The aim of this study was to assess the role of magnetic resonance imaging (MRI) in the diagnosis of fetal anomalies and its correlation with antenatal Ultrasound (US) and histopathology. The study was conducted in the Department of Radiodiagnosis, Basaveshwar Teaching and General Hospital attached to Mahadevappa Rampure Medical College, Kalaburagi. It was conducted over 6 months and included pregnant women with suspected fetal anomalies on US. MR images were read independently by two radiologists and findings were confirmed with histopathology and post natal follow up. 15 patients underwent MRI for different indications all of who were referred after US. In 8/15 cases (53.34%), the US findings and MRI findings were concordant. MRI imaging provided additional information in 7/15 cases (46.66%). With advances in MRI technology and cumulative experience, MRI can be used as a valuable complementary tool to ultrasound in detecting and better evaluating fetal anomalies. The major role of fetal MRI is confirmation of abnormal sonological findings, evaluation of sonological occult fetal CNS pathologies and reassurance in equivocal US findings.
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