Prenatal imaging of the normal and abnormal spinal cord: recommendations from the Fetal Task Force of the European Society of Paediatric Radiology (ESPR) and the European Society of Neuroradiology (ESNR) Pediatric Neuroradiology Committee

Pediatr Radiol. 2024 Apr;54(4):548-561. doi: 10.1007/s00247-023-05766-8. Epub 2023 Oct 7.

Abstract

Spinal dysraphisms are amenable to diagnosis in utero. The prognosis and the neonatal management of these conditions differ significantly depending on their types, mainly on the distinction between open and closed defects. A detailed evaluation not only of the fetal spine, but also of the brain, skull, and lower limbs is essential in allowing for the right diagnosis. In this article, recommendations from the Fetal Task Force of the European Society of Paediatric Radiology (ESPR) and the European Society of Neuroradiology (ESNR) Pediatric Neuroradiology Committee will be presented. The aim of this paper is to review the imaging features of the normal and abnormal fetal spinal cord, to clarify the prenatal classification of congenital spinal cord anomalies and to provide guidance in their reporting.

Keywords: Closed dysraphism; Fetus; Open dysraphism; Prenatal diagnosis; Spinal cord.

Publication types

  • Review

MeSH terms

  • Diagnostic Imaging
  • Female
  • Humans
  • Infant, Newborn
  • Pregnancy
  • Radiology*
  • Spinal Cord / diagnostic imaging
  • Spinal Dysraphism* / diagnosis
  • Spine