Diagnostic Value of MRI in Placental Adhesive Disorders in Pregnancy

Abstract Background The spectrum of placental adhesive disorders (PAD) forms an important cause for emergency cesarean hysterectomy, requiring accurate prenatal diagnosis optimal obstetric management. Purpose aim this study was to assess the utility magnetic resonance imaging (MRI) and identify individual MRI features that are most useful in evaluation PAD. Materials Methods This a retrospective review 24 women with abnormal placentation, confirmed using histopathology/intraoperative findings as reference standard. Patients were categorized negative or positive PAD (placenta accreta, increta, percreta) on compared We assessed diagnostic performance best correlated presence Results Among (mean age: 29.8 years) risk factors, 16 had (6 7 3 percreta). There history previous lower segment section placenta previa 14 (87.5%). could all (100% sensitivity) its absence three out eight patients (37.5% specificity). highest sensitivity intraplacental dark bands (100%), myometrial thinning/loss interface myometrium heterogeneity (75%), uterine contour abnormality (75%). Conclusion is modality investigation suspected cases, excellent good accuracy. Identifying low-signal-intensity bands, placental–myometrial will aid diagnosis.