MRI Distinguish the Types of Placental Accrete Ability and Finding: 27 Patients Results

Tianran Li; Xiaobin Huang; Fayu Chen; Beibei Zhang; Zhijie Yang

doi:doi:10.11648/j.jgo.20190705.12

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MRI Distinguish the Types of Placental Accrete Ability and Finding: 27 Patients Results

Tianran Li, Xiaobin Huang, Fayu Chen, Beibei Zhang, Zhijie Yang

Published in Journal of Gynecology and Obstetrics (Volume 7, Issue 5)

Received: 17 August 2019 Accepted: 16 September 2019 Published: 26 September 2019

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Abstract

The placenta accrete is a kind of emergency and it leads to maternal postpartum hemorrhage, and one of the causes of death. Its aims is to evaluate diagnostic ability and findings of MRI in placental accrete of different types. This study included 27 pregnant women who were all histologically confirmed placental accrete after operation. According to the Maldjia diagnostic MRI criteria. The sensitivity and accuracy of MRI imaging were compared, and the MRI features of placental accrete were also described. The results showed a statistically significant difference among the three radiologists in MRI classification (P<0.05). For the type 0 and the type 3, there is a statistical difference between MRI diagnosis to the type 0 and the type 3 (P<0.05), and Kappa test also showed the difference (P<0.05). And for the type 1 and the type 2, especially for the type 1, there is a good consistency with the pathological results (P>0.05), chi square test (c²) showed no difference between the two types diagnostic capabilities (P>0.05). ADC and high b value DWI both showed slightly high signal of placental accrete. Residual placenta demonstrated "flower braid" or "mushroom" inhomogeneous enhancement. Comparison of MRI and US, 0 and 1 type are no obviously difference between US and MRI (P>0.05), but there are statistical difference (P<0.05) for distinguishing type 2 and type 3. MRI has a high diagnostic accuracy in placental implantation and the location, extent and depth of its invasion, displaying the condition of blood supply, and the drawing the typing diagnosis based on them. Moreover, MRI was more useful than US in distinguishing type 2 and type 3 of placental accrete.

Published in	Journal of Gynecology and Obstetrics (Volume 7, Issue 5)
DOI	10.11648/j.jgo.20190705.12
Page(s)	130-137
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Placenta, Accrete, MRI, US

References

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APA Style

Tianran Li, Xiaobin Huang, Fayu Chen, Beibei Zhang, Zhijie Yang. (2019). MRI Distinguish the Types of Placental Accrete Ability and Finding: 27 Patients Results. Journal of Gynecology and Obstetrics, 7(5), 130-137. https://doi.org/10.11648/j.jgo.20190705.12

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ACS Style

Tianran Li; Xiaobin Huang; Fayu Chen; Beibei Zhang; Zhijie Yang. MRI Distinguish the Types of Placental Accrete Ability and Finding: 27 Patients Results. J. Gynecol. Obstet. 2019, 7(5), 130-137. doi: 10.11648/j.jgo.20190705.12

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AMA Style

Tianran Li, Xiaobin Huang, Fayu Chen, Beibei Zhang, Zhijie Yang. MRI Distinguish the Types of Placental Accrete Ability and Finding: 27 Patients Results. J Gynecol Obstet. 2019;7(5):130-137. doi: 10.11648/j.jgo.20190705.12

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@article{10.11648/j.jgo.20190705.12,
  author = {Tianran Li and Xiaobin Huang and Fayu Chen and Beibei Zhang and Zhijie Yang},
  title = {MRI Distinguish the Types of Placental Accrete Ability and Finding: 27 Patients Results},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {7},
  number = {5},
  pages = {130-137},
  doi = {10.11648/j.jgo.20190705.12},
  url = {https://doi.org/10.11648/j.jgo.20190705.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20190705.12},
  abstract = {The placenta accrete is a kind of emergency and it leads to maternal postpartum hemorrhage, and one of the causes of death. Its aims is to evaluate diagnostic ability and findings of MRI in placental accrete of different types. This study included 27 pregnant women who were all histologically confirmed placental accrete after operation. According to the Maldjia diagnostic MRI criteria. The sensitivity and accuracy of MRI imaging were compared, and the MRI features of placental accrete were also described. The results showed a statistically significant difference among the three radiologists in MRI classification (PPPP>0.05), chi square test (c2) showed no difference between the two types diagnostic capabilities (P>0.05). ADC and high b value DWI both showed slightly high signal of placental accrete. Residual placenta demonstrated "flower braid" or "mushroom" inhomogeneous enhancement. Comparison of MRI and US, 0 and 1 type are no obviously difference between US and MRI (P>0.05), but there are statistical difference (P<0.05) for distinguishing type 2 and type 3. MRI has a high diagnostic accuracy in placental implantation and the location, extent and depth of its invasion, displaying the condition of blood supply, and the drawing the typing diagnosis based on them. Moreover, MRI was more useful than US in distinguishing type 2 and type 3 of placental accrete.},
 year = {2019}
}

