Magnetic resonance imaging is often misleading when used as an adjunct to ultrasound in the management of placenta accreta spectrum disorders
Abstract
Background Magnetic resonance imaging is reported to have good sensitivity and specificity in the diagnosis of placenta accreta spectrum disorders, and is often used as an adjunct to ultrasound. But the additional utility of obtaining magnetic resonance imaging to assist in the clinical management of patients with placenta accreta spectrum disorders, above and beyond the information provided by ultrasound, is unknown.Objective We aimed to determine whether magnetic resonance imaging provides data that may inform clinical management by changing the sonographic diagnosis of placenta accreta spectrum disorders.Study design In all, 78 patients with sonographic evidence or clinical suspicion of placenta accreta spectrum underwent magnetic resonance imaging of the abdomen and pelvis in orthogonal planes through the uterus utilizing T1- and T2-weighted imaging sequences at the University of Utah and the University of Colorado from 1997 through 2017. The magnetic resonance imaging was interpreted by radiologists with expertise in diagnosis of placenta accreta spectrum who had knowledge of the sonographic interpretation and clinical risk factors for placenta accreta spectrum disorders. The primary outcome was a change in diagnosis from sonographic interpretation that could alter clinical management, which was defined a priori. Diagnostic accuracy was verified by surgical and histopathologic diagnosis at the time of delivery.Results A change in diagnosis that could potentially alter clinical management occurred in 28 (36%) cases. Magnetic resonance imaging correctly changed the diagnosis in 15 (19%), and correctly confirmed the diagnosis in 34 (44%), but resulted in an incorrect change in diagnosis in 13 (17%), and an incorrect confirmation of ultrasound diagnosis in 15 (21%). Magnetic resonance imaging was not more likely to change a diagnosis in the 24 cases of posterior and lateral placental location compared to anterior location (33% vs 37%, P = .84). Magnetic resonance imaging resulted in overdiagnosis in 23% and in underdiagnosis in 14% of all cases. When ultrasound suspected severe disease (percreta) in 14 cases, magnetic resonance imaging changed the diagnosis in only 2 cases. Lastly, the proportion of accurate diagnosis with magnetic resonance imaging did not improve over time (61-65%, P = .96 for trend) despite increasing volume and increasing numbers of changed diagnoses.Conclusion Magnetic resonance imaging resulted in a change in diagnosis that could alter clinical management of placenta accreta spectrum disorders in more than one third of cases, but when changed, the diagnosis was often incorrect. Given its high cost and limited clinical value, magnetic resonance imaging should not be used routinely as an adjunct to ultrasound in the diagnosis of placenta accreta spectrum until evidence for utility is clearly demonstrated by more definitive prospective studies.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The diagnostic accuracy of MRI is highly dependent on reader expertise and can incorrectly classify PAS cases in up to 30% of cases.
“However, the diagnostic accuracy of MRI is highly dependent on reader expertise and can incorrectly classify cases in up to 30% of cases [10].”
From Radiomics-based prediction of FIGO grade for placenta accreta spectrum (2023) · cites this paper as [10]
Ultrasound and MRI both rely heavily on reader expertise of the clinician.
“Ultrasound and MRI both rely heavily on reader expertise of the clinician [5, 10].”
