Comparing the Efficacy of Two-Dimensional Ultrasound and Three-Dimensional Power Doppler for Diagnosing Placenta Accreta Spectrum Disorders and Predicting Complications: A Prospective Cross-Sectional Study.

Soltan, Mohamed Mahmoud; ABDELMALEK, AHMAD; Hassan, Hany Kamel; El Gelany, Saad; Mohamed, Mohamed Ahmed

doi:10.21608/mjmr.2024.260318.1602

Comparing the Efficacy of Two-Dimensional Ultrasound and Three-Dimensional Power Doppler for Diagnosing Placenta Accreta Spectrum Disorders and Predicting Complications: A Prospective Cross-Sectional Study.

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Document Type : Original Article

Authors

¹ Obstetric and gynecology department, faculty of medicine, Minia university, Minia, Egypt

² Obstetrics and Gynecology, faculty of medicine, Minia university, Minia, Egypt

³ Obstetrics and Gynecology department Faculty of medicine Minia university Mallawi Minia

⁴ Obstetrics and Gynecology, Faculty of Medicine &ndash; Minia University, Egypt.

⁵ Obstetrics and Gynecology, Faculty of Medicine &ndash; Minia University, Egypt

10.21608/mjmr.2024.260318.1602

Abstract

Background: Placenta accreta spectrum (PAS) issue has become a noteworthy dangerous obstetrical issue because of its expanded rate from 0.12 to 0.31% in the last 30 years and the detailed death of roughly 7.0%.

Objectives: To compare between the two-dimensional ultrasound and three-dimensional power Doppler for diagnosis of Placenta accrete spectrum disorders and prediction of its complications.

Patients and methods: This was a prospective cross sectional single-institute study carried out on 86 patients suspected to have PAS-disorders by Two dimensional ultrasound 2D US and color Doppler during ANC at Obstetrics and Gynecology department, Minia maternity University Hospital from July 2021 to July 2022.

Results: There was highly statistically significant difference as regards histopathology findings of 2D US (MAP, Non-MAP and Total) P<0. 001. VI, FI, and VFI were significantly higher among patients with MAP compared to patients without P<0. 001. The 2D US sensitivity was 87.3%, specificity was 90.3%, NPV was 80% and PPV was 94.1% with accuracy of 88.4% in diagnosis of MAP. 70.9% of the patients suffered from hemorrhage, 6.9% suffered from bladder injury, 10.5% reported preterm birth, and 3.5% suffered from bowel injury.

Conclusion: 3D power Doppler can be used as a complementary technique to 2D ultrasound for confirmation of the diagnosis of placental invasion owing to its high sensitivity.

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