdominal cystic lesions with correlation with postnatal imaging and outcome. Read More

Authors:  Ayyala Rama , Maddocks Alexis , Anupindi Sudha , Victoria Teresa

Keywords:  Fetal, MRI, Cyst

Lewis Heidi,  Kucera Jennifer

Final Pr. ID: Poster #: CR-033

Atretic cephalocele is a rare type of neural tube defect that occurs in the parietal or occipital scalp. Most cases present postnatally with a scalp nodule which may also have associated skin and hair abnormalities. We will present a case of atretic cephalocele diagnosed with fetal MRI as well as two additional cases of postnatally diagnosed atretic cephalocele in different patients.

A 26 week gestational age male fetus was found to have ventriculomegaly on routine OB ultrasound and was referred to maternal fetal medicine. Further ultrasound imaging demonstrated features suspicious for a posterior fossa encephalocele. A fetal MRI was then performed which demonstrated imaging findings consistent with an atretic cephalocele.

The imaging findings associated with atretic cephalocele including embryologic positioning of the straight sinus, the “spinning top” appearance of the tentorial incisura, and the “cigar shaped” CSF tract in the interhemispheric fissure will be illustrated in the exhibit using both fetal and postnatal MRI. Although the exact embryological development of atretic cephaloceles is not completely understood, the proposed mechanisms will be discussed. A brief summary of the associated syndromes and clinical outcomes reported in the literature will be presented.

Atretic cephalocele is a rare condition that is usually diagnosed postnatally with several characteristic imaging findings. These same abnormalities can also be seen on fetal MRI which can lead to an earlier diagnosis and more appropriate family counseling. Read More

Authors:  Lewis Heidi , Kucera Jennifer

Keywords:  atretic cephalocele, Fetal MRI

Priego Gema,  Hurteau-miller Julie,  Fontalvo Lucia,  Miller Elka

Final Pr. ID: Poster #: EDU-062

Describe the anatomy and regional difference in brain maturation of various brain structures comparing 3 and 1.5 Tesla fetal MRI.

Read More

Authors:  Priego Gema , Hurteau-miller Julie , Fontalvo Lucia , Miller Elka

Keywords:  Fetal MRI

Bhargava Ravi,  Anderson Scott,  Chari Radha

Final Pr. ID: Poster #: SCI-019

Fetal demise (FD) occurs in 1/1000 pregnancies after 20 weeks gestation. MRI is increasingly being used after ultrasound to assess fetal pathology. FD may occur in the interval between ultrasound and MRI, and various organ systems have been described as having changes on fetal MRI. Although ultrasound findings of FD have been well described, criteria for FD on MRI have not. Diffusion MRI evaluates Na⁺/K⁺ channel viability and can be used to evaluate tissue death. Flowing blood produces signal loss on MRI, and along with fetal heart activity results in MRI signal loss of the cardiac chambers. FD with no heart motion and increased signal within non-flowing blood in the heart should result in increased signal in the chambers relative to the myocardium. Either of these findings can be seen with different fetal pathology, but the combination of brain and cardiac changes may allow for a diagnosis of FD. We hypothesize that restricted brain diffusion in certain brain lobes along with increased signal within heart chambers is specific for FD. Read More

Authors:  Bhargava Ravi , Anderson Scott , Chari Radha

Keywords:  Fetal MRI, Brain, Cardiac

Farkas Amy,  Roda Manohar

Final Pr. ID: Poster #: EDU-015

As an inexpensive modality that does not require ionizing radiation, ultrasound is the preferred method for screening for fetal anomalies. When an abnormality is detected on ultrasound, the limitations of the modality often elicit further evaluation with MRI, as MRI can provide more detail and information to the radiologist and clinician. Chest and cardiac pathologies are among the most common findings on prenatal ultrasound and often warrant additional imaging. Consequently, an understanding of these findings and how they appear on different modalities is essential to the pediatric imager.
This electronic exhibit features fetal ultrasound and MRI of mediastinal lymphangioma, type I-III congenital pulmonary airway malformations, intralobar, extralobar, and subdiaphragmatic sequestrations, left and right sided congenital diaphragmatic hernias, hypoplastic left heart, heterotaxy, AV canal defect, and rhabdomyoma. In addition to reviewing the correlation of findings on ultrasound and MRI, prognosis as well as conditions and syndromes commonly associated with these chest and cardiac anomalies will be examined.
The goal of this exhibit is to provide an overview of common fetal cardiopulmonary abnormalities on different, complementary imaging modalities. Familiarity with these conditions is necessary for the radiologist to provide critical information to clinicians to allow prompt intervention in the postnatal period. These findings can additionally serve as an indication to the radiologist to search for associated findings, allowing prognostication and appropriate counseling of parents. Read More