From Radiomics-based prediction of FIGO grade for placenta accreta spectrum (2023) · cites this paper as [10]
Cites
Abnormal placentation: Twenty-year analysis
Wu, S., Kocherginsky, M., & Hibbard, J. U. (2005) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.12.074 · Cited by 1,331 · see citing works
Jauniaux, E., Collins, S., & Burton, G. J. (2018) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2017.05.067 · Cited by 775 · see citing works
Abnormal Placentation: Placenta Previa, Vasa Previa, and Placenta Accreta
Silver, R. M. (2015) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000001005 · Cited by 519 · see citing works
Self-citationCenter of excellence for placenta accreta
Silver, R. M., Fox, K. A., Barton, J. R., Abuhamad, A. Z., Simhan, H., Huls, C. K., Belfort, M. A., & Wright, J. D. (2015) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2014.11.018 · Cited by 518 · see citing works
Self-citationAccuracy of Ultrasonography and Magnetic Resonance Imaging in the Diagnosis of Placenta Accreta
Warshak, C. R., Eskander, R. N., Hull, A., Scioscia, A. L., Mattrey, R. F., Benirschke, K., & Resnik, R. R. (2006) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000233155.62906.6d · Cited by 513 · see citing works
<scp>FIGO</scp> consensus guidelines on placenta accreta spectrum disorders: Epidemiology,
Jauniaux, E., Chantraine, F., Silver, R. M., Langhoff‐Roos, J., & Panel, F. T. F. P. A. D. A. M. E. C. (2018) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.12407 · Cited by 498 · see citing works
Self-citationBelfort, M. A. (2010) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2010.09.013 · Cited by 484 · see citing works
FIGO consensus guidelines on placenta accreta spectrum disorders: Prenatal diagnosis and screening,
Jauniaux, E. R. M., Bhide, A., Kennedy, A., Woodward, P. J., Hubinont, C., Collins, S., & Panel, F. T. F. P. A. D. A. M. E. C. (2018) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.12408 · Cited by 385 · see citing works
Self-citationCommittee Opinion No. 529: Placenta Accreta
(2012) · Obstetrics & Gynecology · doi:10.1097/aog.0b013e318262e340 · Cited by 369 · see citing works
D'Antonio, F., Iacovella, C., Palacios-Jaraquemada, J., Bruno, C. H., Manzoli, L., & Bhide, A. (2014) · Ultrasound in Obstetrics & Gynecology · doi:10.1002/uog.13327 · Cited by 324 · see citing works
Prenatal Diagnosis of Placenta Accreta
Dwyer, B. K., Belogolovkin, V., Tran, L. T.-N., Rao, A. K., Carroll, I. R., Barth, R. A., & Chitkara, U. (2008) · Journal of Ultrasound in Medicine · doi:10.7863/jum.2008.27.9.1275 · Cited by 212 · see citing works
Magnetic resonance imaging in 300 cases of placenta accreta: surgical correlation of new findings
Palacios-Jaraquemada, J. M., & Bruno, C. H. (2005) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/j.0001-6349.2005.00832.x · Cited by 182 · see citing works
The antenatal diagnosis of placenta accreta
Comstock, C. H., & Bronsteen, R. (2013) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.12557 · Cited by 177 · see citing works
Prenatal Diagnosis of Placenta Accreta
Berkley, E. M. F., & Abuhamad, A. (2013) · Journal of Ultrasound in Medicine · doi:10.7863/ultra.32.8.1345 · Cited by 163 · see citing works
Morlando, M., Sarno, L., Napolitano, R., Capone, A., Tessitore, G., Maruotti, G. M., & Martinelli, P. (2013) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/aogs.12080 · Cited by 132 · see citing works
Meng, X., Xie, L., & Song, W. (2013) · Ultrasound in Medicine & Biology · doi:10.1016/j.ultrasmedbio.2013.05.017 · Cited by 118 · see citing works
Magnetic Resonance Imaging and Sonography in the Diagnosis of Placental Invasion
Balcacer, P., Pahade, J. K., Spektor, M., Staib, L. H., Copel, J. A., & MCCARTHY, S. M. (2016) · Journal of Ultrasound in Medicine · doi:10.7863/ultra.15.07040 · Cited by 45 · see citing works
