Three Dimensional Tomographic Ultrasound and Doppler Studies in Morbidly Adherent Placenta

Background: Morbidly adherent placenta (MAP) describes a spectrum of disorders including adherence all or part to uterine wall. The aim this study was evaluate the potential role 3D Tomographic Ultrasound Imaging (TUI) and Doppler studies in diagnosis morbidly placenta. Methods: This prospective conducted on 50 female patients, aged from 20 40, who were pregnant with history one more caesarean section deliveries hysterotomies, diagnosed by 2D ultrasound as previa its lower edge covering scar previous (major minor anterior), antepartum haemorrhage, gestational age form 28 weeks full term. whole scanned systematic fashion using both grayscale power then displayed TUI. Results: By ultrasound, obliteration retroplacental hypoechoic area found 48% patients sensitivity 88.89% accuracy 94%. Placental lacunae 54% 100% 100%. Myometrial thinning 40% 74.07% 86% interruption bladder interface 28% 51.85% 74%. colour study, vascular gab 86%. vascularity 26% 96.3% 96% bridging vessel 48.15% 72%. image could predict MAP presence reach 98%. Conclusion: TUI technique facilitates evaluation myometrial thickness depth placental invasion due much better differentiation between various tissues compared conventional 2D. is useful adjunctive tool color refine MAP.