| Color flow mapping for myometrial invasion in women with a prior cesarean delivery. | |
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MedLine Citation:
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PMID: 11243289 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: Our aim was to evaluate the utility of color flow mapping in the prediction of placental myometrial invasion in women with Cesarean delivery. METHODS: Ultrasound color flow mapping was performed on placental implantations in potential proximity to the hysterotomy scar. The smallest myometrial thickness was measured under the placenta to evaluate the degree of myometrial attenuation in this area and note was made of unusual vascular lakes. RESULTS: Two hundred fifteen women with placentas in proximity to the prior hysterotomy scar underwent color Doppler mapping. Of 20 women with placenta previa and Cesarean delivery, 15 had Cesarean hysterectomy for bleeding complications and nine had the pathological diagnosis of placental invasion. The measurement of <1 mm for the smallest myometrial thickness or presence of large intraplacental lakes was predictive of myometrial invasion (sensitivity 100%, specificity 72%, PPPV 72%, and NPV 100%). CONCLUSIONS: Color flow mapping predicted myometrial invasion when the smallest myometrial thickness was <1 mm and large intraplacental lakes were demonstrated. |
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Authors:
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D M Twickler; M J Lucas; A B Balis; R Santos-Ramos; L Martin; S Malone; B Rogers |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of maternal-fetal medicine Volume: 9 ISSN: 1057-0802 ISO Abbreviation: J Matern Fetal Med Publication Date: 2000 Nov-Dec |
Date Detail:
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Created Date: 2001-03-12 Completed Date: 2001-04-12 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9211288 Medline TA: J Matern Fetal Med Country: United States |
Other Details:
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Languages: eng Pagination: 330-5 Citation Subset: IM |
Affiliation:
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Department of Radiology, University of Texas Southwestern Medical Center, Dallas 75235-8896, USA. dtwick@mednet.swmed.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cesarean Section
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adverse effects* Female Humans Hysterectomy Myometrium / pathology*, ultrasonography Placenta Accreta / etiology, pathology, ultrasonography Placenta Diseases / etiology*, pathology, ultrasonography* Placenta Previa / complications, surgery, ultrasonography Pregnancy Pregnancy Complications* Ultrasonography, Doppler, Color* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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