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Volume 11
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10.3390/diagnostics11010023
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Article

Ultrasonographic Diagnosis of Placenta Accreta Spectrum (PAS) Disorder: Ideation of an Ultrasonographic Score and Correlation with Surgical and Neonatal Outcomes

by
Valentina Del Negro
1,
Natalia Aleksa
1,
Cecilia Galli
1,
Enrico Ciminello
2,
Martina Derme
1,
Flaminia Vena
1,
Ludovico Muzii
1 and
Maria Grazia Piccioni
1,*
1
Department of Maternal and Child Health and Urological Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
2
Department of Statistical Sciences, “Sapienza” University of Rome, 00185 Rome, Italy
*
Author to whom correspondence should be addressed.
Diagnostics 2021, 11(1), 23; https://doi.org/10.3390/diagnostics11010023
Submission received: 4 November 2020 / Revised: 22 December 2020 / Accepted: 22 December 2020 / Published: 25 December 2020
(This article belongs to the Special Issue Imaging of Fetal and Maternal Diseases in Pregnancy)
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Abstract

The objective of this study was to evaluate a novel ultrasonographic scoring system for the diagnosis of PAS and the prediction of maternal and neonatal outcomes. In this retrospective study, 138 patients with at least one previous caesarean section (CS) and placenta previa were included. They were divided into four groups ranging from Group 0 (Non PAS) to Group 3 (Placenta Percreta) according to the histological or surgical confirmation. Their ultrasound examinations during pregnancy were reviewed according to the nine different ultrasound signs reported by the European Working Group on Abnormally Invasive Placenta. For each parameter, 0 to 2 points were assigned. The sum of the points reflects the severity of PAS with a maximum score of 20. The scoring system revealed good performances in evaluation metrics, with an overall accuracy of 94%. In addition to this, patients’ characteristics and surgical and neonatal outcomes were analyzed with an evidence of higher incidence of complications in severe forms. Our study suggests that antenatal ultrasonographic diagnosis of PAS is feasible with sufficient level of accuracy. This will be important in identifying high-risk patients and implementing preventive strategy.
Keywords: caesarean section; placental pathology; diagnostic ultrasound; prenatal diagnosis caesarean section; placental pathology; diagnostic ultrasound; prenatal diagnosis

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MDPI and ACS Style

Del Negro, V.; Aleksa, N.; Galli, C.; Ciminello, E.; Derme, M.; Vena, F.; Muzii, L.; Piccioni, M.G. Ultrasonographic Diagnosis of Placenta Accreta Spectrum (PAS) Disorder: Ideation of an Ultrasonographic Score and Correlation with Surgical and Neonatal Outcomes. Diagnostics 2021, 11, 23. https://doi.org/10.3390/diagnostics11010023

AMA Style

Del Negro V, Aleksa N, Galli C, Ciminello E, Derme M, Vena F, Muzii L, Piccioni MG. Ultrasonographic Diagnosis of Placenta Accreta Spectrum (PAS) Disorder: Ideation of an Ultrasonographic Score and Correlation with Surgical and Neonatal Outcomes. Diagnostics. 2021; 11(1):23. https://doi.org/10.3390/diagnostics11010023

Chicago/Turabian Style

Del Negro, Valentina, Natalia Aleksa, Cecilia Galli, Enrico Ciminello, Martina Derme, Flaminia Vena, Ludovico Muzii, and Maria Grazia Piccioni. 2021. "Ultrasonographic Diagnosis of Placenta Accreta Spectrum (PAS) Disorder: Ideation of an Ultrasonographic Score and Correlation with Surgical and Neonatal Outcomes" Diagnostics 11, no. 1: 23. https://doi.org/10.3390/diagnostics11010023

APA Style

Del Negro, V., Aleksa, N., Galli, C., Ciminello, E., Derme, M., Vena, F., Muzii, L., & Piccioni, M. G. (2021). Ultrasonographic Diagnosis of Placenta Accreta Spectrum (PAS) Disorder: Ideation of an Ultrasonographic Score and Correlation with Surgical and Neonatal Outcomes. Diagnostics, 11(1), 23. https://doi.org/10.3390/diagnostics11010023

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