Authors:  Farkas Amy , Roda Manohar

Keywords:  Cardiopulmonary, Fetal MRI

Vidal Lorenna,  Guimaraes Carolina

Final Pr. ID: Poster #: EDU-040

Cerebral aqueductal stenosis remains the most common cause of congenital and acquired obstructive hydrocephalus. The objective of this educational exhibit is to interactively illustrate the imaging findings associated with aqueductal stenosis on Fetal and postnatal MRI. Causes of aqueductal stenosis and imaging protocol optimization will also be discussed.
Read More

Authors:  Vidal Lorenna , Guimaraes Carolina

Keywords:  Aqueductal stenosis, hydrocephalus, fetal MRI

Pelizzari Mario,  Montalvetti Pablo,  Joulia Vulekovich Lara,  Ledesma Ricardo

Final Pr. ID: Poster #: CR-038

Case Presentation
A 27-year-old female patient, primigravida, with no pathological clinical history, and a low risk first-trimester screening for aneuploidy and preeclampsia. Morphological ultrasound was performed at 21 weeks of gestational age, revealing a cystic structure at the lumbosacral spine with bone alteration. Myelomeningocele was suspected, but no associated Chiari type II anomaly was observed. Additional Fetal Magnetic Resonance Imaging (Fetal MRI) was requested.

Findings
At 24 weeks, an obstetric ultrasound was made identifying a cystic image at the lumbosacral level with the absence of a placode. An osseous spur protruding into the medullary canal was observed, dividing the medullary cone in two. Suspicious fatty tissue suggestive of a lipoma was also noted. Fetal MRI confirmed the ultrasound findings, consistent with diastematomyelia (DM) associated with closed meningocele, lipoma, and medullary canal ectasia.

Discussion
Dysraphism are congenital malformations of the spinal canal, with a prevalence of 1 to 3 per 1000 live births, and the lumbosacral spine being the most commonly affected site.
DM is a closed-type dysraphia in which there is a splitting of the spinal cord into two halves separated by a fibrous, cartilaginous, or bony septum. Clinical manifestations are variable and are typically related to orthopedic problems, urinary or fecal incontinence, and characteristic cutaneous abnormalities.
When isolated, DM tends to have a favorable prognosis, but approximately one-third of affected patients have an accompanying dysraphism. Current recommendations include early postnatal surgery to prevent further complications.

Conclusion
DM is a rare disorder of spinal development that can be diagnosed prenatally through imaging. Precise identification of the lesion and the exclusion of other associated structural malformations are crucial for prognosis. Read More

Authors:  Pelizzari Mario , Montalvetti Pablo , Joulia Vulekovich Lara , Ledesma Ricardo

Keywords:  diastematomyelia, Fetal MRI, Ultrasonography

Michishita Yukiko,  Miyazaki Osamu,  Imai Ayako,  Okamato Reiko,  Tsutsumi Yoshiyuki,  Miyasaka Mikiko,  Sago Haruhiko,  Kanamori Yutaka,  Nosaka Shunsuke

Final Pr. ID: Poster #: SCI-004

Esophageal atresia (EA) is a relatively rare congenital anomaly. Esophageal pouch (EP) is the only direct sign of EA on fetal MRI, but is not always seen. Distended hypopharynx (DHP) has been reported as a useful prenatal sign of EA, but as EP and DHP are both subjective assessments, the prenatal diagnosis of EA is challenging. The aim of this study was to evaluate whether quantitative measurement of distended pharynx is useful in the diagnosis of EA. Read More

Authors:  Michishita Yukiko , Miyazaki Osamu , Imai Ayako , Okamato Reiko , Tsutsumi Yoshiyuki , Miyasaka Mikiko , Sago Haruhiko , Kanamori Yutaka , Nosaka Shunsuke

Keywords:  Esophageal Atresia, fetal MRI, Quantitative

Teixeira Sara,  Alves Cesar Augusto,  Martin-saavedra Juan,  Goncalves Fabricio,  Zarnow Deborah,  Feygin Tamara,  Andronikou Savvas

Final Pr. ID: Paper #: 105

Postmortem imaging is increasingly used following stillbirths and neonatal death. Estimating time of death has legal, biological, and ethical implications. This study aims to investigate feasibility of prenatal MRI in estimating time of death in intra-uterine fetal demise (IUFD). Read More

