Fetal brain imaging is critical for the early detection and management of congenital brain anomalies. Magnetic Resonance Imaging (MRI) and dedicated neurosonography (NSG) are two prominent modalities used for this purpose. This study aims to compare the efficacy, accuracy and diagnostic value of MRI and dedicated NSG in fetal brain imaging. A prospective study was conducted from August 1, 2022, to July 31, 2023, in the Department of Radiology at Darbhanga Medical College and Hospital, Darbhanga. A total of 100 pregnant women with suspected fetal brain anomalies were included in the study. Each participant underwent both MRI and dedicated NSG. The imaging findings were independently reviewed by two radiologists. The parameters assessed included image clarity, diagnostic accuracy, detection of specific anomalies and overall diagnostic confidence. Statistical analysis was performed using SPSS software, with a p<0.05 considered statistically significant. Out of 100 cases, MRI identified brain anomalies in 65% of the fetuses, whereas dedicated NSG detected anomalies in 60% of the cases. MRI demonstrated superior image clarity and higher diagnostic confidence (90%) compared to NSG (85%). Specific anomalies such as ventriculomegaly, agenesis of the corpus callosum and intracranial hemorrhage were more accurately detected using MRI (p<0.05). The overall concordance rate between MRI and NSG was 85%. MRI proved to be more effective than dedicated NSG in detecting fetal brain anomalies, offering better image clarity and higher diagnostic confidence. While both modalities are valuable, MRI should be preferred in cases where detailed anatomical assessment is crucial. Further studies with larger sample sizes are recommended to validate these findings.
Sarita Jha and Irfan Ahmad. Fetal Brain Imaging: A Comparison Between Magnetic Resonance Imaging and Dedicated Neurosonography.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.105.108
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.105.108