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. | ||
| Minia Journal of Medical Research | ||
| Articles in Press, Accepted Manuscript, Available Online from 24 January 2024 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2024.260318.1602 | ||
| Authors | ||
| Mohamed Mahmoud Soltan* 1; AHMAD ABDELMALEK2; Hany Kamel Hassan3; Saad El Gelany4; Mohamed Ahmed Mohamed5 | ||
| 1Obstetric and gynecology department, faculty of medicine, Minia university, Minia, Egypt | ||
| 2Obstetrics and Gynecology, faculty of medicine, Minia university, Minia, Egypt | ||
| 3Obstetrics and Gynecology department Faculty of medicine Minia university Mallawi Minia | ||
| 4Obstetrics and Gynecology, Faculty of Medicine – Minia University, Egypt. | ||
| 5Obstetrics and Gynecology, Faculty of Medicine – Minia University, Egypt | ||
| 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. | ||
| Keywords | ||
| Two dimensional ultrasound; three-dimensional power Doppler; Placenta accrete spectrum disorders | ||
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