Authors:  Teixeira Sara , Alves Cesar Augusto , Martin-saavedra Juan , Goncalves Fabricio , Zarnow Deborah , Feygin Tamara , Andronikou Savvas

Keywords:  Fetal MRI, Brain, Autopsy

Fuentealba Cargill Andrea,  Friesen Richard,  Fujiwara Takashi,  Park Sungho,  Arguello Fletes Gladys,  Englund Erin,  Barker Alex,  Londono Obregon Camila,  Browne Lorna

Final Pr. ID: Poster #: CR-015

A 29-year-old female (G6P4) was referred to our center following identification of thoracoomphalopagus conjoined twins, with fused heart and liver, at 20 weeks of gestation. Fetal echocardiogram and fetal cardiac MR (CMR) were performed at 21 weeks gestation to evaluate potential for post-natal repair.
Fetal CMR was performed at 1.5 Tesla using an MRI compatible fetal doppler ultrasound (DUS) device (smart-sync, Northh imaging) for cardiac gating. Protocol included multiplanar cine SSFP sequences and multiplanar blackblood sequences.
Fetal echocardiography and CMR were used together to understand the complex anatomical arrangements. Each twin had 2 sets of atria (with an interatrial connection) but only a single ventricle. Twin A had a left ventricle, pulmonary atresia and MAPCAs. Twin B had a right ventricle had coarctation of the aorta, bilateral SVCs and partial anomalous pulmonary venous return. After counselling regarding the grave prognosis of both twins, the patient decided to deliver at her local hospital with comfort care.
Teaching Points from this Case
This case of conjoined twins at 21 weeks gestation, is the youngest example of successful clinical DUS fetal CMR. In this case, fetal CMR was used to demonstrate the great vessel anatomy and was fundamental in ascertaining the absence of a path to successful surgical palliation for either twin. Additionally, fetal CMR was used as the primary modality during patient counselling to explain the anomalies. The high degree of diagnostic certainty that the fetal CMR facilitated, allowed the family to avoid the unnecessary emotional and financial expense that relocation for delivery would have incurred and facilitated palliative care at their local center. Read More

Authors:  Fuentealba Cargill Andrea , Friesen Richard , Fujiwara Takashi , Park Sungho , Arguello Fletes Gladys , Englund Erin , Barker Alex , Londono Obregon Camila , Browne Lorna

Keywords:  Fetal MRI, Cardiac MRI, 4D Flow

Smith (garcia) Jacquelyn,  Meyers Mariana,  Mirsky David

Final Pr. ID: Poster #: EDU-028

Central nervous system (CNS) infections acquired in-utero are a significant cause of fetal and neonatal morbidity and mortality. Early detection is crucial for timely therapy, prognostication, and peripartum planning. Fetal imaging plays an important role in diagnosing CNS infection and determining the extent of involvement. It has been of particular diagnostic importance with the current outbreak of Zika virus, a neurotropic virus that can result in severe CNS anomalies. An imaging review of commonly encountered congenital infections, including Zika virus, will be presented, with an emphasis on fetal magnetic resonance imaging (MRI). Read More

Authors:  Smith (garcia) Jacquelyn , Meyers Mariana , Mirsky David

Keywords:  Fetal MRI, CNS Infection, Zika Virus

Marin Concha Julio,  Qu Feifei,  Hernandez Andrade Edgar,  Jella Pavan,  Mody Swati,  Subramanian Karthikeyan,  Ghassaban Kiarash,  Romero Roberto,  Haacke E.

Final Pr. ID: Poster #: SCI-006

Magnetic Resonance Imaging is a powerful tool for the detection of ferromagnetic components. This property can be used for the early detection of pathologic conditions related to liver iron overload. Neonatal hemochromatosis and hemosiderosis are conditions associated with severe liver disease. Infections like parvovirus and cytomegalovirus, metabolic conditions and gestational allo-immune liver disease can produce neonatal hemochromatosis phenotype.
Fetal iron overload can be detected early by using T₂* multi-echo gradient sequence.
There are only few studies reporting standard T₂* values of the fetal liver at 1.5 T.
The aim of this study is to evaluated the standard T₂* values of the fetal liver using prenatal MRI with 3.0 T. Read More

Authors:  Marin Concha Julio , Qu Feifei , Hernandez Andrade Edgar , Jella Pavan , Mody Swati , Subramanian Karthikeyan , Ghassaban Kiarash , Romero Roberto , Haacke E.

