Objective: To compare the accuracy of different ultrasonographic modalities;
two-dimensional ultrasound (2D-US), color Doppler and three-dimensional power
Doppler (3D-PD) in the antenatal diagnosis of the morbidly adherent placenta.Setting: Obstetrics and Gynecology Department, Faculty of Medicine, Assiut
University, Assiut, Egypt. Study Design: A cross-sectional study. Methods: All patients fulfill the inclusions criteria:
gestational age > 28 weeks, previous one or more cesarean delivery, previous uterine surgery, placenta
previa, vitally stable patient and women accepted to participate in the studywere included.All patients were evaluated using 2D-US, color
Doppler and 3D-PD before delivery. The final diagnosis was established by
laparotomy and by histopathology of hysterectomy sample if hysterectomy would
be done.Results: One-hundred fifty patients were enrolled in the study. 2D-US has higher
sensitivity (86.96%) than 2D color Doppler (84.06%) and 3D-PD (79.71%) in the
diagnosis of placenta accreta. On the other hand, 3D-PD has slightly higher
specificity (83.95%) than color Doppler (82.72%) and
References
[1]
Miller, D., Chollet, J. and Goodwin, T. (1997) Clinical Risk Factors for Placenta Previa-Placenta Accreta. American Journal of Obstetrics and Gynecology, 177, 210-214. https://doi.org/10.1016/S0002-9378(97)70463-0
[2]
Comstock, C.H., Love, J.J., Bronsteen, R.A., Lee, W., Vettraino, I.M., Huang, R.R., et al. (2004) Sonographic Detection of Placenta Accreta in the Second and Third Trimesters of Pregnancy. American Journal of Obstetrics and Gynecology, 190, 1135-1140. https://doi.org/10.1016/j.ajog.2003.11.024
[3]
Gielchinsky, Y., Rojansky, N., Fasouliotis, S. and Ezra, Y. (2002) Placenta Accreta—Summary of 10 Years: A Survey of 310 Cases. Placenta, 23, 210-214.
https://doi.org/10.1053/plac.2001.0764
[4]
Silver, R., London, M., Rouse, K., Spong, C., Thom, E., et al. (2006) Maternal Morbidity Associated with Multiple Repeat Cesarean Deliveries. Obstetrics and Gynecology, 107, 1226-1232. https://doi.org/10.1097/01.AOG.0000219750.79480.84
[5]
Al-Serehi, A., Mhoyan, A., Brown, M., Benirschke, K., Hull, A. and Pretorius, D. (2008) Placcenta Accrete: An Association with Fibroids and Asherman Syndrome. Journal of Ultrasound in Medicine, 27, 1623-1628.
https://doi.org/10.7863/jum.2008.27.11.1623
[6]
Hamar, B., Wolff, E., Kodaman, P. and Marcovici, I. (2006) Premature Rupture of Membranes, Placenta Increta, and Hysterectomy in a Pregnancy Following Endometrial Ablation. Journal of Perinatology, 26, 135-137.
https://doi.org/10.1038/sj.jp.7211442
[7]
Pron, G., Mocarrski, E., Bennett, J., Vilos, G., Common, A. and Vanderburgh, L. (2005) Pregnancy after Uterine Artery Embolization for Leiomyomata: The Ontario Multicenter Trial. Obstetrics and Gynecology, 105, 67-76.
https://doi.org/10.1097/01.AOG.0000149156.07061.1f
[8]
Comstock, C. (2005) Antenatal Diagnosis of Placenta Accrete: A Review. Ultrasound Obstetrics and Gynecology, 26, 89-96. https://doi.org/10.1002/uog.1926
[9]
Warshak, C.R., Eskander, R., Hull, A.D., Scioscia, A.L., Mattrey, R.F., Benirschke, K., et al. (2006) Accuracy of Ultrasonography and Magnetic Resonance Imaging in the Diagnosis of Placenta Accreta. Obstetrics and Gynecology, 108, 573-581.
https://doi.org/10.1097/01.AOG.0000233155.62906.6d
[10]
Cali, G., Giambanco, L., Puccio, G. and Foriani, F. (2013) Morbidly Adherent Placenta: Evaluation of Ultrasound Diagnostic Criteria and Differentiation of Placenta Accreta from Placenta Percreta. Ultrasound Obstetrics and Gynecology, 41, 406-412. https://doi.org/10.1002/uog.12385
[11]
American College of Obstetricians and Gynecologists (2012) Committee Opinion No. 529: Placenta Accreta. Obstetrics and Gynecology, 120, 207-211.
https://doi.org/10.1097/AOG.0b013e318262e340
[12]
D’Antonio, F., Iacovella, C. and Bhide, A. (2013) Prenatal Identification of Invasive Placentation Using Ultrasound: Systematic Review and Meta-Analysis. Ultrasound Obstetrics and Gynecology, 42, 509-517. https://doi.org/10.1002/uog.13194
[13]
Rac, M.W., Dashe, J.S., Wells, C.E., Moschos, E., McIntire, D.D. and Twickler, D.M. (2015) Ultrasound Predictors of Placental Invasion: The Placenta Accreta Index. American Journal of Obstetrics and Gynecology, 212, 343.e1-e7.
[14]
Finberg, H. and Williams, J. (1992) Placenta Accreta: Prospective Sonographic Diagnosis in Patients with Placenta Previa and Prior Cesarean Section. Journal of Ultrasound in Medicine, 11, 333-343. https://doi.org/10.7863/jum.1992.11.7.333
[15]
Comstock, C.H. (2011) The Antenatal Diagnosis of Placental Attachment Disorders. Current Opinion in Obstetrics and Gynecology, 23, 117-122.
https://doi.org/10.1097/GCO.0b013e328342b730
[16]
Moniem, A.M., Ibrahim, A., Akl, S.A., Aboul-Enen, L. and Abdelazim, I.A. (2015) Accuracy of Three-Dimensional Multislice View Doppler in Diagnosis of Morbid Adherent Placenta. Journal of The Turkish-German Gynecological Association, 16, 126-136. https://doi.org/10.5152/jtgga.2015.15038
[17]
Shih, C.J., Jaraquemada, J.M.P., Su, Y.N., Shyu, M.K., et al. (2009) Role of Three-Dimensional Power Doppler in the Antenatal Diagnosis of Placenta Accreta: Comparison with Gray-Scale and Color Doppler Techniques. Ultrasound Obstetrics and Gynecology, 33, 193-203. https://doi.org/10.1002/uog.6284
[18]
Pilloni, E., Alemanno, M., Gaglioti, P., Sciarrone, A., Garofalo, A., Biolcati, M., et al. (2016) Accuracy of Ultrasound in Antenatal Diagnosis of Placental Attachment Disorders. Ultrasound Obstetrics and Gynecology, 47, 302-307.
https://doi.org/10.1002/uog.14893
