Antenatal assessment of congenital heart disease and associated anomalies by ultrasound has improved perinatal care. Fetal cardiovascular MRI and fetal brain MRI are rapidly evolving for fetal diagnostic testing of congenital heart disease. We give an overview on the use of fetal cardiovascular MRI and fetal brain MRI in congenital heart disease, focusing on the current applications and diagnostic yield of structural and functional imaging during pregnancy. Fetal cardiovascular MRI in congenital heart disease is a promising supplementary imaging method to echocardiography for the diagnosis of antenatal congenital heart disease in weeks 30–40 of pregnancy. Concomitant fetal brain MRI is superior to brain ultrasound to show the complex relationship between fetal haemodynamics in congenital heart disease and brain development.

Original languageEnglish
Pages (from-to)59-68
Number of pages10
JournalThe Lancet Child and Adolescent Health
Issue number1
Publication statusPublished - Jan 2023


  • Female
  • Humans
  • Pregnancy
  • Prenatal Diagnosis/methods
  • Ultrasonography, Prenatal/methods
  • Magnetic Resonance Imaging/methods
  • Heart Defects, Congenital/diagnostic imaging
  • Brain/diagnostic imaging


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