Keywords:  Fetal MRI, T2* mapping, Neonatal hemochromatosis

Foust Alexandra,  Barnewolt Carol,  Poorvu Tabitha,  Parad Richard,  Estroff Judy

Final Pr. ID: Paper #: 124

To determine the accuracy and significance of a fetal diagnosis of midface hypoplasia. Read More

Authors:  Foust Alexandra , Barnewolt Carol , Poorvu Tabitha , Parad Richard , Estroff Judy

Keywords:  Fetal MRI, Fetal Sonography

Machnitz Judit,  Kazmi Faaiza,  Mallon Mea,  Poletto Erica,  Malik Archana,  Urbine Jaqueline

Final Pr. ID: Poster #: EDU-099

Fetal MR imaging plays a continuously increasing role as an adjunct to routine prenatal ultrasound examinations in confirming and clarifying prenatal abnormalities, usually at an earlier gestational age. It also has a critical role in parental counseling, prenatal and postnatal surgical planning, and delivery method. Our pictorial review demonstrates a variety of common and less typical congenital pathology. Read More

Authors:  Machnitz Judit , Kazmi Faaiza , Mallon Mea , Poletto Erica , Malik Archana , Urbine Jaqueline

Keywords:  Fetal MRI, Postnatal correlation

Snyder Elizabeth,  Baschat Ahmet,  Huisman Thierry,  Tekes-brady Aylin

Final Pr. ID: Poster #: EDU-076

Magnetic resonance imaging (MRI) is an increasingly utilized tool for evaluating congenital anomalies of the fetus. While the utility of fetal MRI has most thoroughly been described for assessment of the fetal central nervous system, it is progressively used for imaging anomalies of the chest, abdomen and pelvis. Because of the high inherent tissue contrast and its varied sequences, MRI can provide valuable information about the fetus and has been shown to assist parental counseling as well as prenatal and postnatal management. MRI protocols should be tailored to the specific clinical question at hand, which requires effective integration of pediatric radiologists within the fetal therapy team. The purpose of this educational exhibit is to highlight the role of fetal MRI in evaluating various congenital anomalies of the fetal chest, abdomen and pelvis, and discuss how fetal MRI findings may influence prenatal counseling and management. Read More

Authors:  Snyder Elizabeth , Baschat Ahmet , Huisman Thierry , Tekes-brady Aylin

Keywords:  fetal MRI, fetal management

Wise Rachel,  Belchos Jessica,  Gray Brian,  Timsina Lava,  Brown Brandon

Final Pr. ID: Poster #: SCI-011

Frequently diagnosed on prenatal imaging, including fetal MRI, omphalocele has highly variable morbidity and mortality. Few prenatal prognostic indicators have been previously identified. We propose that features found on fetal MRI can predict morbidity and mortality in patients diagnosed with omphalocele. Read More

Authors:  Wise Rachel , Belchos Jessica , Gray Brian , Timsina Lava , Brown Brandon

Keywords:  Omphalocele, Fetal MRI, Prognostication

Bauer Matthew,  Burgess Matthew,  Heitzmann Mark

Final Pr. ID: Poster #: EDU-015

This educational exhibit will demonstrate the strengths and weakness of Fetal MRI at 3 Tesla in the evaluation of multiple gestations. Read More

Authors:  Bauer Matthew , Burgess Matthew , Heitzmann Mark

Keywords:  Fetal, MRI

Golden Eleza,  Alazraki Adina,  Milla Sarah,  Desai Nilesh

Final Pr. ID: Poster #: SCI-068

Prior studies have suggested that patients undergoing fetal MRI have a high level of anxiety, while other studies have indicated that patients have a limited understanding of the role of the radiologist in patient care. Further, many patients would prefer to learn their results immediately after the examination rather than wait to meet with their obstetrician. Our objective is to assess patient perception of what fetal MRI is and the role of the radiologist. Read More

Authors:  Golden Eleza , Alazraki Adina , Milla Sarah , Desai Nilesh

Keywords:  fetal MRI, radiologist, consultation

Supakul Nucharin

Final Pr. ID: Poster #: CR-005

To demonstrate an unusual association of VECTERL and uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndromes in fetal MRI with post mortem MRI correlation. Read More

Authors:  Supakul Nucharin

Keywords:  VECTERL, VATER, OHVIRA, Herlyn-Werner-Wunderlich syndrome, Fetal MRI

Saguintaah Magali,  Couture Alain,  Taleb Arrada Ikram,  Bolivar Perrin Julie,  Baud Catherine,  David Stephanie,  Prodhomme Olivier

