US and MR imaging findings to detect placental adhesion spectrum (PAS) in patients with placenta previa: a comparative systematic study
Purpose To compare the performance US and MR in identifying placental adhesion spectrum (PAS) in placenta previa (PP) and to establish a potential method of image interpretation. Methods US and MR examinations of 51 patients with PP were selected. The presence of imaging signs commonly used to detec...
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| Veröffentlicht in: | Abdominal imaging 2019-10, Vol.44 (10), p.3398-3407 |
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| creator | Romeo, V. Sarno, L. Volpe, A. Ginocchio, M. I. Esposito, R. Mainenti, P. P. Petretta, M. Liuzzi, R. D’Armiento, M. Martinelli, P. Brunetti, A. Maurea, S. |
| description | Purpose
To compare the performance US and MR in identifying placental adhesion spectrum (PAS) in placenta previa (PP) and to establish a potential method of image interpretation.
Methods
US and MR examinations of 51 patients with PP were selected. The presence of imaging signs commonly used to detect PAS was assessed. Penalized logistic regression was performed considering histology as standard of reference; only signs statistically significant (
p
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| doi_str_mv | 10.1007/s00261-019-02185-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2290878925</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2277171413</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-4c15c1f18124b6c505538c084c2d236f5aea42b986a454cf2b0304a63addd86f3</originalsourceid><addsrcrecordid>eNp9kc9qFTEUxoMottS-gAsJuKmLaXPyb3LdlVK10KJYC-5CbpK5TZnJjEmmMk_ga5t66xVcdHUOnN_3neR8CL0GcgyEtCeZECqhIbBqCAUlmuUZ2qdMyoYQoZ7vev59Dx3mfEcIASkAqHiJ9hhwJloJ--jXzTU20eGrrzgMZhPiBnchulozLiN2vnhb8NQb62MxPTbu1ucwRpynOkjzgI--nF6_wyHiyZRQoYx_hnK7k-Ap-ftg3mOD7ThMJlXq3uO85OKH2lucy-yWV-hFZ_rsDx_rAbr5cP7t7FNz-fnjxdnpZWNZK0rDLQgLHSigfC2tIEIwZYnilrr64U4Ybzhdr5Q0XHDb0TVhhBvJjHNOyY4doKOt75TGH7PPRQ8hW9_3JvpxzprSFVGtWlFR0bf_oXfjnGJ9XaXaFlrgwCpFt5RNY87Jd3pK9ZJp0UD0Q1J6m5SuSek_Semlit48Ws_rwbud5G8uFWBbINdR3Pj0b_cTtr8B_4afFA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2277171413</pqid></control><display><type>article</type><title>US and MR imaging findings to detect placental adhesion spectrum (PAS) in patients with placenta previa: a comparative systematic study</title><source>SpringerLink_现刊</source><creator>Romeo, V. ; Sarno, L. ; Volpe, A. ; Ginocchio, M. I. ; Esposito, R. ; Mainenti, P. P. ; Petretta, M. ; Liuzzi, R. ; D’Armiento, M. ; Martinelli, P. ; Brunetti, A. ; Maurea, S.</creator><creatorcontrib>Romeo, V. ; Sarno, L. ; Volpe, A. ; Ginocchio, M. I. ; Esposito, R. ; Mainenti, P. P. ; Petretta, M. ; Liuzzi, R. ; D’Armiento, M. ; Martinelli, P. ; Brunetti, A. ; Maurea, S.</creatorcontrib><description>Purpose
To compare the performance US and MR in identifying placental adhesion spectrum (PAS) in placenta previa (PP) and to establish a potential method of image interpretation.
Methods
US and MR examinations of 51 patients with PP were selected. The presence of imaging signs commonly used to detect PAS was assessed. Penalized logistic regression was performed considering histology as standard of reference; only signs statistically significant (
p
< 0.05) were considered for ROC and multivariate analysis. The probability of PAS according to the presence of US and/or MR signs was then assessed.
Results
At univariate analysis, loss of retroplacental clear space, myometrial thinning (MT) and placenta lacunar spaces on US, intraplacental dark bands (IDBs), focal interruption of myometrial border (FIMB) and abnormal vascularity (AV) on MR were statistically significant (
p
< 0.01). Three diagnostic methods for PAS were then developed for both US and MR when at least one (Method 1), two (Method 2) or three (Method 3) imaging signs occurred, respectively. Method 2 for MR showed a significantly (
p
< 0.05) higher accuracy (91%) compared to the other methods. When MR IDBs and AV as well as IDBs and FIMB were present in combination with US MT the probability of PAS increased from 75 to 90% and from 80 to 91%, respectively.