Aitken, K., Allen, L. M., Pantazi, S., Kingdom, J. C., Keating, S. J., Pollard, L., & Windrim, R. C. (2016) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2016.01.005 · Cited by 24 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Obstetric Care Consensus No. 7: Placenta Accreta Spectrum
(2018) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000002983 · Cited by 552 · see citing works
Cahill, A. G., Beigi, R., Heine, R. P., Silver, R. M., & Wax, J. R. (2018) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2018.09.042 · Cited by 481 · see citing works
Self-citationPlacenta Accreta Spectrum Disorders: Challenges, Risks, and Management Strategies
Morlando, M., & Collins, S. (2020) · International Journal of Women s Health · doi:10.2147/ijwh.s224191 · Cited by 180 · see citing works
Romeo, V., Ricciardi, C., Cuocolo, R., Stanzione, A., Verde, F., Sarno, L., Improta, G., Mainenti, P. P., D'Armiento, M., Brunetti, A., et al. (2019) · Magnetic Resonance Imaging · doi:10.1016/j.mri.2019.05.017 · Cited by 113 · see citing works
New evidence-based diagnostic and management strategies for placenta accreta spectrum disorders
Jauniaux, E. R. M., Hussein, A. M., Fox, K. A., & Collins, S. (2019) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2019.04.006 · Cited by 118 · see citing works
No. 383-Screening, Diagnosis, and Management of Placenta Accreta Spectrum Disorders
Hobson, S. R., Kingdom, J. C., Murji, A., Windrim, R. C., Carvalho, J. C. A., Singh, S. S., Ziegler, C., Birch, C., Frecker, E., Lim, K. I., et al. (2019) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2018.12.004 · Cited by 112 · see citing works
Einerson, B. D., Gilner, J. B., & Zuckerwise, L. C. (2023) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000005229 · Cited by 100 · see citing works
Self-citationWu, Q., Yao, K., Liu, Z., Li, L., Zhao, X., Wang, S., Shang, H., Lin, Y., Wen, Z., Zhang, X., et al. (2019) · EBioMedicine · doi:10.1016/j.ebiom.2019.11.010 · Cited by 69 · see citing works
Jauniaux, E. R. M., Aplin, J., Fox, K. A., Afshar, Y., Hussein, A. M., Jones, C. J. P., & Burton, G. J. (2025) · Nature Reviews Disease Primers · doi:10.1038/s41572-025-00624-3 · Cited by 71 · see citing works
Do, Q. N., Lewis, M. A., Xi, Y., Madhuranthakam, A. J., Happe, S. K., Dashe, J. S., Lenkinski, R. E., Khan, A., & Twickler, D. M. (2020) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.26883 · Cited by 61 · see citing works
Horgan, R., & Abuhamad, A. (2022) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/j.ogc.2022.02.004 · Cited by 59 · see citing works
Circulating trophoblast cell clusters for early detection of placenta accreta spectrum disorders
Afshar, Y., Dong, J., Zhao, P., Li, L., Wang, S., Zhang, R. Y., Zhang, C., Yin, O., Han, C. S., Einerson, B. D., et al. (2021) · Nature Communications · doi:10.1038/s41467-021-24627-2 · Cited by 56 · see citing works
Self-citationPrevention of postpartum hemorrhage
Gonzalez-Brown, V. M., & Schneider, P. D. (2020) · Seminars in Fetal and Neonatal Medicine · doi:10.1016/j.siny.2020.101129 · Cited by 49 · see citing works
Placenta accreta spectrum disorder: updates on anesthetic and surgical management strategies
Einerson, B. D., & Weiniger, C. F. (2021) · International Journal of Obstetric Anesthesia · doi:10.1016/j.ijoa.2021.102975 · Cited by 45 · see citing works
Self-citationRomeo, V., Verde, F., Sarno, L., Migliorini, S., Petretta, M., Mainenti, P. P., D'Armiento, M. R., Guida, M., Brunetti, A., & Maurea, S. (2021) · La radiologia medica · doi:10.1007/s11547-021-01348-6 · Cited by 45 · see citing works
Chen, E., Mar, W. A., Horowitz, J. M., Allen, A., Jha, P., Cantrell, D. R., & Cai, K. (2019) · Abdominal Radiology · doi:10.1007/s00261-019-02104-1 · Cited by 37 · see citing works
Thiravit, S., Ma, K., Goldman, I., Chanprapaph, P., Jha, P., Hippe, D. S., & Dighe, M. (2021) · American Journal of Roentgenology · doi:10.2214/ajr.21.25581 · Cited by 36 · see citing works
Debunking 20th century myths and legends about the diagnosis of placenta accreta spectrum
