Fetal MRI (FMR) has been particularly helpful in the evaluation of abnormalities observed on antenatal ultrasound (US). In this educational exhibit, the aim is to present the spectrum of liver abnormalities encountered in the fetus with US and FMR imaging. The most common entities encountered in utero include hemochromatosis, cystic lesions, hepatoblastoma, hemangioma, and metastatic disease. Antenatal identification of liver abnormalities contributes to accurate diagnosis and recognition of complications, ultimately guiding delivery, postnatal imaging, therapeutic planning, and treatment. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Hakim Ibrahim, Halabi Safwan

Keywords: antenatal, MRI, ultrasound, hepatic, tumors

1. Provide an overview of the science, indications and spectrum of noninvasive prenatal testing 2. Define the timing, accuracy and limitations of noninvasive prenatal testing 3. Describe the relationship and timing between noninvasive prenatal testing (Cell-free DNA screening), invasive prenatal testing (amniocentesis and chorionic villous sampling), and fetal imaging screening (nuchal translucency, fetal anatomic survey) 4. Summarize the impact of noninvasive prenatal testing on prenatal screening, testing and counseling 5. Discuss case reports that highlight the impact of NIPT on maternal-fetal management including fetal imaging Read More

Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017

Authors: Halabi Safwan, Emerson Miriam, Alkhori Noor

Keywords: nipt, fetal, aneuploidy

The development and migration of reproductive organs is a complex process that is often poorly understood. Abnormally located testes and ovaries may reflect an incidental transient finding or underlying/pending pathology. Cryptorchidism is the most common genitourinary anomaly in males with associated increased risk of infertility and malignancy. Ectopic testes (outside the normal line of descent) have been reported within the perineum, penis, and femoral canal, representing a rare- but important entity to recognize and diagnose. Abnormally positioned ovaries- either in the midline pelvis or within the canal of Nuck- may mimic tumors or reflect underlying vascular compromise of the tissue. This educational exhibit will present a case-based review of the normal migration and anatomic position of gonadal tissue, as well as common and uncommon aberrant locations. In addition, this exhibit will highlight imaging strategies, including appropriate modalities and techniques. A brief discussion of current concepts in management will also be provided. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Cullen Thomas, Seekins Jayne, Halabi Safwan

Keywords: Cryptorchidism, reproductive, testes, ovaries, gonads

The purpose of this study is to determine the reliability of sonographic (US) lung measurements compared with Fetal MR in fetuses with congenital diaphragmatic hernia. The sonographic lung head ratio (LHR) is a widely used prognostic tool in CDH, but can be difficult to obtain due to shifted mediastinum and fetal position. To our knowledge, comparison of MRI measured LHR with US has not been previously reported. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Alford Raphael, Rubesova Erika, Halabi Safwan, Blumenfeld Yair, Hintz Susan, Barth Richard

Keywords: Congenital diaphragmatic hernia, Lung head ratio, LHR, Fetal MRI, Lung volumes

Congenital Pulmonary Airway Malformation Volume Ratio (CVR) is widely used during prenatal ultrasound to predict outcome of fetuses with bronchopulmonary malformations (BPM). Since fetal MRI is often performed in fetuses with BPM, the aim of our study is to correlate CVR measurements by MRI and US, to compare inter-observer agreement of CVR measured by area-based MRI volume, diameter-based volume and to assess whether large lesions would be prone to more variability in CVRs among observers. Read More

Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017

Authors: Emerson Miriam, Barth Richard, Rubesova Erika, Halabi Safwan, Rosenberg Jarrett, Hintz Susan, Blumenfeld Yair, Girsen Anna, Neves Stephanie, Homeyer Margaret

Keywords: Bronchopulmonary malformation, CVR, lung