PMID- 31482265
OWN - NLM
STAT- MEDLINE
DCOM- 20210121
LR  - 20210121
IS  - 1432-1998 (Electronic)
IS  - 0301-0449 (Linking)
VI  - 50
IP  - 1
DP  - 2020 Jan
TI  - Prenatal imaging of anorectal malformations - 10-year experience at a tertiary 
      center in Switzerland.
PG  - 57-67
LID - 10.1007/s00247-019-04513-2 [doi]
AB  - BACKGROUND: Anorectal malformation is a spectrum of congenital defects of the 
      distal bowel, mostly diagnosed at birth. OBJECTIVE: To describe the prenatal 
      imaging findings of anorectal malformations, explore the causes of the low rates 
      of prenatal diagnosis, compare the accuracy of prenatal ultrasound (US) and 
      magnetic resonnance imaging [MRI] and evaluate the relevance of information 
      obtained at MRI. MATERIALS AND METHODS: Children treated for anorectal 
      malformation at our hospital and with available prenatal studies were 
      retrospectively identified and included in the study. We reviewed prenatal 
      imaging exams, listed findings suggestive of the diagnosis, and compared results 
      with the final classification. RESULTS: Fourteen fetuses and neonates - eight 
      with intermediate-high type anorectal malformation and six with cloacae - 
      fulfilled the inclusion criteria. All had associated congenital anomalies. 
      Prenatal exams included 13 US and 8 MRI exams, with 7 children having both exams. 
      Suggestive findings for anorectal malformation were detected in 50% of the cases 
      prenatally and in 85% upon review. They were prospectively detected in 31% and 
      50% of the cases at US and MRI and retrospectively in 62% and 100% at US and MRI, 
      respectively. MRI was superior to US because it improved the diagnosis, 
      especially in cloacae, and provided relevant additional information that changed 
      management in two cases. CONCLUSION: The most important signs suggesting 
      anorectal malformation are an absent target sign and anomalous distal bowel wall 
      and rectal fluid. Complementary prenatal MRI improves the diagnosis of anorectal 
      malformation.
FAU - Rohrer, Lysiane
AU  - Rohrer L
AD  - Department of Diagnostic and Interventional Radiology, CHUV - Centre Hospitalier 
      Universitaire Vaudois, Rue du Bugnon 21, 1011, Lausanne, Switzerland. 
      lysiane.rohrer@gmail.com.
FAU - Vial, Yvan
AU  - Vial Y
AD  - Department of Gynecology and Obstetrics, CHUV - Centre Hospitalier Universitaire 
      Vaudois, Lausanne, Switzerland.
FAU - Gengler, Carole
AU  - Gengler C
AD  - Department of Pathology, CHUV - Centre Hospitalier Universitaire Vaudois, 
      Lausanne, Switzerland.
FAU - Tenisch, Estelle
AU  - Tenisch E
AD  - Department of Diagnostic and Interventional Radiology, CHUV - Centre Hospitalier 
      Universitaire Vaudois, Rue du Bugnon 21, 1011, Lausanne, Switzerland.
FAU - Alamo, Leonor
AU  - Alamo L
AD  - Department of Diagnostic and Interventional Radiology, CHUV - Centre Hospitalier 
      Universitaire Vaudois, Rue du Bugnon 21, 1011, Lausanne, Switzerland.
LA  - eng
PT  - Journal Article
DEP - 20190903
PL  - Germany
TA  - Pediatr Radiol
JT  - Pediatric radiology
JID - 0365332
SB  - IM
MH  - Anorectal Malformations/*diagnostic imaging/*embryology
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Magnetic Resonance Imaging/*methods
MH  - Male
MH  - Pregnancy
MH  - Prenatal Diagnosis/methods
MH  - Prospective Studies
MH  - Rectum/abnormalities/diagnostic imaging/embryology
MH  - Reproducibility of Results
MH  - Retrospective Studies
MH  - Switzerland
MH  - Tertiary Care Centers
MH  - Ultrasonography, Prenatal/*methods
OTO - NOTNLM
OT  - Anorectal malformation
OT  - Cloaca
OT  - Fetus
OT  - Magnetic resonance imaging
OT  - Prenatal
OT  - Ultrasound
EDAT- 2019/09/05 06:00
MHDA- 2021/01/22 06:00
CRDT- 2019/09/05 06:00
PHST- 2019/02/06 00:00 [received]
PHST- 2019/08/20 00:00 [accepted]
PHST- 2019/06/25 00:00 [revised]
PHST- 2019/09/05 06:00 [pubmed]
PHST- 2021/01/22 06:00 [medline]
PHST- 2019/09/05 06:00 [entrez]
AID - 10.1007/s00247-019-04513-2 [pii]
AID - 10.1007/s00247-019-04513-2 [doi]
PST - ppublish
SO  - Pediatr Radiol. 2020 Jan;50(1):57-67. doi: 10.1007/s00247-019-04513-2. Epub 2019 
      Sep 3.