The Necessity of Magnetic Resonance Imaging in Congenital Diaphragmatic Hernia
This is a retrospective study investigating the relationship between ultrasound and magnetic resonance imaging (MRI) examinations in congenital diaphragmatic hernia (CDH). CDH is a rare cause of pulmonary hypoplasia that increases the mortality and morbidity of patients. Inclusion criteria were: pat...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/7/1733 |
| _version_ | 1797406771911852032 |
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| author | Erick George Neștianu Cristina Guramba Brădeanu Dragoș Ovidiu Alexandru Radu Vlădăreanu |
| author_facet | Erick George Neștianu Cristina Guramba Brădeanu Dragoș Ovidiu Alexandru Radu Vlădăreanu |
| author_sort | Erick George Neștianu |
| collection | DOAJ |
| description | This is a retrospective study investigating the relationship between ultrasound and magnetic resonance imaging (MRI) examinations in congenital diaphragmatic hernia (CDH). CDH is a rare cause of pulmonary hypoplasia that increases the mortality and morbidity of patients. Inclusion criteria were: patients diagnosed with CDH who underwent MRI examination after the second-trimester morphology ultrasound confirmed the presence of CDH. The patients came from three university hospitals in Bucharest, Romania. A total of 22 patients were included in the study after applying the exclusion criteria. By analyzing the total lung volume (TLV) using MRI, and the lung to head ratio (LHR) calculated using MRI and ultrasound, we observed that LHR can severely underestimate the severity of the pulmonary hypoplasia, even showing values close to normal in some cases. This also proves to be statistically relevant if we eliminate certain extreme values. We found significant correlations between the LHR percentage and herniated organs, such as the left and right liver lobes and gallbladder. MRI also provided additional insights, indicating the presence of pericarditis or pleurisy. We wish to underline the necessity of MRI follow-up in all cases of CDH, as the accurate measurement of the TLV is important for future treatment and therapeutic strategy. |
| first_indexed | 2024-03-09T03:31:27Z |
| format | Article |
| id | doaj.art-631107c48a2b4435bd9847f0d2f46cc3 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-09T03:31:27Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-631107c48a2b4435bd9847f0d2f46cc32023-12-03T14:55:20ZengMDPI AGDiagnostics2075-44182022-07-01127173310.3390/diagnostics12071733The Necessity of Magnetic Resonance Imaging in Congenital Diaphragmatic HerniaErick George Neștianu0Cristina Guramba Brădeanu1Dragoș Ovidiu Alexandru2Radu Vlădăreanu3Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 030167 Bucharest, RomaniaAffidea Medical Center, 022238 Bucharest, RomaniaDepartment of Medical Informatics and Bio-Statistics, University of Medicine and Pharmacy of Craiova, 200349 Craiova, RomaniaFaculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 030167 Bucharest, RomaniaThis is a retrospective study investigating the relationship between ultrasound and magnetic resonance imaging (MRI) examinations in congenital diaphragmatic hernia (CDH). CDH is a rare cause of pulmonary hypoplasia that increases the mortality and morbidity of patients. Inclusion criteria were: patients diagnosed with CDH who underwent MRI examination after the second-trimester morphology ultrasound confirmed the presence of CDH. The patients came from three university hospitals in Bucharest, Romania. A total of 22 patients were included in the study after applying the exclusion criteria. By analyzing the total lung volume (TLV) using MRI, and the lung to head ratio (LHR) calculated using MRI and ultrasound, we observed that LHR can severely underestimate the severity of the pulmonary hypoplasia, even showing values close to normal in some cases. This also proves to be statistically relevant if we eliminate certain extreme values. We found significant correlations between the LHR percentage and herniated organs, such as the left and right liver lobes and gallbladder. MRI also provided additional insights, indicating the presence of pericarditis or pleurisy. We wish to underline the necessity of MRI follow-up in all cases of CDH, as the accurate measurement of the TLV is important for future treatment and therapeutic strategy.https://www.mdpi.com/2075-4418/12/7/1733magnetic resonance imagingcongenital diaphragmatic herniaultrasoundlung to head ratiototal lung volume |
| spellingShingle | Erick George Neștianu Cristina Guramba Brădeanu Dragoș Ovidiu Alexandru Radu Vlădăreanu The Necessity of Magnetic Resonance Imaging in Congenital Diaphragmatic Hernia Diagnostics magnetic resonance imaging congenital diaphragmatic hernia ultrasound lung to head ratio total lung volume |
| title | The Necessity of Magnetic Resonance Imaging in Congenital Diaphragmatic Hernia |
| title_full | The Necessity of Magnetic Resonance Imaging in Congenital Diaphragmatic Hernia |
| title_fullStr | The Necessity of Magnetic Resonance Imaging in Congenital Diaphragmatic Hernia |
| title_full_unstemmed | The Necessity of Magnetic Resonance Imaging in Congenital Diaphragmatic Hernia |
| title_short | The Necessity of Magnetic Resonance Imaging in Congenital Diaphragmatic Hernia |
| title_sort | necessity of magnetic resonance imaging in congenital diaphragmatic hernia |
| topic | magnetic resonance imaging congenital diaphragmatic hernia ultrasound lung to head ratio total lung volume |
| url | https://www.mdpi.com/2075-4418/12/7/1733 |
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