ABSTRACT
We describe a unique case of prenatally diagnosed diffuse brainstem glioma, detected during routine obstetric ultrasound and characterized with fetal magnetic resonance imaging. The diagnosis was supported by early postpartum imaging and confirmed at autopsy. Few examples of these rare lesions have been described in neonates by imaging and fewer cases have been confirmed by histopathological examination. Our case contributes to the limited literature concerning the clinical, MRI, and pathological correlates of brainstem gliomas in the perinatal period.
Subject(s)
Brain Stem Neoplasms/embryology , Brain Stem Neoplasms/pathology , Glioma/embryology , Glioma/pathology , Magnetic Resonance Imaging/methods , Prenatal Diagnosis/methods , HumansABSTRACT
OBJECTIVE: The purpose of this study was to investigate the use of the American College of Radiology (ACR) appropriateness criteria by referring physicians during decision making about imaging in the management of their patients. CONCLUSION: There is a low utilization of the ACR appropriateness criteria by clinicians when ordering imaging studies for their patients. The ACR has invested a great deal of resources in these criteria and should therefore be aware of information regarding utilization. Our findings may have implications about how the ACR appropriateness criteria are reviewed, revised, and disseminated.
