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European Radiology
Published in: European Radiology 6/2008

01-06-2008 | Urogenital

Magnetic resonance imaging in the evaluation of placental adhesive disorders: correlation with color Doppler ultrasound

Authors: Gabriele Masselli, Roberto Brunelli, Emanuele Casciani, Elisabetta Polettini, Maria Grazia Piccioni, Maurizio Anceschi, Gianfranco Gualdi

Published in: European Radiology | Issue 6/2008

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Abstract

The purpose of this study was to compare the value of pelvic ultrasound with color Doppler and magnetic resonance imaging (MRI) in: (1) the diagnosis of placental adhesive disorders (PADs), (2) the definition of the degree of placenta invasiveness, (3) determining the topographic correlation between the diagnostic images and the surgical results. Fifty patients in the third trimester of pregnancy with a diagnosis of placenta previa and at least one previous caesarean section underwent color Doppler ultrasound (US) and MRI. The sonographic and MRI diagnoses were compared with the final pathologic or operative findings. Outcomes at delivery were as follows: normal placenta (n = 38) and PAD (n = 12). MR and US Doppler showed no statistically difference in identiyfing patients with PAD (P = 0.74), while MRI was statistically better than US Doppler in evaluating the depth of placenta infiltration (P < 0.001). MRI accurately characterized the topography of invasion in 12/12 (100%) of the cases, while US accurately characterized the topography of invasion in 9/12 (75%) of the cases. In conclusion, we confirmed that pelvic US is highly reliable to diagnose or exclude the presence of PAD and found MRI to be an excellent tool for the staging and topographic evaluation of PAD.
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Metadata
Title
Magnetic resonance imaging in the evaluation of placental adhesive disorders: correlation with color Doppler ultrasound
Authors
Gabriele Masselli
Roberto Brunelli
Emanuele Casciani
Elisabetta Polettini
Maria Grazia Piccioni
Maurizio Anceschi
Gianfranco Gualdi
Publication date
01-06-2008
Publisher
Springer-Verlag
Published in
European Radiology / Issue 6/2008
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-008-0862-8

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