The MRI estimations of placental volume, T2 dark band volume, and cervical length correlate with massive hemorrhage in patients with placenta accreta spectrum disorders

The MRI estimations of placental volume, T2 dark band volume, and cervical length correlate with massive hemorrhage in patients with placenta accreta spectrum disorders

Purpose To identify whether placental volume, T2 dark band volume, and cervical length measured by MRI correlate with massive hemorrhage (MH) in patients with placenta accreta spectrum (PAS) disorders. Methods A total of 163 pregnant women with PAS underwent preoperative MRI examination were divided...

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Veröffentlicht in:Abdominal imaging 2024-07, Vol.49 (7), p.2525-2533
Hauptverfasser: Yue, Yongfei, Song, Ye, Zhu, Liping, Xu, Duo, Li, Zhencheng, Liu, Chengfeng, Liang, Baoquan, Lu, Yanli
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Agreements
Blood
Cervix Uteri - diagnostic imaging
Cervix Uteri - pathology
Cesarean section
Correlation
Disorders
Female
Gastroenterology
Gestational age
Gynecology
Hemorrhage
Hepatology
Humans
Imaging
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Maternal mortality
Medicine
Medicine & Public Health
Obstetrics
Organ Size
Pelvis
Placenta
Placenta - diagnostic imaging
Placenta - pathology
Placenta Accreta - diagnostic imaging
Postpartum Hemorrhage - diagnostic imaging
Pregnancy
Pregnancy complications
Radiology
Regression analysis
Retrospective Studies
Risk Factors
Ultrasonic imaging
Uterus
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Zusammenfassung:Purpose To identify whether placental volume, T2 dark band volume, and cervical length measured by MRI correlate with massive hemorrhage (MH) in patients with placenta accreta spectrum (PAS) disorders. Methods A total of 163 pregnant women with PAS underwent preoperative MRI examination were divided into MH group and non-MH group. The placental volume, T2 dark band volume, and cervical length of PAS patients were measured and evaluated their ability to identify MH in patients with PAS. Results Patients with MH had a significantly larger placental volume, larger T2 dark band volume, and shorter cervical length than patients without MH (all P   890 cm 3 ), T2 dark band volume (> 35 cm 3 ), and cervical length (
ISSN:2366-0058
2366-004X
2366-0058
DOI:10.1007/s00261-024-04272-1