Cited by 208Maternal and fetal healthcarePregnancy and preeclampsia studiesUterine Myomas and Treatments

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Accreta placentation: a systematic review of prenatal ultrasound imaging and grading of villous invasiveness

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Jauniaux, Eric, Collins, Sally L., Jurkovic, Davor, Burton, Graham J.·2016·American Journal of Obstetrics and Gynecology

DOI 10.1016/j.ajog.2016.07.044

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Abstract

Background Determining the depth of villous invasiveness before delivery is pivotal in planning individual management of placenta accreta. We have evaluated the value of various ultrasound signs proposed in the international literature for the prenatal diagnosis of accreta placentation and assessment of the depth of villous invasiveness.Objective We undertook a PubMed and MEDLINE search of the relevant studies published from the first prenatal ultrasound description of placenta accreta in 1982 through March 30, 2016, using key words "placenta accreta," "placenta increta," "placenta percreta," "abnormally invasive placenta," "morbidly adherent placenta," and "placenta adhesive disorder" as related to "sonography," "ultrasound diagnosis," "prenatal diagnosis," "gray-scale imaging," "3-dimensional ultrasound", and "color Doppler imaging."Study design The primary eligibility criteria were articles that correlated prenatal ultrasound imaging with pregnancy outcome. A total of 84 studies, including 31 case reports describing 38 cases of placenta accreta and 53 series describing 1078 cases were analyzed. Placenta accreta was subdivided into placenta creta to describe superficially adherent placentation and placenta increta and placenta percreta to describe invasive placentation.Results Of the 53 study series, 23 did not provide data on the depth of villous myometrial invasion on ultrasound imaging or at delivery. Detailed correlations between ultrasound findings and placenta accreta grading were found in 72 cases. A loss of clear zone (62.1%) and the presence of bridging vessels (71.4%) were the most common ultrasound signs in cases of placenta creta. In placenta increta, a loss of clear zone (84.6%) and subplacental hypervascularity (60%) were the most common ultrasound signs, whereas placental lacunae (82.4%) and subplacental hypervascularity (54.5%) were the most common ultrasound signs in placenta percreta. No ultrasound sign or a combination of ultrasound signs were specific of the depth of accreta placentation.Conclusion The wide heterogeneity in terminology used to describe the grades of accreta placentation and differences in study design limits the evaluation of the accuracy of ultrasound imaging in the screening and diagnosis of placenta accreta. This review emphasizes the need for further prospective studies using a standardized evidence-based approach including a systematic correlation between ultrasound signs of placenta accreta and detailed clinical and pathologic examinations at delivery.

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From Etiopathology to Management of Accreta Placentation
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Self-citation
COMPARISON BETWEEN INTRAOPERATIVE FEATURES OF MORBIDLY ADHERENT PLACENTA WITH PRENATAL ULTRASONIC FEATURES
Ahmed, J., Jawad, A. K., & Muhammad, H. M. (2020) · Journal of Sulaimani Medical College · doi:10.17656/jsmc.10240
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Sonographic Association of Placenta Accreta Spectrum In Patients of Placenta Previa - A Systematic Review
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Sonographic Association Of Placenta Accreta Spectrum In Patients Of Placenta Previa-A Systematic Review
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Authors: Jauniaux, E., Collins, S. L., Jurkovic, D., & Burton, G. J.
Affiliations: University College London Hospitals NHS Foundation Trust (GB)
John Radcliffe Hospital (GB)
University of Cambridge (GB)
Corresponding author: Jauniaux, Eric
ORCID: Jauniaux, Eric
Collins, Sally L.
Jurkovic, Davor
Burton, Graham J.
Venue: American Journal of Obstetrics and Gynecology
Publisher: Elsevier BV
Published: 2016-12
Volume: 215
Issue: 6
Pages: 712-721
ISSN: 0002-9378 (ISSN-L)
DOI: 10.1016/j.ajog.2016.07.044
OpenAlex: W2480575086
Cited by: 208
References: 129
Citations by year: 2026: 8 · 2025: 12 · 2024: 10 · 2023: 23 · 2022: 34 · 2021: 31 · 2020: 26 · 2019: 20 · 2018: 24 · 2017: 18 · 2016: 2
FWCI: 3.29
Type: journal article
Language: en
Open access: green
discovery.ucl.ac.uk
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: American Journal of Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
UCL Discovery (University College London) (submittedVersion)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
Keywords: placenta accreta, placenta increta, placenta percreta, prenatal ultrasound diagnosis, placental lacunae, color Doppler ultrasound, 3D ultrasound, pregnancy outcomes, placental insufficiency
MeSH terms: Female, Humans, Myometrium, Placenta Accreta, Pregnancy, Severity of Illness Index, Ultrasonography, Prenatal, Ultrasonography, Doppler, Color, Imaging, Three-Dimensional, Delivery, Obstetric

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Accreta placentation: a systematic review of prenatal ultrasound imaging and grading of villous invasiveness

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