Jauniaux, E. R. M., Hussein, A. M., Einerson, B. D., & Silver, R. M. (2022) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.24890 · Cited by 36 · see citing works
Self-citationClark, H. R., Ng, T. W., Khan, A., Happe, S. K., Dashe, J. S., Xi, Y., & Twickler, D. M. (2020) · American Journal of Roentgenology · doi:10.2214/ajr.19.21705 · Cited by 37 · see citing works
Hong, S., Le, Y., Lio, K. U., Zhang, T., Zhang, Y., & Zhang, N. (2022) · Insights into Imaging · doi:10.1186/s13244-022-01192-w · Cited by 34 · see citing works
Maurea, S., Romeo, V., Mainenti, P. P., Ginocchio, M. I., Frauenfelder, G., Verde, F., Liuzzi, R., D'Armiento, M. R., Sarno, L., Morlando, M., et al. (2018) · European Journal of Radiology · doi:10.1016/j.ejrad.2018.07.014 · Cited by 33 · see citing works
Chen, C., Liu, X., Chen, D., Huang, S. M., Yan, X., Liu, H., Chang, Q., & Liang, Z. (2019) · Annals of Palliative Medicine · doi:10.21037/apm.2019.09.04 · Cited by 32 · see citing works
Einerson, B. D., Rodriguez, C. E., Silver, R. M., Donnelly, M. A., Kennedy, A., & Woodward, P. J. (2020) · American Journal of Perinatology · doi:10.1055/s-0040-1701196 · Cited by 31 · see citing works
Self-citationPerformance of antenatal imaging to predict placenta accreta spectrum degree of severity
Morel, O., van Beekhuizen, H. J., Braun, T., Collins, S., Pateisky, P., Calda, P., Henrich, W., Naimi, A. A., Nørgaard, L. N., Chalubinski, K. M., et al. (2021) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.14112 · Cited by 29 · see citing works
Xia, H., Ke, S.-C., Qian, R.-R., Lin, J.-G., Li, Y., & Zhang, X. (2020) · Medicine · doi:10.1097/md.0000000000017908 · Cited by 26 · see citing works
Romeo, V., Sarno, L., Volpe, A., Ginocchio, M. I., Esposito, R., Mainenti, P. P., Petretta, M., Liuzzi, R., D'Armiento, M. R., Martinelli, P., et al. (2019) · Abdominal Radiology · doi:10.1007/s00261-019-02185-y · Cited by 27 · see citing works
Ghezzi, C. L. A., Silva, C. K., Casagrande, A. S., Westphalen, S. S., Salazar, C. C., & Vettorazzi, J. (2021) · British Journal of Radiology · doi:10.1259/bjr.20210827 · Cited by 25 · see citing works
Donovan, B. M., & Shainker, S. A. (2021) · NeoReviews · doi:10.1542/neo.22-11-e722 · Cited by 28 · see citing works
Prenatal diagnosis of placenta accreta spectrum
Conturie, C. L., & Lyell, D. J. (2022) · Current Opinion in Obstetrics & Gynecology · doi:10.1097/gco.0000000000000773 · Cited by 26 · see citing works
Surgical Management of Placenta Accreta Spectrum
Einerson, B. D., & Branch, D. W. (2018) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0000000000000406 · Cited by 25 · see citing works
Self-citationSurgical Management of the Placenta Accreta Spectrum: An Institutional Experience
Mitric, C., Desilets, J., Balayla, J., & Ziegler, C. (2019) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2019.01.016 · Cited by 23 · see citing works
Maurea, S., Verde, F., Romeo, V., Stanzione, A., Mainenti, P. P., Raia, G., Barbuto, L., Iacobellis, F., Santangelo, F., Sarno, L., et al. (2023) · European Journal of Radiology · doi:10.1016/j.ejrad.2023.111116 · Cited by 22 · see citing works
Pain, F., Dohan, A. J. J., Grangé, G., Marcellin, L., Uzan-Augui, J., Goffinet, F., Soyer, P. A., & Tsatsaris, V. (2022) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.14420 · Cited by 20 · see citing works
Placenta Accreta: A Spectrum of Predictable Risk, Diagnosis, and Morbidity
Duzyj, C. M., Cooper, A. C., Mhatre, M., Han, C. S., Paidas, M. J., Illuzzi, J. L., & Sfakianaki, A. K. (2018) · American Journal of Perinatology · doi:10.1055/s-0038-1676111 · Cited by 21 · see citing works
Berhan, Y., & Urgie, T. (2020) · Ethiopian Journal of Health Sciences · doi:10.4314/ejhs.v30i2.16 · Cited by 20 · see citing works
Wang, H., Wang, Y., Zhang, H., Yin, X., Wang, C., Lu, Y., Song, Y., Zhu, H., & Yang, G. (2024) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.28770 · Cited by 19 · see citing works
Radiomics-based prediction of FIGO grade for placenta accreta spectrum