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TY - JOUR
T1 - MRI Distinguish the Types of Placental Accrete Ability and Finding: 27 Patients Results
AU - Tianran Li
AU - Xiaobin Huang
AU - Fayu Chen
AU - Beibei Zhang
AU - Zhijie Yang
Y1 - 2019/09/26
PY - 2019
N1 - https://doi.org/10.11648/j.jgo.20190705.12
DO - 10.11648/j.jgo.20190705.12
T2 - Journal of Gynecology and Obstetrics
JF - Journal of Gynecology and Obstetrics
JO - Journal of Gynecology and Obstetrics
SP - 130
EP - 137
PB - Science Publishing Group
SN - 2376-7820
UR - https://doi.org/10.11648/j.jgo.20190705.12
AB - The placenta accrete is a kind of emergency and it leads to maternal postpartum hemorrhage, and one of the causes of death. Its aims is to evaluate diagnostic ability and findings of MRI in placental accrete of different types. This study included 27 pregnant women who were all histologically confirmed placental accrete after operation. According to the Maldjia diagnostic MRI criteria. The sensitivity and accuracy of MRI imaging were compared, and the MRI features of placental accrete were also described. The results showed a statistically significant difference among the three radiologists in MRI classification (PPPP>0.05), chi square test (c2) showed no difference between the two types diagnostic capabilities (P>0.05). ADC and high b value DWI both showed slightly high signal of placental accrete. Residual placenta demonstrated "flower braid" or "mushroom" inhomogeneous enhancement. Comparison of MRI and US, 0 and 1 type are no obviously difference between US and MRI (P>0.05), but there are statistical difference (P<0.05) for distinguishing type 2 and type 3. MRI has a high diagnostic accuracy in placental implantation and the location, extent and depth of its invasion, displaying the condition of blood supply, and the drawing the typing diagnosis based on them. Moreover, MRI was more useful than US in distinguishing type 2 and type 3 of placental accrete.
VL - 7
IS - 5
ER -

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Author Information

Tianran Li

Department of Radiology, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, China
Xiaobin Huang

Department of Radiology, The First Affiliated Hospital of Fuzhou General Hospital of Chinese PLA, Putian, China
Fayu Chen

Department of Radiology, The First Affiliated Hospital of Fuzhou General Hospital of Chinese PLA, Putian, China
Beibei Zhang

Department of Radiology, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, China
Zhijie Yang

Department of Radiology, The First Affiliated Hospital of Fuzhou General Hospital of Chinese PLA, Putian, China

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Plain Text BibTeX RIS

APA Style

Tianran Li, Xiaobin Huang, Fayu Chen, Beibei Zhang, Zhijie Yang. (2019). MRI Distinguish the Types of Placental Accrete Ability and Finding: 27 Patients Results. Journal of Gynecology and Obstetrics, 7(5), 130-137. https://doi.org/10.11648/j.jgo.20190705.12

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ACS Style

Tianran Li; Xiaobin Huang; Fayu Chen; Beibei Zhang; Zhijie Yang. MRI Distinguish the Types of Placental Accrete Ability and Finding: 27 Patients Results. J. Gynecol. Obstet. 2019, 7(5), 130-137. doi: 10.11648/j.jgo.20190705.12

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AMA Style

Tianran Li, Xiaobin Huang, Fayu Chen, Beibei Zhang, Zhijie Yang. MRI Distinguish the Types of Placental Accrete Ability and Finding: 27 Patients Results. J Gynecol Obstet. 2019;7(5):130-137. doi: 10.11648/j.jgo.20190705.12

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@article{10.11648/j.jgo.20190705.12,
  author = {Tianran Li and Xiaobin Huang and Fayu Chen and Beibei Zhang and Zhijie Yang},
  title = {MRI Distinguish the Types of Placental Accrete Ability and Finding: 27 Patients Results},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {7},
  number = {5},
  pages = {130-137},
  doi = {10.11648/j.jgo.20190705.12},
  url = {https://doi.org/10.11648/j.jgo.20190705.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20190705.12},
  abstract = {The placenta accrete is a kind of emergency and it leads to maternal postpartum hemorrhage, and one of the causes of death. Its aims is to evaluate diagnostic ability and findings of MRI in placental accrete of different types. This study included 27 pregnant women who were all histologically confirmed placental accrete after operation. According to the Maldjia diagnostic MRI criteria. The sensitivity and accuracy of MRI imaging were compared, and the MRI features of placental accrete were also described. The results showed a statistically significant difference among the three radiologists in MRI classification (PPPP>0.05), chi square test (c2) showed no difference between the two types diagnostic capabilities (P>0.05). ADC and high b value DWI both showed slightly high signal of placental accrete. Residual placenta demonstrated "flower braid" or "mushroom" inhomogeneous enhancement. Comparison of MRI and US, 0 and 1 type are no obviously difference between US and MRI (P>0.05), but there are statistical difference (P<0.05) for distinguishing type 2 and type 3. MRI has a high diagnostic accuracy in placental implantation and the location, extent and depth of its invasion, displaying the condition of blood supply, and the drawing the typing diagnosis based on them. Moreover, MRI was more useful than US in distinguishing type 2 and type 3 of placental accrete.},
 year = {2019}
}

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