Final Pr. ID: Poster #: SCI-007

To present a MRI technic to explore the fetal petrous bone (3D high resolution MRI) and choanae, olfactory bulbs and sulci (3D whole brain sequence). To present the clinical applications in fetal detection of CHARGE syndrome. To remind the major diagnostic criteria of CHARGE syndrome. Read More

Authors:  Saguintaah Magali , Couture Alain , Taleb Arrada Ikram , Bolivar Perrin Julie , Baud Catherine , David Stephanie , Prodhomme Olivier

Keywords:  fetal petrous bone, fetal olfactory bulbs, CHARGE syndrome, 3D HR fetal MRI

Pelizzari Mario,  Montalvetti Pablo

Final Pr. ID: Poster #: CR-009

Case Presentation
A 28-year-old patient, undergoing her second pregnancy, with no pathological or toxic clinical history, presented with an intra-abdominal fetal mass identified during 34-week gestational age routine ultrasound. A Fetal Magnetic Resonance Imaging (fMRI) was performed, revealing findings compatible with Fetus in Fetu (FiF).

Findings
The ultrasound examination revealed an intraperitoneal mass in the middle of the fetal abdomen, solid, heterogeneous, with fatty areas and calcified structures resembling long bones. Vascularized by the superior mesenteric artery and displaced abdominal organs without invading them. These findings were confirmed later with fMRI.
Birth was delivered via cesarean section at 38 weeks. Due to suspicion of FiF vs. Teratoma (Tt), tumor markers were tested with negative results. During follow-up, FiF growing was observed, leading to the decision to surgically remove the tumor at two months of age. Anatomopathologic examination confirmed the diagnosis of FiF. A computed tomography of the surgical specimen revealed characteristic FiF signs.

Discussion
With an estimated incidence of 1 in 500,000 births, FiF is a condition in which, due to abnormal embryogenesis in a monochorionic diamniotic pregnancy, one fetus grows abnormally within the body of the other. The diagnosis is based on imaging findings and is characterized by the presence of a separate vertebral column and the development of organs around this axis, indicating an early stage of fetal development. These features distinguish it from a highly differentiated Teratoma.
Although it is a benign condition, the mass can affect surrounding structures. Prenatal diagnosis is more feasible nowadays, and suspicion should arise when an encapsulated cystic mass with calcified components is identified.

Conclusion
Imaging plays a crucial role in the diagnosis due to its similarity to a teratoma, which could have malignant potential. Surgical treatment is required, and early detection allows for a favorable prognosis. Read More

Authors:  Pelizzari Mario , Montalvetti Pablo

Keywords:  Fetal MRI, Fetus in fetu

Sideris Georgios,  Oliver Edward,  Krispin Eyal,  Shamshirsaz Alireza,  Didier Ryne

Final Pr. ID: Poster #: EDU-021

Since the first fetal intervention performed in humans in the 1960s, fetal surgery has undergone remarkable advancements. Whether aimed at treating or preventing the progression of congenital conditions, in-utero interventions have been shown to significantly improve postnatal outcomes. Imaging has become an indispensable adjunct to fetal surgery, not only by precisely characterizing the congenital anomalies, but also by assessing and often quantifying postoperative results. As the number of fetal centers and eligible patients continues to expand, fetal radiologists need to be aware of the recent advances and provide appropriate guidance to fetal surgeons. This educational exhibit provides an overview of US and MRI imaging in the wide range of fetal interventions performed at major referral centers. Key imaging findings before and after fetal intervention will be presented, alongside detailed discussions on indications, techniques, and potential complications. Procedures covered include fetoscopy, vesicoamniotic and thoracoamniotic shunt placement, cyst aspiration, amnioinfusion, fetoscopic laser photocoagulation, intrauterine transfusion, amniotic band lysis, open neural tube defect repair, chorioangioma embolization, fetoscopic endotracheal occlusion, ex utero intrapartum treatment, and selective fetal reduction. Read More

Authors:  Sideris Georgios , Oliver Edward , Krispin Eyal , Shamshirsaz Alireza , Didier Ryne

