Utility of Ultrasound and Magnetic Resonance Imaging in Prenatal Diagnosis of Placenta Accreta: A Prospective study
DOI:
https://doi.org/10.61581/MJSP.VOL02/02/02Keywords:
Ultrasound, Magnetic Resonance Imaging, PrenatalAbstract
Objectives: determine the utility of ultrasound and magnetic resonance imaging in prenatal diagnosis of placenta accreta.
Methods: Thirty patients presented in the department of gynecology and obstetrics and fulfilling the inclusion criteria were selected for the study. Study was a cros sectional design conducted at department of Radiology, Nishtar Hospital Multan, from 1st January 2019 to 1st December 2019.
Result: Only 10 patients with placenta accreta were positive on USG while other 9 patients were found to be negative; and 3 patients were misdiagnosed to have placenta accreta on USG. Table-IIOnly 15 patients with placenta accreta were positive on MRI while other 4 patients were found to be negative; and 2 patients were misdiagnosed to have placenta accreta on USG. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy were 52.6%, 72.7%, 76.9%, respectively.
Conclusion: It can be concluded that there is no significant difference between MRI and USG in terms of accuracy for prenatal diagnosis of placenta accreta.
Downloads
References
1- Christopoulos P, Hassiakos D, TsitouraA, Panoulis K, Papadias K, Vitoratos N. Obstetric hysterectomy: A review of cases over 16 years.JObstetGynaecol 2011;31:139 41.
2- Jauniaux E, Silver RM, Matsubara S. The new world of placenta accreta spectrum disorders. Int J Gynecol Obstet. 2018;140(3):259-60.
3- Silver RM. Abnormal placentation: placenta previa, vasa previa, and placenta accreta. Obstet Gynecol. 2015;126(3):654-68.
4- Jauniaux E, Collins S, Burton GJ. Placenta accreta spectrum: pathophysiology and evidence-based anatomy for prenatal ultrasound imaging. Am J Obstet Gynecol. 2018;218(1):75-87.
5- Jin R, Guo Y, Chen Y. Risk factors associated with emergency peripartum hysterectomy. Chin Med J. 2014;127(5):900-4.
6- Fitzpatrick KE, Sellers S, Spark P, Kurinczuk JJ, Brocklehurst P, Knight M. The management and outcomes of placenta accreta, increta, and percreta in the UK: a population‐based descriptive study. BJOG: Int JObstetGynaecol. 2014;121(1):62-71.
7- Satija B, Kumar S, Wadhwa L, Gupta T, Kohli S, Chandoke R, Gupta P. Utility of ultrasound and magnetic resonance imaging in prenatal diagnosis of placenta accreta: a prospective study. Ind JRadiolImag. 2015;25(4):464.
8- Baughman WC, Corteville JE, Shah RR. Placenta accreta: Spectrum of US and MR imaging findings. Radiographics2008;28:1905 16.
9- Leyendecker JR, DuBose M, Hosseinzadeh K, Stone R, Gianini J, Childs DD, et al.MRI of pregnancy related issues: Abnormal placentation. AJR Am J Roentgenol2012;198:311 20.
10- Comstock CH. Antenatal diagnosis of placenta accrete; A review. Ultrasound ObstetGynecol2005;26:89 96.
11- Yang JI, Lim YK, Kim HS, Chang KH, Lee JP, Ryu HS. Sonographic findings of placental lacunae andthe prediction of adherent placenta in women withplacentapreviatotalis and prior Cesarean section. Ultrasound ObstetGynecol2006;28:178 82.
12- Blaicher W, Brugger PC, Mittermayer C, Schwindt J, Deutinger J, Bernaschek G, et al. Magnetic resonance imaging of the normal placenta. Eur J Radiol2006;57:256 60.
13- Lax A, Prince MR, Mennitt KW, Schwebach JR, Budorick NE. The value of specific MRI features inthe evaluation of suspected placental invasion. MagnReson Imaging 2007; 25:87 93.
14- Teo TH, Law YM, Tay KH, Tan BS, Cheah FK. Use of magnetic resonance imaging in evaluation placental invasion. ClinRadiol2009;64:511 6.
15- Levine D, Hulka CA, LudmirJ, Li W, Edelman RR.Placentaaccreta: Evaluation with color Doppler US, power Doppler US, and MR imaging. Radiology 1997;205:773 6.
16- Dwyer BK, Belogolovkin V, Tran L, Rao A, Carroll I, Barth R, et al. Prenatal diagnosis ofplacentaaccreta: Sonography or magnetic resonance imaging? J Ultrasound Med 2008;27:1275 81.
17- Warshak CR, Eskander R, Hull AD, Scioscia AL, Mattrey RF, Benirschke K, et al. Accuracy of ultrasonography and magnetic resonance imaging in the diagnosis of placenta accreta. ObstetGynecol2006;108:573 81.
18- Masselli G, Brunelli R, Casciani E, Polettini E, Piccioni MG, Anceschi M, et al. Magnetic resonance imaging in the evaluation of placental adhesive disorders: Correlation with color Doppler ultrasound. EurRadiol2008;18:1292 9.
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Rukhsana Nasim, Khalid Javed, Hira Ashfaq Butt, Taimoor Ali Tariq, Sumaira Aslam
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work’s authorship and initial publication in this journal.
