Observational Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 6, 2021; 9(4): 822-829
Published online Feb 6, 2021. doi: 10.12998/wjcc.v9.i4.822
Usefulness of prenatal magnetic resonance imaging in differential diagnosis of fetal congenital cystic adenomatoid malformation and bronchopulmonary sequestration
Zhi Li, Yi-Dan Lv, Rong Fang, Xu Li, Zhi-Qin Luo, Ling-Hong Xie, Ling Zhu
Zhi Li, Zhi-Qin Luo, Department of Radiology, Huzhou Maternity & Child Health Care Hospital, Huzhou 313000, Zhejiang Province, China
Yi-Dan Lv, Department of Endocrinology, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou 313000, Zhejiang Province, China
Rong Fang, Ling-Hong Xie, Prenatal Diagnosis Center, Huzhou Maternity & Child Health Care Hospital, Huzhou 313000, Zhejiang Province, China
Xu Li, Center of Imaging Diagnosis, Anhui Provincial Children’s Hospital, Hefei 230000, Anhui Province, China
Ling Zhu, Department of Ultrasound, Huzhou Maternity & Child Health Care Hospital, Huzhou 313000, Zhejiang Province, China
Author contributions: Li Z, Lv YD, Fang R, and Li X prepared the manuscript; Luo ZQ, Xie LH, and Zhu L critically revised the intellectual content and gave final approval of the manuscript.
Supported by Huzhou Science and Technology Plan of Zhejiang Province, No. 2018GYB75.
Institutional review board statement: This study was approved by the Ethics Committee of Huzhou Maternity & Child Health Care Hospital and Anhui Provincial Children’s Hospital.
Informed consent statement: The clinical data used in this study were anonymous.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to report.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yi-Dan Lv, BSc, Associate Chief Nurse, Department of Endocrinology, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, No. 198 Hongqi Road, Huzhou 313000, Zhejiang Province, China. doctorhu163@163.com
Received: October 9, 2020
Peer-review started: October 9, 2020
First decision: November 29, 2020
Revised: December 4, 2020
Accepted: December 11, 2020
Article in press: December 11, 2020
Published online: February 6, 2021
ARTICLE HIGHLIGHTS
Research background

Congenital cystic adenomatoid malformation (CCAM) and bronchopulmonary sequestration (BPS) have similar imaging features, and the differentiation mainly relies on the difference in supply vessels.

Research motivation

To make a better diagnosis and differential diagnosis of CCAM and BPS through prenatal magnetic resonance imaging (MRI).

Research objectives

To improve the accuracy of prenatal MRI in CCAM and BPS.

Research methods

The MRI images of CCAM and BPS were retrospectively analyzed to find the blood supply vessels and the direction of travel.

Research results

In this study, it was found that due to the higher position of the pulmonary artery as compared with the aorta, the pulmonary artery supplying blood for CCAM ran from the midline to the lateral down direction, and the aorta supplying blood for BPS ran from the midline to the lateral up direction.

Research conclusions

CCAM and BPS can be correctly diagnosed according to the direction of the blood vessels.

Research perspectives

More cases are needed to confirm our findings.