Bartels, H. C., O’Doherty, J., Wolsztynski, E., Brophy, D. P., MacDermott, R., Atallah, D., Saliba, S., Young, C., Downey, P., Donnelly, J., et al. (2023) · European Radiology Experimental · doi:10.1186/s41747-023-00369-2 · Cited by 19 · see citing works
Tsolakidis, D., Zouzoulas, D., & Pados, G. (2021) · BioMed Research International · doi:10.1155/2021/9958073 · Cited by 22 · see citing works
Pan, W., Chen, J., Zou, Y., Yang, K., Liu, Q., Sun, M., Li, D., Zhang, P., Yue, S., Huang, Y., et al. (2023) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-023-05923-9 · Cited by 18 · see citing works
Placenta Accreta Spectrum: A Comprehensive Review of Guidelines
Giouleka, S., Tsakiridis, I. G., Chanioti, E.-R., Ladas, K., Liberis, A., Mamopoulos, A. M., Kalogiannidis, I. A., Athanasiadis, A. P., & Dagklis, T. (2024) · Obstetrical & Gynecological Survey · doi:10.1097/ogx.0000000000001274 · Cited by 20 · see citing works
Placenta Accreta Spectrum and Postpartum Hemorrhage
Abdelwahab, M., & Cackovic, M. (2023) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0000000000000783 · Cited by 17 · see citing works
The Prenatal Diagnostic Indicators Of Placenta Accreta Spectrum
Wu, X., Yang, H., Yu, X., Zeng, J., Qiao, J., Qi, H., & Xu, H. (2022) · Heliyon · doi:10.1016/j.heliyon.2023.e16241 · Cited by 20 · see citing works
Do, Q. N., Herrera, C. L., Rosenthal, E. A., Xi, Y., Uddin, N., Lewis, M. A., Fei, B., Spong, C. Y., & Twickler, D. M. (2024) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2024.101280 · Cited by 17 · see citing works
The use of magnetic resonance imaging to predict placenta previa with placenta accreta spectrum
Ishibashi, H., Miyamoto, M., Shinmoto, H., Soga, S., Matsuura, H., Kakimoto, S., Iwahashi, H., Sakamoto, T., Hada, T., Suzuki, R., et al. (2020) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.13937 · Cited by 17 · see citing works
First-trimester screening for placenta accreta spectrum
Dar, P., & Doulaveris, G. (2024) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2024.101329 · Cited by 15 · see citing works
Comparative analysis of ultrasound and MRI in the diagnosis of placenta accreta spectrum
Barzilay, E., Brandt, B., Gilboa, Y., Kassif, E., Achiron, R., Raviv‐Zilka, L., & Katorza, E. (2020) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2020.1846699 · Cited by 15 · see citing works
Cavalli, C., Maggi, C., Gambarini, S., Fichera, A., Santoro, A., Grazioli, L., Prefumo, F., Odicino, F. E., & Fratelli, N. (2021) · Journal of Perinatal Medicine · doi:10.1515/jpm-2021-0334 · Cited by 16 · see citing works
Management of placenta accreta spectrum
Alves, Á. L. L., da Silva, L. B., Costa, F. D. S., & Rezende, G. D. C. (2021) · Revista Brasileira Ginecologia e Obstetrícia · doi:10.1055/s-0041-1736371 · Cited by 17 · see citing works
Titapant, V., Tongdee, T., Pooliam, J., & Wataganara, T. (2018) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2018.1530757 · Cited by 12 · see citing works
Matsubara, S., Takahashi, H., & Takei, Y. (2018) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2018.04.058 · Cited by 12 · see citing works
Alzoubi, O., Maaita, W., Madain, Z., Alzoubi, M., Sweis, J. J. G., Arar, A., & Sweis, N. W. G. (2022) · Journal of obstetrics and gynaecology research · doi:10.1111/jog.15330 · Cited by 11 · see citing works
Shi, J., Yang, M., Cao, X., Huang, Q., He, F., Peng, Y., Cui, J. J., Chen, W., Xu, Y., Geng, W., et al. (2023) · Reproduction · doi:10.1530/rep-22-0339 · Cited by 11 · see citing works
Baumann, H. E., Pawlik, L., Hoesli, I. M., Schoetzau, A., Schönberger, H., Butenschoen, A., Monod, C., & Manegold‐Brauer, G. (2022) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.14595 · Cited by 10 · see citing works
Zhou, L., Zhao, X., Xu, D., Pang, S., Mao, X., Feng, S., & Yue, Y. (2023) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.28617 · Cited by 9 · see citing works
Is There a Role for MRI in the Management of Placenta Accreta Spectrum?