Keywords:  Fetal Management, Fetal, Fetal MRI

Farkas Amy,  Roda Manohar

Final Pr. ID: Poster #: EDU-013

Genitourinary abnormalities are frequently detected on prenatal ultrasound, with findings detected on 1 in 500 routine prenatal sonograms. Early detection of abnormalities of the genitourinary system is essential as it allows planning for further work-up and intervention and appropriate counseling of parents. Findings on prenatal ultrasound often trigger further evaluation with fetal MRI, as MRI can provide superior anatomic detail and better assess for associated findings. An understanding of the appearance of genitourinary abnormalities on fetal MRI is important to enable accurate diagnoses and effectively guide clinicians in patient management.
This educational poster highlights fetal MRI cases that demonstrate genitourinary abnormalities including bilateral renal agenesis with Potter sequence, crossed fused renal ectopia, multicystic dysplastic kidney, duplex collecting system, posterior urethral valves, patent urachus, allantoic cyst, prune belly syndrome, congenital megaureter, cloaca, bladder exstrophy, ureteropelvic junction obstruction, horseshoe kidney, and sirenomelia.
The goal of this exhibit is to provide familiarity with these findings and their clinical implications, which is particularly important for those with less fetal MRI experience. In addition, the exhibit will provide an overview of the embryology of the genitourinary system as it relates to the abnormalities to provide further context of the pathophysiology of these complex congenital conditions. Read More

Authors:  Farkas Amy , Roda Manohar

Keywords:  Genitourinary, Fetal MRI

Pelizzari Mario,  Ledesma Ricardo,  Musso Marcos,  Perez Ricardo,  Montalvetti Pablo,  Joulia Vulekovich Lara

Final Pr. ID: Poster #: CR-040

Case Presentation: We will show two cases, of patients aged 16 and 24 years, at 24 and 30 weeks of gestation, who were referred for a second-trimester ultrasound.
Findings: The ultrasound revealed an enlarged lateral ventricle associated with an increased size of the ipsilateral cerebral hemisphere. A fetal MRI was performed revealing subependymal gray matter nodules, pachygyria, and areas of gliosis in the white matter.
Discussion: Hemimegalencephaly is a rare congenital malformation initially described by Sims in 1835. It involves the partial or total overgrowth of a cerebral hemisphere with varying degrees of pachygyria, polymicrogyria, neuronal heterotopia, and white matter gliosis due to a disorder in germ cell proliferation, migration, and differentiation.
Its etiology remains unknown, and it does not exhibit a gender preference. Clinically, 90% of patients present with focal or generalized epileptic seizures. They may also exhibit hemiparesis and mental retardation.
Hemimegalencephaly can present in an isolated manner or be associated with various syndromes, including hypertrophy of the ipsilateral hemibody or total involvement, which affects the cerebellum and brainstem.
Prenatal diagnosis is suspected through ultrasound, identifying ventricular asymmetry and unilateral ventricular dilation. Fetal MRI confirms these findings and allows the assessment of gray and white matter disorders.
Conclusion: Hemimegalencephaly is a rare and severe condition that should be considered in prenatal assessment by ultrasound. Its diagnosis is facilitated by advances in fetal MRI, where the findings and their severity correlate with the clinical presentation. Read More

Authors:  Pelizzari Mario , Ledesma Ricardo , Musso Marcos , Perez Ricardo , Montalvetti Pablo , Joulia Vulekovich Lara

Keywords:  hemimeningencephaly, Fetal MRI, Ultrasonography

Elliott Lauren,  Alazraki Adina,  Milla Sarah

Final Pr. ID: Poster #: EDU-010 (R)

Fetal MRI is a unique method which allows clinicians to diagnose or exclude abnormalities during pregnancy. MR images are acquired when details from an ultrasound may not be sufficient to make a complete prenatal diagnosis or when there are concerns for additional findings. This method of imaging is optimal due to the diagnostic quality of the images and the absence of ionizing radiation. We present an educational exhibit to discuss the methodology in performing a fetal MRI as well as demonstrating common findings in fetal MRI. Read More

Authors:  Elliott Lauren , Alazraki Adina , Milla Sarah

Keywords:  Fetal, MRI, Technologist

Kim Yoel,  Rubesova Erika,  Barth Richard,  Jayapal Praveen

Final Pr. ID: Poster #: SCI-012

Although ultrasound remains main modality for prenatal diagnosis of fetal anomalies, fetal MRI has been increasingly recognized to provide additional information in various congenital pathologies. Usually, fetal MRI is performed at the time of diagnosis of the anomaly. Since fetal anomalies may evolve during pregnancy, a late 3rd trimester MRI may provide additional information, impacting postnatal management. This study aimed to evaluate the added value of repeat late 3rd trimester for diagnosis and patient management. Read More

Authors:  Kim Yoel , Rubesova Erika , Barth Richard , Jayapal Praveen

Keywords:  fetal MRI