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- Title
Fetal MRI, lower acceptance by women in research vs. clinical setting.
- Authors
van der Knoop, Bloeme J.; Vermeulen, Roland J.; Verbeke, Jonathan I.M.L.; Pistorius, Lourens R.; de Vries, Johanna I.P.
- Abstract
Aim: To determine acceptance of pregnant women to undergo fetal magnetic resonance imaging (MRI) examination in research and clinical setting. Methods: A prospective study included a research group [part of a study comparing brain ultrasound (US) to MRI in fetuses at risk for acquired brain damage] and a clinical group [fetuses with suspected (brain) anomalies after structural US examination] from 2011 to 2014. All women were advised to use sedatives. MRI declinations, use of sedation, MRI duration and imaging quality were compared between both groups. Results: Study participation was accepted in 57/104 (55%) research cases. Fetal MRI was performed in 34/104 (33%) research and 43/44 (98%) clinical cases. Reasons to decline study participation were MRI related in 41%, and participation was too burdensome in 46%. Acceptance was highest for indication infection and lowest in alloimmune thrombocytopenia and monochorionic twin pregnancy. Sedatives were used in 14/34 research and 43/43 clinical cases. Scan duration and quality were comparable (21 and 20 min in research and clinical cases, respectively, moderate/good quality in both groups). Conclusions: Pregnant women consider MRI more burdensome than professionals realize. Two-third of women at risk for fetal brain damage decline MRI examination. Future studies should evaluate which information about fetal MRI is supportive.
- Subjects
DIAGNOSIS of brain diseases; BRAIN diseases; ANESTHESIA; FETAL ultrasonic imaging; LONGITUDINAL method; MAGNETIC resonance imaging; MULTIPLE pregnancy; PREGNANCY &; psychology; PRENATAL diagnosis; THROMBOCYTOPENIA; FETUS; DISEASE risk factors
- Publication
Journal of Perinatal Medicine, 2018, Vol 46, Issue 9, p983
- ISSN
0300-5577
- Publication type
Article
- DOI
10.1515/jpm-2016-0360