Woodward, P. J., Kennedy, A., & Einerson, B. D. (2019) · Current Obstetrics and Gynecology Reports · doi:10.1007/s13669-019-00266-9 · Cited by 9 · see citing works
Self-citationKliewer, M. A., Bockoven, C. G., Reeder, S. B., Bagley, A. R., Sadowski, E. A., Iruretagoyena, J. I., Beninati, M. J., & Fritsch, M. K. (2023) · Placenta · doi:10.1016/j.placenta.2023.02.003 · Cited by 9 · see citing works
Factors Limiting Magnetic Resonance Imaging Diagnosis of Placenta Accreta Spectrum
Cheng, C., Ramsey, P. S., Byrne, J. J., Katabathina, V. S., Ireland, K. E., & Munoz, J. L. (2023) · American Journal of Perinatology · doi:10.1055/a-2099-4542 · Cited by 8 · see citing works
Advances in Imaging for Placenta Accreta Spectrum Disorder
Waller, J. A., Shamshirsaz, A. A., & Abuhamad, A. (2025) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000005905 · Cited by 8 · see citing works
Ultrasonographic Prediction of Placental Invasion in Placenta Previa by Placenta Accreta Index
Hasegawa, K., Ikenoue, S., Tanaka, Y., Oishi, M., Endo, T., Sato, Y., Ishii, R., Kasuga, Y., Ochiai, D., & Tanaka, M. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12031090 · Cited by 7 · see citing works
El-Haieg, D. O., Madkour, N. M., Basha, M. A. A., Ahmad, R. A., Sadek, S. M., Ibrahim, S. A.-S., Sibai, H., Mahdy, E. R., Elhady, R. R. A., Mohamed, E. M., et al. (2019) · Ultraschall in der Medizin - European Journal of Ultrasound · doi:10.1055/a-0891-0772 · Cited by 7 · see citing works
Girolamo, R. D., Buca, D. I. P., Galliani, C., D’Amico, A., Calì, G., Lucidi, A., Giannini, C., Chiarelli, F., Liberati, M., & D’Antonio, F. (2021) · Minerva Obstetrics and Gynecology · doi:10.23736/s2724-606x.21.04886-7 · Cited by 7 · see citing works
Ye, C., Ling, L., Li, S., Zhang, Z., & Zhang, X. (2023) · Annals of Translational Medicine · doi:10.21037/atm-22-6508 · Cited by 7 · see citing works
Nelson, L. W., Richardson, D., Chavan, N. R., Kapoor, H., Stanley, Z. D., Gulati, V., Winfrey, O. K., & Khurana, A. (2021) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2021.05.031 · Cited by 7 · see citing works
Radiomic study of antenatal prediction of severe placenta accreta spectrum from MRI
Bartels, H. C., Wolsztynski, E., O’Doherty, J., Brophy, D. P., MacDermott, R., Atallah, D. M., Saliba, S., Kassis, N. E., Moubarak, M., Young, C., et al. (2024) · British Journal of Radiology · doi:10.1093/bjr/tqae164 · Cited by 7 · see citing works
Rekawek, P., Liu, L. Y., Pan, S., Overbey, J., & Wagner, B. (2021) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2021.1903861 · Cited by 6 · see citing works
External Validation of a Multivariable Prediction Model for Placenta Accreta Spectrum
Singh, S., Carusi, D. A., Wang, P., Reitman-Ivashkov, E., Landau, R., Fields, K. G., Weiniger, C. F., & Farber, M. K. (2022) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000006222 · Cited by 6 · see citing works
Kashiwagi, H., Mariya, T., Umemoto, M., Ogawa, S., Hirohashi, Y., Fujibe, Y., Kubo, T., Someya, M., Baba, T., Ishioka, S., et al. (2023) · Medical Molecular Morphology · doi:10.1007/s00795-023-00371-y · Cited by 6 · see citing works
Placenta Praevia and Placenta Accreta Spectrum: Diagnosis and Management
Jauniaux, E. R. M., Bhide, A., Hussein, A. M., LEES, C. C., D'Antonio, F., Robson, S. C., Agten, A. K., & Jurkovic, D. (2026) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.70239 · Cited by 10 · see citing works
Imaging the Uterus in Placenta Accreta Spectrum Disorder
Khandelwal, M., SHIPP, T. D., Zelop, C. M., Abuhamad, A., Afshar, Y., Einerson, B. D., Fox, K. A., Huisman, T. A. G. M., Lyell, D. J., Perni, U. C., et al. (2023) · American Journal of Perinatology · doi:10.1055/s-0043-1761914 · Cited by 5 · see citing works
Self-citationWalker, S., Grant, S., O’Brien, S., Weale, N. K., Crofts, J. F., Vieten-Kay, D., Pereira, K., & Elhodaiby, M. (2024) · Case Reports in Women s Health · doi:10.1016/j.crwh.2024.e00626 · Cited by 5 · see citing works
