Research: Prenatal lung volumes in congenital diaphragmatic hernia and their effect on postnatal outcomes

Pediatr Radiol

. 2021 Aug 25. doi: 10.1007/s00247-021-05153-1. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/34435224/

Prenatal lung volumes in congenital diaphragmatic hernia and their effect on postnatal outcomes

Amy R Mehollin-Ray 1Affiliations expand

Abstract

Lung volume measurement on fetal MRI is a component of the imaging workup for various prenatal conditions, but its use as a prognosticator has been most heavily studied in congenital diaphragmatic hernia (CDH). Pediatric radiologists who perform and interpret fetal MRI must be familiar with the technical aspects of lung volume measurement to guarantee accurate measurement and reporting. Variability in timing and type of measurement at different fetal centers also requires pediatric radiologists to be up-to-date with the literature and aware of their center’s internal data. This paper provides both a how-to guide for measuring fetal lung volumes on MRI and a comprehensive review of the CDH outcome literature to serve as a convenient reference for the pediatric radiologist.

Keywords: Congenital diaphragmatic hernia; Extracorporeal membrane oxygenation; Fetal endoscopic tracheal occlusion; Fetus; Magnetic resonance imaging; Pulmonary hypoplasia; Total fetal lung volume.

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