Conclusion
MR demonstrated a higher diagnostic accuracy than US to detect PAS. However, since the combination of MR and US signs could improve the probability to detect PAS, a complementary diagnostic role of these techniques could be considered.</description><identifier>ISSN: 2366-004X</identifier><identifier>EISSN: 2366-0058</identifier><identifier>DOI: 10.1007/s00261-019-02185-y</identifier><identifier>PMID: 31435761</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adhesion ; Diagnostic systems ; Gastroenterology ; Hepatology ; Histology ; Imaging ; Magnetic resonance imaging ; Medical diagnosis ; Medical imaging ; Medicine ; Medicine & Public Health ; Methods ; Multivariate analysis ; Myometrium ; Pelvis ; Placenta ; Pregnancy complications ; Radiology ; Regression analysis ; Statistical analysis ; Statistical significance</subject><ispartof>Abdominal imaging, 2019-10, Vol.44 (10), p.3398-3407</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Abdominal Radiology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-4c15c1f18124b6c505538c084c2d236f5aea42b986a454cf2b0304a63addd86f3</citedby><cites>FETCH-LOGICAL-c375t-4c15c1f18124b6c505538c084c2d236f5aea42b986a454cf2b0304a63addd86f3</cites><orcidid>0000-0002-1603-6396</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00261-019-02185-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00261-019-02185-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31435761$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Romeo, V.</creatorcontrib><creatorcontrib>Sarno, L.</creatorcontrib><creatorcontrib>Volpe, A.</creatorcontrib><creatorcontrib>Ginocchio, M. I.</creatorcontrib><creatorcontrib>Esposito, R.</creatorcontrib><creatorcontrib>Mainenti, P. P.</creatorcontrib><creatorcontrib>Petretta, M.</creatorcontrib><creatorcontrib>Liuzzi, R.</creatorcontrib><creatorcontrib>D’Armiento, M.</creatorcontrib><creatorcontrib>Martinelli, P.</creatorcontrib><creatorcontrib>Brunetti, A.</creatorcontrib><creatorcontrib>Maurea, S.</creatorcontrib><title>US and MR imaging findings to detect placental adhesion spectrum (PAS) in patients with placenta previa: a comparative systematic study</title><title>Abdominal imaging</title><addtitle>Abdom Radiol</addtitle><addtitle>Abdom Radiol (NY)</addtitle><description>Purpose
To compare the performance US and MR in identifying placental adhesion spectrum (PAS) in placenta previa (PP) and to establish a potential method of image interpretation.
Methods
US and MR examinations of 51 patients with PP were selected. The presence of imaging signs commonly used to detect PAS was assessed. Penalized logistic regression was performed considering histology as standard of reference; only signs statistically significant (
p
< 0.05) were considered for ROC and multivariate analysis. The probability of PAS according to the presence of US and/or MR signs was then assessed.
Results
At univariate analysis, loss of retroplacental clear space, myometrial thinning (MT) and placenta lacunar spaces on US, intraplacental dark bands (IDBs), focal interruption of myometrial border (FIMB) and abnormal vascularity (AV) on MR were statistically significant (
p
< 0.01). Three diagnostic methods for PAS were then developed for both US and MR when at least one (Method 1), two (Method 2) or three (Method 3) imaging signs occurred, respectively. Method 2 for MR showed a significantly (
p
< 0.05) higher accuracy (91%) compared to the other methods. When MR IDBs and AV as well as IDBs and FIMB were present in combination with US MT the probability of PAS increased from 75 to 90% and from 80 to 91%, respectively.
Conclusion
MR demonstrated a higher diagnostic accuracy than US to detect PAS. However, since the combination of MR and US signs could improve the probability to detect PAS, a complementary diagnostic role of these techniques could be considered.</description><subject>Adhesion</subject><subject>Diagnostic systems</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Histology</subject><subject>Imaging</subject><subject>Magnetic resonance imaging</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Methods</subject><subject>Multivariate analysis</subject><subject>Myometrium</subject><subject>Pelvis</subject><subject>Placenta</subject><subject>Pregnancy complications</subject><subject>Radiology</subject><subject>Regression analysis</subject><subject>Statistical analysis</subject><subject>Statistical significance</subject><issn>2366-004X</issn><issn>2366-0058</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kc9qFTEUxoMottS-gAsJuKmLaXPyb3LdlVK10KJYC-5CbpK5TZnJjEmmMk_ga5t66xVcdHUOnN_3neR8CL0GcgyEtCeZECqhIbBqCAUlmuUZ2qdMyoYQoZ7vev59Dx3mfEcIASkAqHiJ9hhwJloJ--jXzTU20eGrrzgMZhPiBnchulozLiN2vnhb8NQb62MxPTbu1ucwRpynOkjzgI--nF6_wyHiyZRQoYx_hnK7k-Ap-ftg3mOD7ThMJlXq3uO85OKH2lucy-yWV-hFZ_rsDx_rAbr5cP7t7FNz-fnjxdnpZWNZK0rDLQgLHSigfC2tIEIwZYnilrr64U4Ybzhdr5Q0XHDb0TVhhBvJjHNOyY4doKOt75TGH7PPRQ8hW9_3JvpxzprSFVGtWlFR0bf_oXfjnGJ9XaXaFlrgwCpFt5RNY87Jd3pK9ZJp0UD0Q1J6m5SuSek_Semlit48Ws_rwbud5G8uFWBbINdR3Pj0b_cTtr8B_4afFA</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Romeo, V.</creator><creator>Sarno, L.</creator><creator>Volpe, A.</creator><creator>Ginocchio, M. I.</creator><creator>Esposito, R.</creator><creator>Mainenti, P. P.</creator><creator>Petretta, M.