Fetal Imaging Lecture 10: Techniques and Indications
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Questions and Answers

At what stage of pregnancy should MRI be avoided?

  • When ultrasound provides accurate information
  • In the second half of pregnancy
  • In the first half of pregnancy (correct)
  • During fetal surgery assessment

What is a contraindication for MRI?

  • Suspicion of fetal CNS anomalies
  • Fetal intrathoracic lesions
  • Morbidly adherent placenta
  • Maternal weight/size exceeds table recommendations or MRI caliber (correct)

When can gadolinium contrast with MRI be used?

  • When it significantly improves diagnostic performance and is expected to improve fetal or maternal outcome (correct)
  • Only when ultrasound provides accurate information
  • In complicated twin pregnancies
  • In the first half of pregnancy

What is an indication for MRI?

<p>Fetal surgery assessment (D)</p> Signup and view all the answers

Why does MRI image quality suffer in the first half of pregnancy?

<p>Due to the movement of the fetus (B)</p> Signup and view all the answers

What is not a contraindication for MRI?

<p>Suspicion of fetal CNS anomalies (A)</p> Signup and view all the answers

What is the main advantage of Fetal MRI over other fetal imaging modalities?

<p>It has a larger field of view for simultaneous evaluation of the whole fetal body and maternal structures (B)</p> Signup and view all the answers

What is the primary indication for performing a limited ultrasound in any trimester?

<p>To answer a specific clinical question (B)</p> Signup and view all the answers

What is the frequency range of the abdominal transducer used in fetal ultrasound?

<p>3 to 5 MHz (A)</p> Signup and view all the answers

What is a contraindication for the use of Gadolinium contrast in fetal imaging?

<p>Pregnancy (D)</p> Signup and view all the answers

What is the primary purpose of a standard second-trimester scan in low-risk pregnancies?

<p>To perform a simple fetal anatomic survey examination (D)</p> Signup and view all the answers

What is the frequency range of the transvaginal transducer used in fetal ultrasound?

<p>9 to 12 MHz (C)</p> Signup and view all the answers

What is the primary purpose of obtaining a consent form from the patient?

<p>To inform the patient of the potential risks associated with the scan (B)</p> Signup and view all the answers

What is the optimal patient position for an MRI scan of the fetus?

<p>Supine position with the body coils over the abdomen and pelvis (A)</p> Signup and view all the answers

What is the primary sequence used for fetal brain assessment in MRI?

<p>Single-shot T2-weighted sequence (B)</p> Signup and view all the answers

What is the purpose of the three-plane HASTE sequence in MRI?

<p>To localize and plan sequences for fetal assessment (B)</p> Signup and view all the answers

What is the importance of instructing the patient to hold their breath during the MRI scan?

<p>To reduce motion artifacts (B)</p> Signup and view all the answers

Why is it necessary to remove all metal objects before entering the MRI scanner room?

<p>To prevent projectile injuries (D)</p> Signup and view all the answers

What is the primary factor that influences the diagnostic accuracy of ultrasound in fetal imaging?

<p>Fetal position (A)</p> Signup and view all the answers

What is the advantage of ultrasound in fetal imaging when it comes to calcified lesions?

<p>Better for calcified lesions, such as brain, liver, and placenta (A)</p> Signup and view all the answers

In what situations may MRI provide additional information in fetal imaging?

<p>In cases where the diagnostic accuracy of ultrasound is compromised due to maternal adiposity or fetal ossification (A)</p> Signup and view all the answers

What is the primary concern regarding radiation exposure during pregnancy?

<p>The gestational age of the fetus (B)</p> Signup and view all the answers

What is a limitation of ultrasound in fetal imaging?

<p>It is operator dependent (D)</p> Signup and view all the answers

What is the advantage of MRI in fetal imaging compared to ultrasound?

<p>It has superb soft tissue characterization and a large field of view (A)</p> Signup and view all the answers

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