Role of magnetic resonance imaging in prenatal diagnostics of congenital malformations of central nervous system

Abstract

Introduction. The opportunities, safety and role of magnetic resonance imaging (MRI) in diagnostics of congenital malformations of central nervous system (CNS) are given on the base of the literature analysis and results of own observations, the need of MRI inclusion into protocol/algorithm of inspection of pregnant women in Ukraine is shown at detection of any ultrasound changes for post-natal treatment planning, including neurosurgical interventions.Materials and method of the study. Features of MRI program, used for fetus examing, time of the procedure are described on the base of literature analysis and own observations.Results. Methods of MRI study of fetal CNS are described: brain biometrics, condition of brain ventricles, analysis of gyrus and sulcus development, migration of neurons and white and gray substance of a brain forming, study of a spine.According to results of own observations, the possibility of ultrasound and MRI diagnoses divergence was shown, most accurate other data at MRI.Conclusion. More than 25 years of international experience of MRI in prenatal diagnostics at congenital malformations assumption according to ultrasound data, especially of CNS, and results of own study confirm high informative value and safety of the method, high specificity of characteristics of pathological changes, indicating the need to introduce MRI in the algorithm of examination of pregnant women in Ukraine.