</creator><creator>Liuzzi, R.</creator><creator>D’Armiento, M.</creator><creator>Martinelli, P.</creator><creator>Brunetti, A.</creator><creator>Maurea, S.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1603-6396</orcidid></search><sort><creationdate>20191001</creationdate><title>US and MR imaging findings to detect placental adhesion spectrum (PAS) in patients with placenta previa: a comparative systematic study</title><author>Romeo, V. ; Sarno, L. ; Volpe, A. ; Ginocchio, M. I. ; Esposito, R. ; Mainenti, P. P. ; Petretta, M. ; Liuzzi, R. ; D’Armiento, M. ; Martinelli, P. ; Brunetti, A. ; Maurea, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-4c15c1f18124b6c505538c084c2d236f5aea42b986a454cf2b0304a63addd86f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adhesion</topic><topic>Diagnostic systems</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Histology</topic><topic>Imaging</topic><topic>Magnetic resonance imaging</topic><topic>Medical diagnosis</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Methods</topic><topic>Multivariate analysis</topic><topic>Myometrium</topic><topic>Pelvis</topic><topic>Placenta</topic><topic>Pregnancy complications</topic><topic>Radiology</topic><topic>Regression analysis</topic><topic>Statistical analysis</topic><topic>Statistical significance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Romeo, V.</creatorcontrib><creatorcontrib>Sarno, L.</creatorcontrib><creatorcontrib>Volpe, A.</creatorcontrib><creatorcontrib>Ginocchio, M. I.</creatorcontrib><creatorcontrib>Esposito, R.</creatorcontrib><creatorcontrib>Mainenti, P. P.</creatorcontrib><creatorcontrib>Petretta, M.</creatorcontrib><creatorcontrib>Liuzzi, R.</creatorcontrib><creatorcontrib>D’Armiento, M.</creatorcontrib><creatorcontrib>Martinelli, P.</creatorcontrib><creatorcontrib>Brunetti, A.</creatorcontrib><creatorcontrib>Maurea, S.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Computer Science Collection</collection><collection>Computer science database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest advanced technologies & aerospace journals</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Abdominal imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Romeo, V.</au><au>Sarno, L.</au><au>Volpe, A.</au><au>Ginocchio, M. I.</au><au>Esposito, R.</au><au>Mainenti, P. P.</au><au>Petretta, M.</au><au>Liuzzi, R.</au><au>D’Armiento, M.</au><au>Martinelli, P.</au><au>Brunetti, A.</au><au>Maurea, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>US and MR imaging findings to detect placental adhesion spectrum (PAS) in patients with placenta previa: a comparative systematic study</atitle><jtitle>Abdominal imaging</jtitle><stitle>Abdom Radiol</stitle><addtitle>Abdom Radiol (NY)</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>44</volume><issue>10</issue><spage>3398</spage><epage>3407</epage><pages>3398-3407</pages><issn>2366-004X</issn><eissn>2366-0058</eissn><abstract>Purpose
To compare the performance US and MR in identifying placental adhesion spectrum (PAS) in placenta previa (PP) and to establish a potential method of image interpretation.
Methods
US and MR examinations of 51 patients with PP were selected. The presence of imaging signs commonly used to detect PAS was assessed. Penalized logistic regression was performed considering histology as standard of reference; only signs statistically significant (
p
< 0.05) were considered for ROC and multivariate analysis. The probability of PAS according to the presence of US and/or MR signs was then assessed.
Results
At univariate analysis, loss of retroplacental clear space, myometrial thinning (MT) and placenta lacunar spaces on US, intraplacental dark bands (IDBs), focal interruption of myometrial border (FIMB) and abnormal vascularity (AV) on MR were statistically significant (
p
< 0.01). Three diagnostic methods for PAS were then developed for both US and MR when at least one (Method 1), two (Method 2) or three (Method 3) imaging signs occurred, respectively. Method 2 for MR showed a significantly (
p
< 0.05) higher accuracy (91%) compared to the other methods. When MR IDBs and AV as well as IDBs and FIMB were present in combination with US MT the probability of PAS increased from 75 to 90% and from 80 to 91%, respectively.
Conclusion
MR demonstrated a higher diagnostic accuracy than US to detect PAS. However, since the combination of MR and US signs could improve the probability to detect PAS, a complementary diagnostic role of these techniques could be considered.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31435761</pmid><doi>10.1007/s00261-019-02185-y</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-1603-6396</orcidid></addata></record> |
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| subjects | Adhesion Diagnostic systems Gastroenterology Hepatology Histology Imaging Magnetic resonance imaging Medical diagnosis Medical imaging Medicine Medicine & Public Health Methods Multivariate analysis Myometrium Pelvis Placenta Pregnancy complications Radiology Regression analysis Statistical analysis Statistical significance |
| title | US and MR imaging findings to detect placental adhesion spectrum (PAS) in patients with placenta previa: a comparative systematic study |
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