The key role of the pediatric radiologist in developing a multidisciplinary fetal center

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FETAL IMAGING

The key role of the pediatric radiologist in developing a multidisciplinary fetal center Lindsay D. Pesacreta 1 & Kate E. Cilli 1 & Anne K. Lawrence 1 & Dorothy I. Bulas 1,2 Received: 20 November 2019 / Revised: 10 April 2020 / Accepted: 5 May 2020 / Published online: 19 November 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract With the demand for fetal imaging and fetal care programs on the rise, the authors of this manuscript review the components of building a successful fetal imaging center. Creating an environment that engages a multidisciplinary team, utilizing a central coordinator to review clinical and psychosocial aspects of each patient, and ensuring ongoing research and quality control are essential components to the success of growing a program. Keywords Fetal medicine . Fetal program . Fetus . Magnetic resonance imaging . Multidisciplinary . Prenatal counseling . Ultrasonography

Introduction As perinatal assessment and fetal imaging advance, multiple subspecialists have become important contributors to the care of the fetus and the mother. Providing appropriate expertise and coordinating care has become complex, requiring an innovative infrastructure to handle the organization of a multidisciplinary center. Some centers interested in growing a fetal center already have access to both pediatric and obstetric expertise, including delivery services. In this scenario, coordination of services with additional counseling and subspecialty support needs to be developed. Standalone pediatric hospitals, which typically lack delivery services and obstetric support, require partnerships with the fetal center team, in particular the pediatric radiologist, the referring maternal–fetal medicine providers, obstetricians and delivery centers. In this manuscript we review the distinct requirements for building

* Lindsay D. Pesacreta [email protected] 1

Fetal Medicine Institute, Children’s National Hospital, 111 Michigan Ave. NW, Suite M3118, Washington, DC 20010, USA

2

Division of Diagnostic Imaging and Radiology, Children’s National Hospital, George Washington School of Medicine, Washington, DC, USA

successful fetal imaging centers, with an emphasis on the importance of having a strong multidisciplinary infrastructure to support the role of the pediatric radiologist.

Who: well-trained imaging specialists and clinicians To build a successful fetal program, it is essential to develop a strong interdisciplinary team that is well-trained, enthusiastic and supportive of the mission of the program [1, 2]. With no Accreditation Council for Graduate Medical Education (ACGME)-accredited programs in fetal imaging, it is important to identify pediatric radiologists and pediatric neuroradiologists who are willing to spend time developing the needed expertise in fetal pathophysiology and normal fetal development. Numerous books, articles, websites, national workshops and meetings dedicated to fetal imaging are available to those interested in growing their knowledge. The