Prenatal diagnosis of esophageal atresia using sonography and magnetic resonance imaging.
BACKGROUND
The diagnosis of esophageal atresia may be suspected on prenatal ultrasound scan in fetuses with a small or absent stomach or unexplained polyhydramnios. However, these findings are thought to have a low positive predictive value and clinical decisions affecting timing or site of delivery may be made erroneously. The authors evaluated the accuracy of fetal sonography followed by magnetic resonance imaging (MRI) for the diagnosis of this lesion.


METHODS
Fetuses considered to be at risk for esophageal atresia based on detailed obstetric sonography underwent fetal MRI using a single-shot rapid-acquisition technique, and the T(2)-weighted images were evaluated prospectively. Scans were considered to be positive if the proximal esophagus was dilated, and the distal esophagus was not seen and negative if the esophagus was visualized throughout its length.


RESULTS
Ten fetuses underwent MRI scanning. All had a small or absent stomach bubble with unexplained polyhydramnios. Four scans were considered to be negative for esophageal atresia; all 4 were found to have a normal esophagus after delivery. Six scans were considered to be positive; 5 had esophageal atresia (2 with tracheoesophageal fistula and 3 without), and one had a neurologic syndrome with a normal esophagus.


CONCLUSIONS
Magnetic resonance imaging appears to be accurate for establishing or ruling out a prenatal diagnosis of esophageal atresia, and should be considered in fetuses who are at high risk based on ultrasound findings.
Langer
J C
JC
University of Toronto, Toronto, Ontario, Canada.
Hussain
H
H
Khan
A
A
Minkes
R K
RK
Gray
D
D
Siegel
M
M
Ryan
G
G
D004933:Esophageal Atresia / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000592:standards*; D006831:Polyhydramnios / Q000209:etiology; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011296:Prenatal Diagnosis / Q000379:methods* / Q000592:standards*; D011446:Prospective Studies; D012307:Risk Factors; D012680:Sensitivity and Specificity; D013270:Stomach / Q000002:abnormalities; D016216:Ultrasonography, Prenatal / Q000592:standards*