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Ultrasonographic Diagnosis of Placenta Accreta Spectrum (PAS) Disorder: Ideation of an Ultrasonographic Score and Correlation with Surgical and Neonatal Outcomes

The objective of this study was to evaluate a novel ultrasonographic scoring system for the diagnosis of PAS and the prediction of maternal and neonatal outcomes. In this retrospective study, 138 patients with at least one previous caesarean section (CS) and placenta previa were included. They were...

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Autores principales: Del Negro, Valentina, Aleksa, Natalia, Galli, Cecilia, Ciminello, Enrico, Derme, Martina, Vena, Flaminia, Muzii, Ludovico, Piccioni, Maria Grazia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7824485/
https://www.ncbi.nlm.nih.gov/pubmed/33375532
http://dx.doi.org/10.3390/diagnostics11010023
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author Del Negro, Valentina
Aleksa, Natalia
Galli, Cecilia
Ciminello, Enrico
Derme, Martina
Vena, Flaminia
Muzii, Ludovico
Piccioni, Maria Grazia
author_facet Del Negro, Valentina
Aleksa, Natalia
Galli, Cecilia
Ciminello, Enrico
Derme, Martina
Vena, Flaminia
Muzii, Ludovico
Piccioni, Maria Grazia
author_sort Del Negro, Valentina
collection PubMed
description The objective of this study was to evaluate a novel ultrasonographic scoring system for the diagnosis of PAS and the prediction of maternal and neonatal outcomes. In this retrospective study, 138 patients with at least one previous caesarean section (CS) and placenta previa were included. They were divided into four groups ranging from Group 0 (Non PAS) to Group 3 (Placenta Percreta) according to the histological or surgical confirmation. Their ultrasound examinations during pregnancy were reviewed according to the nine different ultrasound signs reported by the European Working Group on Abnormally Invasive Placenta. For each parameter, 0 to 2 points were assigned. The sum of the points reflects the severity of PAS with a maximum score of 20. The scoring system revealed good performances in evaluation metrics, with an overall accuracy of 94%. In addition to this, patients’ characteristics and surgical and neonatal outcomes were analyzed with an evidence of higher incidence of complications in severe forms. Our study suggests that antenatal ultrasonographic diagnosis of PAS is feasible with sufficient level of accuracy. This will be important in identifying high-risk patients and implementing preventive strategy.
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spelling pubmed-78244852021-01-24 Ultrasonographic Diagnosis of Placenta Accreta Spectrum (PAS) Disorder: Ideation of an Ultrasonographic Score and Correlation with Surgical and Neonatal Outcomes Del Negro, Valentina Aleksa, Natalia Galli, Cecilia Ciminello, Enrico Derme, Martina Vena, Flaminia Muzii, Ludovico Piccioni, Maria Grazia Diagnostics (Basel) Article The objective of this study was to evaluate a novel ultrasonographic scoring system for the diagnosis of PAS and the prediction of maternal and neonatal outcomes. In this retrospective study, 138 patients with at least one previous caesarean section (CS) and placenta previa were included. They were divided into four groups ranging from Group 0 (Non PAS) to Group 3 (Placenta Percreta) according to the histological or surgical confirmation. Their ultrasound examinations during pregnancy were reviewed according to the nine different ultrasound signs reported by the European Working Group on Abnormally Invasive Placenta. For each parameter, 0 to 2 points were assigned. The sum of the points reflects the severity of PAS with a maximum score of 20. The scoring system revealed good performances in evaluation metrics, with an overall accuracy of 94%. In addition to this, patients’ characteristics and surgical and neonatal outcomes were analyzed with an evidence of higher incidence of complications in severe forms. Our study suggests that antenatal ultrasonographic diagnosis of PAS is feasible with sufficient level of accuracy. This will be important in identifying high-risk patients and implementing preventive strategy. MDPI 2020-12-25 /pmc/articles/PMC7824485/ /pubmed/33375532 http://dx.doi.org/10.3390/diagnostics11010023 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Del Negro, Valentina
Aleksa, Natalia
Galli, Cecilia
Ciminello, Enrico
Derme, Martina
Vena, Flaminia
Muzii, Ludovico
Piccioni, Maria Grazia
Ultrasonographic Diagnosis of Placenta Accreta Spectrum (PAS) Disorder: Ideation of an Ultrasonographic Score and Correlation with Surgical and Neonatal Outcomes
title Ultrasonographic Diagnosis of Placenta Accreta Spectrum (PAS) Disorder: Ideation of an Ultrasonographic Score and Correlation with Surgical and Neonatal Outcomes
title_full Ultrasonographic Diagnosis of Placenta Accreta Spectrum (PAS) Disorder: Ideation of an Ultrasonographic Score and Correlation with Surgical and Neonatal Outcomes
title_fullStr Ultrasonographic Diagnosis of Placenta Accreta Spectrum (PAS) Disorder: Ideation of an Ultrasonographic Score and Correlation with Surgical and Neonatal Outcomes
title_full_unstemmed Ultrasonographic Diagnosis of Placenta Accreta Spectrum (PAS) Disorder: Ideation of an Ultrasonographic Score and Correlation with Surgical and Neonatal Outcomes
title_short Ultrasonographic Diagnosis of Placenta Accreta Spectrum (PAS) Disorder: Ideation of an Ultrasonographic Score and Correlation with Surgical and Neonatal Outcomes
title_sort ultrasonographic diagnosis of placenta accreta spectrum (pas) disorder: ideation of an ultrasonographic score and correlation with surgical and neonatal outcomes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7824485/
https://www.ncbi.nlm.nih.gov/pubmed/33375532
http://dx.doi.org/10.3390/diagnostics11010023
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