Golyanovskiy, O. V., Kulchytskiy, D. V., & Рубінштейн, А. М. (2022) · Reproductive health of woman · doi:10.30841/2708-8731.5.2022.265469 · Cited by 5 · see citing works
Placenta accreta spectrum: imaging and diagnosis
Self, A., Cavallaro, A., & Collins, S. (2025) · The Obstetrician & Gynaecologist · doi:10.1111/tog.12956 · Cited by 6 · see citing works
No 383 – Dépistage, diagnostic et prise en charge des troubles du spectre du placenta accreta
Hobson, S. R., Kingdom, J. C., Murji, A., Windrim, R. C., Carvalho, J. C. A., Singh, S. S., Ziegler, C., Birch, C., Frecker, E., Lim, K. I., et al. (2019) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2019.04.002 · Cited by 5 · see citing works
Placenta previa and placenta accreta: questions of diagnosing and obstetric management
Syundyukova, E. G., Chulanova, Y. S., Сашенков, С. Л., Medvedev, B. I., & Узлова, Т. В. (2022) · Russian Bulletin of Obstetrician-Gynecologist · doi:10.17116/rosakush20222203112 · Cited by 7 · see citing works
Munoz, J. L., Counts, R., Lacue, A. E., Ireland, K. E., Ramsey, P. S., & Brandi, K. (2025) · Medicina · doi:10.3390/medicina61010113 · Cited by 4 · see citing works
Castaldi, M. A., Torelli, A. P., Scala, P., Castaldi, S. G., Mollo, A., Perniola, G., & Polichetti, M. (2024) · Translational Medicine UniSa · doi:10.37825/2239-9747.1060 · Cited by 4 · see citing works
Reeder, C. F., Sylvester‐Armstrong, K. R., Silva, L. M., Wert, E., Smulian, J. C., & Genç, M. (2022) · Journal of Perinatal Medicine · doi:10.1515/jpm-2021-0591 · Cited by 7 · see citing works
Intraplacental Fetal Vessels: An Additional Sign for Placenta Accreta Spectrum
Dighe, M. (2020) · Radiology · doi:10.1148/radiol.2020204118 · Cited by 4 · see citing works
Sherer, D. M., Thompson, M., Field, A., Granderson, F., & Dalloul, M. (2023) · Radiology Case Reports · doi:10.1016/j.radcr.2023.08.061 · Cited by 3 · see citing works
Ferumoxytol-enhanced MRI of retroplacental clear space disruption in placenta accreta spectrum
Badachhape, A., Burnett, B., Bhandari, P., Devkota, L., Bhavane, R. C., Menon, R., Srivastava, M., Lombaard, H. A., Shamshirsaz, A. A., Ghaghada, K. B., et al. (2025) · Placenta · doi:10.1016/j.placenta.2024.12.026 · Cited by 3 · see citing works
Suspected Placenta Accreta: Using Imaging to Stratify Risk of Morbidity
Matthews, K. C., Fields, J. C., & Chasen, S. T. (2020) · American Journal of Perinatology · doi:10.1055/s-0040-1712948 · Cited by 3 · see citing works
Placental Malformation: Accreta and Beyond
Atallah, D. M., Moubarak, M., Saliba, S., Nassar, M. N., Abboud, S., Kesrouani, A. K., Ghossain, M. A., & Kassis, N. E. (2018) · IntechOpen eBooks · doi:10.5772/intechopen.80588 · Cited by 3 · see citing works
The Management of Placenta Accrete Spectrum—Burning Questions to Be Solved
Ma, J., & Yang, H.-X. (2019) · Maternal-Fetal Medicine · doi:10.1097/fm9.0000000000000017 · Cited by 3 · see citing works
Zhou, B., Lian, J., Wang, Y., Yang, Y., Bai, H., & Wu, S. (2024) · Advances in Clinical and Experimental Medicine · doi:10.17219/acem/191828 · Cited by 2 · see citing works
Chen, K., Xue, M., Meng, X., Li, G., Wang, X., Long, Y., & Li, H. (2025) · International Journal of Surgery · doi:10.1097/js9.0000000000004443 · Cited by 2 · see citing works
Ultrasonographic Diagnosis of Placenta Accreta Spectrum
Berman, Z. T., Shiehmorteza, M., & Hahn, M. E. (2019) · Current Radiology Reports · doi:10.1007/s40134-019-0321-0 · Cited by 2 · see citing works
The effect of abnormal placentation on maternal serum fetal fraction of cell-free DNA
Rodriguez, M., Smith, E. L., Silva, L. M., Gultekin-Elbir, E. E., Tetla, R., & Genç, M. (2022) · Journal of Perinatal Medicine · doi:10.1515/jpm-2022-0420 · Cited by 2 · see citing works
Placenta Accreta Spectrum Disorder—Critical Time for a More Globally Used Management Guideline
Akinwunmi, B. O., & Juusela, A. L. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.21918 · Cited by 2 · see citing works
