| Magnetic resonance imaging in the evaluation of placental adhesive disorders: correlation with color Doppler ultrasound. | |
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MedLine Citation:
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PMID: 18239921 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of this study was to compare the value of pelvic ultrasound with color Doppler and magnetic resonance imaging (MRI) in: (1) the diagnosis of placental adhesive disorders (PADs), (2) the definition of the degree of placenta invasiveness, (3) determining the topographic correlation between the diagnostic images and the surgical results. Fifty patients in the third trimester of pregnancy with a diagnosis of placenta previa and at least one previous caesarean section underwent color Doppler ultrasound (US) and MRI. The sonographic and MRI diagnoses were compared with the final pathologic or operative findings. Outcomes at delivery were as follows: normal placenta (n = 38) and PAD (n = 12). MR and US Doppler showed no statistically difference in identifying patients with PAD (P = 0.74), while MRI was statistically better than US Doppler in evaluating the depth of placenta infiltration (P < 0.001). MRI accurately characterized the topography of invasion in 12/12 (100%) of the cases, while US accurately characterized the topography of invasion in 9/12 (75%) of the cases. In conclusion, we confirmed that pelvic US is highly reliable to diagnose or exclude the presence of PAD and found MRI to be an excellent tool for the staging and topographic evaluation of PAD. |
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Authors:
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Gabriele Masselli; Roberto Brunelli; Emanuele Casciani; Elisabetta Polettini; Maria Grazia Piccioni; Maurizio Anceschi; Gianfranco Gualdi |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2008-02-01 |
Journal Detail:
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Title: European radiology Volume: 18 ISSN: 0938-7994 ISO Abbreviation: Eur Radiol Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-05-08 Completed Date: 2008-10-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9114774 Medline TA: Eur Radiol Country: Germany |
Other Details:
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Languages: eng Pagination: 1292-9 Citation Subset: IM |
Affiliation:
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Department of Radiology DEA, Umberto I Hospital-La Sapienza University, Via Silvestro Gherardi, 38 00146 Rome, Italy. gabrielemasselli@libero.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Magnetic Resonance Imaging / methods* Placenta Accreta / diagnosis*, surgery, ultrasonography* Predictive Value of Tests Pregnancy Pregnancy Outcome Pregnancy Trimester, Third Sensitivity and Specificity Ultrasonography, Doppler, Color* |
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