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Use of MRI in Evaluating Fetal Ventriculomegaly

Use of MRI in Evaluating Fetal Ventriculomegaly

Use of MRI in Evaluating Fetal Ventriculomegaly

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Lisa McLeod HMS III<br />

Gillian Lieberman, MD<br />

Landmarks <strong>of</strong> fetal bra<strong>in</strong><br />

development visible by <strong>MRI</strong><br />

Glial Cell Migration<br />

Visible @ 22 weeks GA<br />

Cells migrate from<br />

ventricular periphery<br />

toward cortical ribbon<br />

T2 Hypo<strong>in</strong>tense<br />

Sulcation/Ventricles<br />

Sulcation/Ventricles<br />

Axonal Maturation/Myel<strong>in</strong>ation<br />

Maturation/ Myel<strong>in</strong>ation<br />

Caudal-cephalic/Dorsal<br />

Caudal cephalic/Dorsal-ventral ventral<br />

T2 Hypo<strong>in</strong>tense<br />

Agyric (exc. Sylvian) Sylvian)<br />

until<br />

24 weeks<br />

Physio Hydrocephalus<br />

resolves from 14 weeks<br />

Both T2 Hyper<strong>in</strong>tense<br />

3

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