The role of the fetal MRI to predict the postnatal survival in fetuses with congenital diaphragmatic hernia

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dc.authoridOztekin, Deniz / 0000-0002-4213-7254
dc.authoridOztekin, Ozgur / 0000-0002-0092-5260
dc.authorwosidOztekin, Deniz/AAT-3898-2021
dc.authorwosidOztekin, Ozgur/AAC-4801-2021
dc.contributor.authorSarioğlu, Fatma Ceren
dc.contributor.authorSarıoğlu, Orkun
dc.contributor.authorYılmaz İnci Turkan
dc.contributor.authorAtakul, Bahar Konuralp
dc.contributor.authorÖztekin, Deniz
dc.contributor.authorÖztekin, Özgür
dc.date.accessioned2022-02-15T16:58:26Z
dc.date.available2022-02-15T16:58:26Z
dc.date.issued2021
dc.departmentBakırçay Üniversitesien_US
dc.description.abstractObjective: To assess the role of the magnetic resonance imaging (MRI) to predict the postnatal survival in patients with congenital diaphragmatic hernia (CDH). Method: 25 patients with CDH who had fetal MRI between 2015 and 2020 were enrolled in this retrospective study. Patients were divided into two groups according to the postnatal survival at 30 days of age: alive and dead. The fetal MRI images were assessed to calculate the lung-to-liver signal intensity ratio (LLSIR), and the total lung volume (TLV). In addition, the site of the defect (right or left), accompanying liver herniation (present or absent), detectable-ipsilateral lung parenchyma at the apex (present or absent) were also recorded. MRI images were evaluated by two pediatric radiologists. A p value lesser than 0.05 was considered statistically significant. Results: Among 25 fetuses, 6 were alive and 19 were dead within 30 days after birth. The detectable lung parenchyma had a relationship with the alive group (p = 0.023). Observed-to-expected TLV (p = 0.001) and LLSIR (p = 0.023) were significantly lower in the dead group. Using the cutoff values for the observed-to-expected TLV as 0.27 (a sensitivity of 84%, a specificity of 84%) and for the LLSIR as 2.02 (a sensitivity of 89%, a specificity of 67%) were found as predictors for death. Conclusion: The postnatal survival in CDH may be predicted using the observed-to-expected TLV and LLSIR on the fetal MRI. The presence of the detectable-ipsilateral lung parenchyma at the apex may also be associated with the postnatal survival.en_US
dc.identifier.doi10.5222/buchd.2021.43925
dc.identifier.endpage158en_US
dc.identifier.issn2146-2372
dc.identifier.issn1309-9566
dc.identifier.issue2en_US
dc.identifier.startpage153en_US
dc.identifier.urihttps://doi.org/10.5222/buchd.2021.43925
dc.identifier.urihttps://hdl.handle.net/20.500.14034/407
dc.identifier.volume11en_US
dc.identifier.wosWOS:000681765400006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherDr Behcet Uz Cocuk Hastaliklari Ve Cerrahisien_US
dc.relation.journalIzmir Dr Behcet Uz Cocuk Hastanesi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectcongenital diaphragmatic herniaen_US
dc.subjectfetalen_US
dc.subjectmagnetic resonance imagingen_US
dc.subjectprognosisen_US
dc.subjecttotal lung volumeen_US
dc.subjectSignal Intensity Ratioen_US
dc.subjectLung-Volumeen_US
dc.subjectRisk Stratificationen_US
dc.subjectOutcomesen_US
dc.subjectUltrasounden_US
dc.titleThe role of the fetal MRI to predict the postnatal survival in fetuses with congenital diaphragmatic herniaen_US
dc.typeArticleen_US

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