title: The influence of MR imaging on changes in patient counseling in obstetric patients with suspected fetal anomalies by ultrasound.
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.
  
  
  METHODS
  MR imaging offetus 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.
  
  
  CONCLUSIONS
  MR imaging can provide additional information that have influence on patient counseling and patient care, particularly in cases with CNS and multisystem anomaly.
authors: Department of Radiology, Faculty of Medicine, HRH Princess Maha Chakri Sirindhorn Medical Center. Srinakharinwirot University, Nakhon Nayok, Thailand. vithyaw@gmail.com
authors: Vithya
authors: V
authors: Varavithya
authors: Sith
authors: S
authors: Phongkitkarun
authors: Kasem
authors: K
authors: Raungrongmorakot
authors: Jittima
authors: J
authors: Rujiwetpongstorn
authors: Apichart
authors: A
authors: Chittacharoen
mesh_terms: D015331:Cohort Studies; D000013:Congenital Abnormalities / Q000175:diagnosis* / Q000628:therapy; D037001:Directive Counseling; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis* / Q000628:therapy; D005865:Gestational Age; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011296:Prenatal Diagnosis