Young, A. M. P., Uribe, K. A., & Shaddeau, A. (2021) · Case Reports in Women s Health · doi:10.1016/j.crwh.2021.e00334 · Cited by 2 · see citing works
Evaluation of clinical profile, risk factors and management challenges in placenta accreta spectrum
Sharma, A., Bansal, N., Singh, P., Sarda, P., Gupta, N., & Singh, P. (2020) · International Journal of Clinical Obstetrics and Gynaecology · doi:10.33545/gynae.2020.v4.i6c.749 · Cited by 1 · see citing works
Management of Placenta Accreta Spectrum in the Second Trimester
Taha, O. T., Abdelkarim, M., Qahtani, N. A., & Dawood, A. S. (2022) · Springer eBooks · doi:10.1007/978-3-031-10347-6_15 · Cited by 1 · see citing works
Li, K., Yan, G., Zhang, X., Kong, J., Zou, Y., & Cheng, X. (2025) · Placenta · doi:10.1016/j.placenta.2025.02.009 · Cited by 1 · see citing works
Management of placenta percreta – case report and clinic experience
SECARA, D. C., Mehedințu, C., Carp-Velişcu, A., Edu, A., Teodor, O. M., Negru, A., Grădinaru-Fometescu, D., Constantin, T. V., UZUNOV, A. V., Brătilă, E., et al. (2021) · Romanian Journal of Medical Practice · doi:10.37897/rjmp.2021.s6.20 · Cited by 1 · see citing works
Utility of magnetic resonance imaging for placenta accreta spectrum (PAS) disorders
Levin, G., & Rottenstreich, A. (2019) · Abdominal Radiology · doi:10.1007/s00261-019-02069-1 · Cited by 1 · see citing works
Magnetic resonance imaging for placenta accreta: hope for the future
Lim, G., Lim, M. M. D. R., & Horowitz, J. M. (2019) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2019.07.034 · Cited by 1 · see citing works
Einerson, B. D., Silver, R. M., & Rodriguez, C. E. (2018) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2018.11.128
Self-citationMagnetic resonance imaging management of placenta accrete spectrum
Rottenstreich, A., Levin, G., & Zigron, R. (2018) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2018.11.127
Some aspects of the diagnosis and delivery in pregnant women with placenta accreta
Алексеевич, Л. А., & Aksenenko, V. (2020) · Medical news of the North Caucasus · doi:10.14300/mnnc.2020.15105
de Vocance, M. (2010)
Prenatal diagnosis and management of placenta accreta in a Moroccan high-level maternity
Lamrissi, A., Benjelloun, A., Harit, A., Fichtali, K., & Bouhya, S. (2022) · International Journal of Surgery Open · doi:10.1016/j.ijso.2022.100497
- Authors
- Einerson, B. D., Rodriguez, C. E., Kennedy, A. M., Woodward, P. J., Donnelly, M. A., & Silver, R. M.
- Affiliations
- Intermountain Healthcare (US)
- University of Colorado Anschutz (US)
- University of Utah (US)
- Corresponding author
- Einerson, Brett D.
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2018-06
- Volume
- 218
- Issue
- 6
- Pages
- 618.e1-618.e7
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2791097462
- Cited by
- 121
- References
- 18
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 11 · 2023: 20 · 2022: 17 · 2021: 16 · 2020: 12 · 2019: 16 · 2018: 10
- FWCI
- 15.01
- Type
- journal article
- Language
- en
- Update notices
- erratum (2019-01-01)
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Intermountain Healthcare
- University of Utah
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Biochemistry › Blood transfusion and management
- Keywords
- placenta accreta spectrum, magnetic resonance imaging, ultrasound, diagnostic accuracy, clinical management, overdiagnosis, placental location, diagnostic imaging in pregnancy, uterine imaging, histopathological confirmation, cost-effectiveness of imaging, perinatal outcomes, cesarean hysterectomy, placental abruption, postpartum hemorrhage, preterm birth, placental insufficiency
- MeSH terms
- Clinical Decision-Making, Adult, Female, Humans, Magnetic Resonance Imaging, Placenta Accreta, Pregnancy, Retrospective Studies, Sensitivity and Specificity, Severity of Illness Index, Ultrasonography, Prenatal, Disease Management
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
