The MRI estimations of placental volume, T2 dark band volume, and cervical length correlate with massive hemorrhage in patients with placenta accreta spectrum disorders
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature..
PURPOSE: To identify whether placental volume, T2 dark band volume, and cervical length measured by MRI correlate with massive hemorrhage (MH) in patients with placenta accreta spectrum (PAS) disorders.
METHODS: A total of 163 pregnant women with PAS underwent preoperative MRI examination were divided into MH group and non-MH group. The placental volume, T2 dark band volume, and cervical length of PAS patients were measured and evaluated their ability to identify MH in patients with PAS.
RESULTS: Patients with MH had a significantly larger placental volume, larger T2 dark band volume, and shorter cervical length than patients without MH (all P < 0.001). Multivariable logistic regression showed that placental volume (> 890 cm3), T2 dark band volume (> 35 cm3), and cervical length (< 30 mm) were significant independent risk factor in identification of MH. In all PAS patients, a positive linear correlation was found between placental volume and amount of blood loss (r = 0.527), and between T2 dark band volume and amount of blood loss (r = 0.642), and a negative linear correlation was found between cervical length and amount of blood loss (r = - 0.597). When combined with the three MRI indicators, the sensitivity and specificity in identifying cases at high risk for MH were 91.638% and 94.051%, respectively, with area under the curve (AUC) of 0.923.
CONCLUSION: The placental volume, T2 dark band volume, and cervical length might be used to predict MH in patients with PAS.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Abdominal radiology (New York) - (2024) vom: 07. März |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Yue, Yongfei [VerfasserIn] |
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| Links: |
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| Themen: |
Cervical length |
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| Anmerkungen: |
Date Revised 07.03.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1007/s00261-024-04272-1 |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM369410297 |
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| 100 | 1 | |a Yue, Yongfei |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The MRI estimations of placental volume, T2 dark band volume, and cervical length correlate with massive hemorrhage in patients with placenta accreta spectrum disorders |
| 264 | 1 | |c 2024 | |
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| 500 | |a Date Revised 07.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
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| 520 | |a © 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. | ||
| 520 | |a PURPOSE: To identify whether placental volume, T2 dark band volume, and cervical length measured by MRI correlate with massive hemorrhage (MH) in patients with placenta accreta spectrum (PAS) disorders | ||
| 520 | |a METHODS: A total of 163 pregnant women with PAS underwent preoperative MRI examination were divided into MH group and non-MH group. The placental volume, T2 dark band volume, and cervical length of PAS patients were measured and evaluated their ability to identify MH in patients with PAS | ||
| 520 | |a RESULTS: Patients with MH had a significantly larger placental volume, larger T2 dark band volume, and shorter cervical length than patients without MH (all P < 0.001). Multivariable logistic regression showed that placental volume (> 890 cm3), T2 dark band volume (> 35 cm3), and cervical length (< 30 mm) were significant independent risk factor in identification of MH. In all PAS patients, a positive linear correlation was found between placental volume and amount of blood loss (r = 0.527), and between T2 dark band volume and amount of blood loss (r = 0.642), and a negative linear correlation was found between cervical length and amount of blood loss (r = - 0.597). When combined with the three MRI indicators, the sensitivity and specificity in identifying cases at high risk for MH were 91.638% and 94.051%, respectively, with area under the curve (AUC) of 0.923 | ||
| 520 | |a CONCLUSION: The placental volume, T2 dark band volume, and cervical length might be used to predict MH in patients with PAS | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Cervical length | |
| 650 | 4 | |a Magnetic resonance imaging | |
| 650 | 4 | |a Placenta accreta spectrum | |
| 650 | 4 | |a Placental volume | |
| 650 | 4 | |a T2 dark band volume | |
| 700 | 1 | |a Song, Ye |e verfasserin |4 aut | |
| 700 | 1 | |a Zhu, Liping |e verfasserin |4 aut | |
| 700 | 1 | |a Xu, Duo |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Zhencheng |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Chengfeng |e verfasserin |4 aut | |
| 700 | 1 | |a Liang, Baoquan |e verfasserin |4 aut | |
| 700 | 1 | |a Lu, Yanli |e verfasserin |4 aut | |
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