Evaluation of sonographic diagnostic criteria for placenta accreta
Purpose. To compare the diagnostic value of reported sonographic criteria for placenta accreta and to develop a composite score system for antenatal evaluation. Method. Sixty‐six women at risk for placenta accreta were examined for 9 cases of placenta accreta that were confirmed at delivery. The per...
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| Veröffentlicht in: | Journal of clinical ultrasound 2008-11, Vol.36 (9), p.551-559 |
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| container_title | Journal of clinical ultrasound |
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| creator | Wong, Hong Soo Cheung, Ying Kei Zuccollo, Jane Tait, John Pringle, Kevin C. |
| description | Purpose.
To compare the diagnostic value of reported sonographic criteria for placenta accreta and to develop a composite score system for antenatal evaluation.
Method.
Sixty‐six women at risk for placenta accreta were examined for 9 cases of placenta accreta that were confirmed at delivery. The performance of previously reported gray‐scale and Doppler sonographic criteria for the diagnosis of placenta accreta was analyzed individually. A composite score system was developed by combining selected sensitive or specific sonographic criteria, and its performance was evaluated.
Results.
The criteria of obliteration of retroplacental clear space, a myometrial thickness of |
| doi_str_mv | 10.1002/jcu.20524 |
| format | Article |
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To compare the diagnostic value of reported sonographic criteria for placenta accreta and to develop a composite score system for antenatal evaluation.
Method.
Sixty‐six women at risk for placenta accreta were examined for 9 cases of placenta accreta that were confirmed at delivery. The performance of previously reported gray‐scale and Doppler sonographic criteria for the diagnosis of placenta accreta was analyzed individually. A composite score system was developed by combining selected sensitive or specific sonographic criteria, and its performance was evaluated.
Results.
The criteria of obliteration of retroplacental clear space, a myometrial thickness of <1 mm, presence of vessels bridging placenta and uterine margin, disruption of the placental–uterine wall interface, and vessels crossing the sites of interface disruption showed a statistically significant association with placenta accreta. The disruption of the placental–uterine wall interface and the presence of vessels crossing these sites were the only 2 individual criteria that could distinguish placenta accreta from non‐accreta, which could also be achieved by our composite score system using a cutoff value of 40, with a sensitivity of 89% and specificity of 98%.
Conclusion.
The diagnostic performance of the sonographic diagnostic criteria used in the diagnosis of placenta accreta varies, and a composite score system improves the overall accuracy. © 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/jcu.20524</identifier><identifier>PMID: 18720525</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; color Doppler ; diagnosis ; Female ; Humans ; obstetrics ; placenta accreta ; Placenta Accreta - diagnosis ; Placenta Accreta - diagnostic imaging ; Pregnancy ; Sensitivity and Specificity ; Ultrasonography</subject><ispartof>Journal of clinical ultrasound, 2008-11, Vol.36 (9), p.551-559</ispartof><rights>Copyright © 2008 Wiley Periodicals, Inc.</rights><rights>(c) 2008 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3924-418d77dbc12edcb79c35749e0e679693cf7b160f893d21b8135ef96b1957a76a3</citedby><cites>FETCH-LOGICAL-c3924-418d77dbc12edcb79c35749e0e679693cf7b160f893d21b8135ef96b1957a76a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjcu.20524$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjcu.20524$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18720525$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, Hong Soo</creatorcontrib><creatorcontrib>Cheung, Ying Kei</creatorcontrib><creatorcontrib>Zuccollo, Jane</creatorcontrib><creatorcontrib>Tait, John</creatorcontrib><creatorcontrib>Pringle, Kevin C.</creatorcontrib><title>Evaluation of sonographic diagnostic criteria for placenta accreta</title><title>Journal of clinical ultrasound</title><addtitle>J. Clin. Ultrasound</addtitle><description>Purpose.
To compare the diagnostic value of reported sonographic criteria for placenta accreta and to develop a composite score system for antenatal evaluation.
Method.
Sixty‐six women at risk for placenta accreta were examined for 9 cases of placenta accreta that were confirmed at delivery. The performance of previously reported gray‐scale and Doppler sonographic criteria for the diagnosis of placenta accreta was analyzed individually. A composite score system was developed by combining selected sensitive or specific sonographic criteria, and its performance was evaluated.
Results.
The criteria of obliteration of retroplacental clear space, a myometrial thickness of <1 mm, presence of vessels bridging placenta and uterine margin, disruption of the placental–uterine wall interface, and vessels crossing the sites of interface disruption showed a statistically significant association with placenta accreta. The disruption of the placental–uterine wall interface and the presence of vessels crossing these sites were the only 2 individual criteria that could distinguish placenta accreta from non‐accreta, which could also be achieved by our composite score system using a cutoff value of 40, with a sensitivity of 89% and specificity of 98%.
Conclusion.
