Abstract
The aim of this paper is to outline the real indications for fetal magnetic resonance imaging (FMRI) based on the current clinical and scientific evidence and to determine where it fits into prenatal diagnostic protocols. We also consider the most commonly used FMRI diagnostic protocols and take stock of the safety aspects of this examination. This paper is the result of the work of the Fetal Magnetic Resonance (FMR) Study Group of the Italian Society of Medical Radiology (SIRM) in cooperation with the Study Group of the Italian Society of Ultrasound in Obstetrics and Gynaecology (SIEOG). It has been reviewed and approved by the Italian Association of Neuroradiology (AINR). As FMRI is undergoing continuous development, and its indications and role are also likely to change over time, the Fetal Magnetic Resonance Study Group is in agreement with the other scientific bodies involved in the drafting of this document to propose subsequent modifications to it when new clinical and scientific evidence suggest the need.
Riassunto
L’obiettivo di questo lavoro è quello di dare delle risposte, sulla base delle evidenze clinico-scientifiche, a quali siano ad oggi le reali indicazioni allo studio con risonanza magnetica fetale (RMF) e dove questo debba collocarsi nei protocolli diagnostici prenatali. Il documento considera inoltre i protocolli diagnostici di RMF maggiormente in uso e fa il punto sulla sicurezza di questo esame. Questo lavoro è il risultato della attività del Gruppo di Studio di Risonanza Magnetica Fetale della Società Italiana di Radiologia Medica (SIRM) svolto in collaborazione con Gruppo di Studio della Società Italiana di Ecografia Ostetrico-Ginecologico (SIEOG) e rivisto ed approvato anche dal direttivo della Associazione Italiana di Neuroradiologia (AINR). In quanto tecnica in continua evoluzione, anche indicazioni e ruolo della RMF sono destinati verosimilmente a cambiare nel tempo: il Gruppo di Studio in RMF si propone, in accordo con le altre società coinvolte, di indicare successive modifiche a questo documento quando nuove evidenze clinico-scientifiche lo renderanno necessario.
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Triulzi, F., Manganaro, L. & Volpe, P. Fetal magnetic resonance imaging: indications, study protocols and safety. Radiol med 116, 337–350 (2011). https://doi.org/10.1007/s11547-011-0633-5
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DOI: https://doi.org/10.1007/s11547-011-0633-5