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Article citations


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.

has been cited by the following article:

  • TITLE: Evaluation of Different Ultrasonographic Modalities in the Diagnosis of Morbidly Adherent Placenta: A Cross-Sectional Study

    AUTHORS: Mostafa Hussein, Mohammed F. Ramadan Abd, Ahmad M. Abu-Elhassan, Ahmed M. Abbas, Alaa Eldin A. Youssef

    KEYWORDS: Color Doppler, 3D-Power Doppler, Placenta Accreta, Morbidly Adherent Placenta

    JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.9 No.4, April 1, 2019

    ABSTRACT: 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 study were 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 2D-US (77.78%) in the diagnosis of placenta accreta. The most sensitive parameter in 2D-Us was the loss of retroplacental sonolucent zone (86.96%). As regards color Doppler, the most sensitive parameter was the hypervascularity of the uterine-bladder interface (84.06%). Tortuous vascularity with chaotic branching was the most sensitive parameter in 3D-PD with a sensitivity of 82.61%. Conclusions: The use of 3D power Doppler with both 2D-US and color Doppler as complementary techniques could improve the antenatal diagnosis or exclusion of morbidly adherent placenta.