Publication:
The influence of MR imaging on changes in patient counseling in obstetric patients with suspected fetal anomalies by ultrasound

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Issued Date

2013

Resource Type

Article

File Type

application/pdf

ISSN

1252208

Other identifier(s)

2-s2.0-84880060001

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

Journal of the Medical Association of Thailand. Vol 96, No.7 (2013), p.839-848

Suggested Citation

Varavithya V., Phongkitkarun S., Raungrongmorakot K., Rujiwetpongstorn J., Chittacharoen A. The influence of MR imaging on changes in patient counseling in obstetric patients with suspected fetal anomalies by ultrasound. Journal of the Medical Association of Thailand. Vol 96, No.7 (2013), p.839-848. Retrieved from: https://hdl.handle.net/20.500.14740/6757

Title

The influence of MR imaging on changes in patient counseling in obstetric patients with suspected fetal anomalies by ultrasound

Author(s)

Varavithya V.
 Phongkitkarun S.
 Raungrongmorakot K.
 Rujiwetpongstorn J.
 Chittacharoen A.

Abstract

Objective: To determine the frequency of additional information provided by magnetic resonance (MR) imaging in supplement to ultrasound (US) in patients with fetal anomaly and to determine the influence of MR imaging findings on patient counseling. Material and Method: MR imaging of fetus was performed in 26 patients who have abnormal ultrasound results. Referring obstetricians were asked about how the additional information provided by MR imaging have effect on their decision marking, patient counseling, and case management. Results: MR imaging in 23 of 26 fetuses was technically successful. MR imaging provided additional information in 14/23 (60.9%) cases. In the other nine (39.1%) cases, MR imaging confirmed US diagnosis but did not give supplementary information. Additional information from MR imaging affected patient counseling in five (21.7%) cases and did not affect patient counseling in the other nine (39.1%) cases. In 14 cases with additional information from MR imaging, there were isolated CNS involvement in five (35.7%) cases, isolated extra-CNS involvement in two (14.3%) cases, multisystem involvement in five (35.7%) cases, and other-category in two (14.3%) case. Conclusion: MR imaging can provide additional information that have influence on patient counseling and patient care, particularly in cases with CNS and multisystem anomaly.

Subject(s)

Article
 Case management
 Central nervous system malformation
 Clinical article
 Diagnostic value
 Echography
 Female
 Fetus
 Fetus malformation
 Gestational age
 Human
 Medical decision making
 Nuclear magnetic resonance imaging
 Outcome assessment
 Patient care
 Patient counseling
 Physical examination
 Third trimester pregnancy
 Cohort analysis
 Congenital Abnormalities
 Directive counseling
 Fetal Diseases
 Pregnancy
 Prenatal diagnosis
 Cohort Studies
 Congenital Abnormalities
 Directive Counseling
 Female
 Fetal Diseases
 Gestational Age
 Humans
 Magnetic Resonance Imaging
 Pregnancy
 Prenatal Diagnosis

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URI

https://hdl.handle.net/20.500.14740/6757

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Scopus: Year 1983-2021

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