Performance of antenatal imaging to predict placenta accreta spectrum degree of severity

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F21%3A10428054" target="_blank" >RIV/00216208:11110/21:10428054 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00064165:_____/21:10428054

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=P1cT1OJnJc" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=P1cT1OJnJc</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1111/aogs.14112" target="_blank" >10.1111/aogs.14112</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Performance of antenatal imaging to predict placenta accreta spectrum degree of severity

Popis výsledku v původním jazyce

Introduction: In cases of placenta accreta spectrum, a precise antenatal diagnosis of the suspected degree of invasion is essential for the planning of individual management strategies at delivery. The aim of this work was to evaluate the respective performances of ultrasonography and magnetic resonance imaging for the antenatal assessment of the severity of placenta accreta spectrum disorders included in the database. The secondary objective was to identify descriptors related to the severity of placenta accreta spectrum disorders. Material and methods: All the cases included in the database for which antenatal imaging data were available were analyzed. The rates of occurrence of each ultrasound and magnetic resonance imaging descriptor were reported and compared between the Group &quot;Accreta-Increta&quot; (FIGO grades 1 &amp; 2) and the Group &quot;Percreta&quot; (FIGO grade 3). Results: Antenatal imaging data were available for 347 women (347/442, 78.5%), of which 105 were included in the Group &quot;Accreta - Increta&quot; (105/347, 30.2%) and 213 (213/347, 61.4%) in the Group &quot;Percreta&quot;. Magnetic resonance imaging was performed in addition to ultrasound in 135 women (135/347, 38.9%). After adjustment for all ultrasound descriptors in multivariate analysis, only the presence of a bladder wall interruption was associated with a significant higher risk of percreta (Odds ratio 3.23, Confidence interval 1.33-7.79). No magnetic resonance imaging sign was significantly correlated with the degree of severity. Conclusions: The performance of ultrasound and magnetic resonance imaging to discriminate mild from severe placenta accreta spectrum disorders is very poor. To date, the benefit of additional magnetic resonance imaging has not been demonstrated.

Název v anglickém jazyce

Performance of antenatal imaging to predict placenta accreta spectrum degree of severity

Popis výsledku anglicky

Introduction: In cases of placenta accreta spectrum, a precise antenatal diagnosis of the suspected degree of invasion is essential for the planning of individual management strategies at delivery. The aim of this work was to evaluate the respective performances of ultrasonography and magnetic resonance imaging for the antenatal assessment of the severity of placenta accreta spectrum disorders included in the database. The secondary objective was to identify descriptors related to the severity of placenta accreta spectrum disorders. Material and methods: All the cases included in the database for which antenatal imaging data were available were analyzed. The rates of occurrence of each ultrasound and magnetic resonance imaging descriptor were reported and compared between the Group &quot;Accreta-Increta&quot; (FIGO grades 1 &amp; 2) and the Group &quot;Percreta&quot; (FIGO grade 3). Results: Antenatal imaging data were available for 347 women (347/442, 78.5%), of which 105 were included in the Group &quot;Accreta - Increta&quot; (105/347, 30.2%) and 213 (213/347, 61.4%) in the Group &quot;Percreta&quot;. Magnetic resonance imaging was performed in addition to ultrasound in 135 women (135/347, 38.9%). After adjustment for all ultrasound descriptors in multivariate analysis, only the presence of a bladder wall interruption was associated with a significant higher risk of percreta (Odds ratio 3.23, Confidence interval 1.33-7.79). No magnetic resonance imaging sign was significantly correlated with the degree of severity. Conclusions: The performance of ultrasound and magnetic resonance imaging to discriminate mild from severe placenta accreta spectrum disorders is very poor. To date, the benefit of additional magnetic resonance imaging has not been demonstrated.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30214 - Obstetrics and gynaecology

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2021

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Acta Obstetricia et Gynecologica Scandinavica

ISSN

0001-6349

e-ISSN

—

Svazek periodika

100

Číslo periodika v rámci svazku

S1

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

8

Strana od-do

21-28

Kód UT WoS článku

000636042100004

EID výsledku v databázi Scopus

2-s2.0-85103369733