NetForum uses cookies to ensure that we give you the best experience on our website. If you continue to use the site, we'll assume that you are happy to receive these cookies on the NetForum website. Read about our cookies.
NetForum Community
Learn. Share. Optimize.
Log in | Sign up now | Submit content | Contact

Attention valued NetForum members:

Due to evolving technology needs and global privacy regulations, we have made the hard decision to suspend the NetForum User Community platform on Friday, November 29, 2019.

After this date, the current NetForum can no longer be reached. Please click here for more information about this decision, what happens next and how to stay in touch with us about the future of the community.

Go to similar content

Right congenital diaphragmatic hernia

Case Study
Kline-Fath, Beth, M.D. Cincinnati Children's Hospital Medical Center • USA
Serai, Suraj, Ph.D. Cincinnati Children's Hospital Medical Center • USA

Patient history

A 22-year-old pregnant woman with a fetus at 33 weeks being evaluated for fetal lung lesion.

MR examination

MRI was done on Ingenia 1.5T. With the mother on her side – one digital Anterior coil on her back and another one on her front are used. These two coils used together with the Posterior coil integrated in the table, cover the patient on all sides.

View ExamCard used:


 T2 SSh TSE cor T2 SSh TSE axial
T2 SSh TSE cor
T2 SSh TSE axial

The coronal T2-weighted SSh TSE image demonstrates a fluid filled small bowel (long arrow) and dark meconium filled colon (short arrow) in the left chest confirming presence of congenital diaphragmatic hernia. Note the normal location of stomach (dotted arrow) in the left upper abdomen.
The axial SSh TSE T2-weighted image again shows small bowel (long arrow) and meconium (short arrow) in the right chest. The heart (dotted arrow) is displaced into the left chest.


The findings led to counseling and preparation for respiratory support at delivery.

Clinical impact of using Ingenia 1.5T

A difficulty in fetal MRI is that imaging the mother requires a large field of view, but the fetus is very small and embedded deep inside the mother, so SNR is inherently low. The key is to maximize SNR. That can be done using Ingenia with its digital architecture. Because the signal is digitized directly in the coil, it helps to obtain high SNR. This coil setup used at Cinicinnati Children's offers big advantages. When the fetus moves, no repositioning of the coil is needed. The field of view can just be moved, the coil elements are already there and Ingenia’s SmartSelect automatically chooses the elements to obtain the best possible SNR. Ingenia’s wide bore is another advantage; with pregnant patients, it really makes a difference.

Ingenia’s strong gradients allow to set up fast imaging and that helps reduce fetal motion that can influence the scan. The gradients also help to reduce the TR and TE for high quality in the Balanced SSFP images. High SNR, digital coil setup and wide bore contribute to a smart approach for fetal MR imaging at Cincinnati Children’s Hospital.

Related reading:

This content has been made possible by NetForum Community.
Share this on: Share your link in twitter Share your link in facebook Share your link on LinkedIn Print Rate this article: Log in to vote

Nov 28, 2013

Rate this:
Log in to vote

Case Study
Ingenia 1.5T
Anterior coil, Body, dStream, Fetal, Pediatric, Posterior coil, Women's health

Clinical News
Best Practices
Case Studies
Publications and Abstracts
White Papers
Web seminars and Presentations
Application Tips and FAQ
Try an Application
Business News
Case Studies
White Papers
Web Seminars and Presentations
Utilization Services
Contributing Professionals
Contributing Institutions
Become a Contributor