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104600

Antepartum Evaluation of Placenta Accreta in Women with Placenta Previa by Color Doppler, Power Doppler Ultrasound and MRI: A Prospective Study

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Last updated: 22 Jan 2023

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Abstract

Abstract Background: Complications of placenta accreta include massive hemorrhage, damage to the uterus, bladder, ureters, and bowel, and often cesarean hysterectomy to control bleed-ing. Prenatal diagnosis of placenta accreta can help minimize the complication rate by enabling a surgeon to plan for the type of resources needed at the time of delivery. Aim of Study: The aim of the study is to study the role of color Doppler, power Doppler ultrasound and MRI in diagnosis of placenta accreta and the accuracy of each method in diag-nosis of the level of accretion. Material and Methods: Fifty women with criteria of have low lying placenta or placenta previa, have at least one previous uterine scar, have mild or no vaginal bleeding underwent color Doppler ultrasound, power Doppler ultrasound and MRI study at 34-36 weeks gestation. The result of degree of accretion compared for each radiological method by that found intraoperative. Results: Fifty pregnant women were included in this study, with a mean age 31.18±3.88. All patients proved by US to have placenta previa. Thirty two patients were diagnosed to be placenta accreta by color & power Doppler U/S, while 31 patient of the case were diagnosed to have placenta accreta by MRI. According to the pre-operative color & power Doppler and MRI findings and the intra-operative findings, color and power Doppler US has 96.4% sensitivity of in diagnosis of placenta accreta, while MRI has 82.1% sensitivity and com-bination of both imaging technique has the lowest sensitivity 78.6% but this combination has the highest specificity 90.9%, while MRI has the lowest specificity 63.6%. Conclusion: Color and power Doppler abdominal U/S are more sensitive in diagnosis of placenta accreta (96.4%) than MRI (82.1%). The combination of color and power Doppler U/S and MRI has the highest specificity (90.9%).

DOI

10.21608/mjcu.2020.104600

Keywords

MRI, Ultrasound, Color Doppler, Placenta Previa, placenta accreta

Authors

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SAMEH A. KHODAIR, M.D.;

Last Name

AMAL A. ELSOKARY, M.D.

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MOSTAFA

Last Name

ZIEN ELABDIEN, M.D.

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Affiliation

The Departments of Radiology* and Obstetrics & Gynecology**, Faculty of Medicine, Tanta University, Egypt

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Volume

88

Article Issue

March

Related Issue

14145

Issue Date

2020-03-01

Receive Date

2019-07-24

Publish Date

2020-03-01

Page Start

505

Page End

512

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_104600.html

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https://mjcu.journals.ekb.eg/service?article_code=104600

Order

63

Type

Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

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Article

Created At

22 Jan 2023