The diagnostic performance of the sonographic diagnostic criteria used in the diagnosis of placenta accreta varies, and a composite score system improves the overall accuracy. © 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008</description><subject>Adult</subject><subject>color Doppler</subject><subject>diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>obstetrics</subject><subject>placenta accreta</subject><subject>Placenta Accreta - diagnosis</subject><subject>Placenta Accreta - diagnostic imaging</subject><subject>Pregnancy</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonography</subject><issn>0091-2751</issn><issn>1097-0096</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDtPwzAURi0EglIY-AMoExJD6LVT2_EIUXmpgBBUjJbjOGBI42InPP49gRSYENO9w_nOcBDawXCAAcjoUbcHBCgZr6ABBsFjAMFW0aA7OCac4g20GcIjADBK6TrawCn_5OkAHU1eVNWqxro6cmUUXO3uvVo8WB0VVt3XLjTdq71tjLcqKp2PFpXSpm5UpLT2plFbaK1UVTDbyztEs-PJbXYaT69OzrLDaawTQcbxGKcF50WuMTGFzrnQCeVjYcAwLphIdMlzzKBMRVIQnKc4oaYULMeCcsWZSoZor_cuvHtuTWjk3AZtqkrVxrVBMtGJKPB_QQJEYA7Qgfs9qL0LwZtSLrydK_8uMcjPsrIrK7_KduzuUtrmc1P8ksuUHTDqgVdbmfe_TfI8m30r435hQ2PefhbKP0nGE07l3eWJzJi4uTi-u5Zp8gEarZDJ</recordid><startdate>200811</startdate><enddate>200811</enddate><creator>Wong, Hong Soo</creator><creator>Cheung, Ying Kei</creator><creator>Zuccollo, Jane</creator><creator>Tait, John</creator><creator>Pringle, Kevin C.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200811</creationdate><title>Evaluation of sonographic diagnostic criteria for placenta accreta</title><author>Wong, Hong Soo ; Cheung, Ying Kei ; Zuccollo, Jane ; Tait, John ; Pringle, Kevin C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3924-418d77dbc12edcb79c35749e0e679693cf7b160f893d21b8135ef96b1957a76a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>color Doppler</topic><topic>diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>obstetrics</topic><topic>placenta accreta</topic><topic>Placenta Accreta - diagnosis</topic><topic>Placenta Accreta - diagnostic imaging</topic><topic>Pregnancy</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Hong Soo</creatorcontrib><creatorcontrib>Cheung, Ying Kei</creatorcontrib><creatorcontrib>Zuccollo, Jane</creatorcontrib><creatorcontrib>Tait, John</creatorcontrib><creatorcontrib>Pringle, Kevin C.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, Hong Soo</au><au>Cheung, Ying Kei</au><au>Zuccollo, Jane</au><au>Tait, John</au><au>Pringle, Kevin C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of sonographic diagnostic criteria for placenta accreta</atitle><jtitle>Journal of clinical ultrasound</jtitle><addtitle>J. Clin. Ultrasound</addtitle><date>2008-11</date><risdate>2008</risdate><volume>36</volume><issue>9</issue><spage>551</spage><epage>559</epage><pages>551-559</pages><issn>0091-2751</issn><eissn>1097-0096</eissn><abstract>Purpose.
To compare the diagnostic value of reported sonographic criteria for placenta accreta and to develop a composite score system for antenatal evaluation.
Method.
Sixty‐six women at risk for placenta accreta were examined for 9 cases of placenta accreta that were confirmed at delivery. The performance of previously reported gray‐scale and Doppler sonographic criteria for the diagnosis of placenta accreta was analyzed individually. A composite score system was developed by combining selected sensitive or specific sonographic criteria, and its performance was evaluated.
Results.
The criteria of obliteration of retroplacental clear space, a myometrial thickness of <1 mm, presence of vessels bridging placenta and uterine margin, disruption of the placental–uterine wall interface, and vessels crossing the sites of interface disruption showed a statistically significant association with placenta accreta. The disruption of the placental–uterine wall interface and the presence of vessels crossing these sites were the only 2 individual criteria that could distinguish placenta accreta from non‐accreta, which could also be achieved by our composite score system using a cutoff value of 40, with a sensitivity of 89% and specificity of 98%.
Conclusion.
The diagnostic performance of the sonographic diagnostic criteria used in the diagnosis of placenta accreta varies, and a composite score system improves the overall accuracy. © 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>18720525</pmid><doi>10.1002/jcu.20524</doi><tpages>9</tpages></addata></record> |
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| identifier | ISSN: 0091-2751 |
| ispartof | Journal of clinical ultrasound, 2008-11, Vol.36 (9), p.551-559 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult color Doppler diagnosis Female Humans obstetrics placenta accreta Placenta Accreta - diagnosis Placenta Accreta - diagnostic imaging Pregnancy Sensitivity and Specificity Ultrasonography |
| title | Evaluation of sonographic diagnostic criteria for placenta accreta |
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