Diagnostic Accuracy of Magnetic Resonance Imaging in Detecting Placenta Accrete Keeping Post-Operative Histopathology Findings as a Gold Standard

Salahuddin Balooch; Sana Javed; Najam us Saqib Niazi; Kiran Zafar; Amir Hayat Haider; Muhammad Omar Amir

doi:10.51253/pafmj.v72i6.6642

Authors

Salahuddin Balooch Combined Military Hospital, Kharian/National University of Medical Sciences (NUMS) Pakistan
Sana Javed University of Lahore, Gujrat Pakistan
Najam us Saqib Niazi Combined Military Hospital, Kharian/National University of Medical Sciences (NUMS) Pakistan
Kiran Zafar Izzat Ali Shah Hospital
Amir Hayat Haider Pakistan Air Force Hospital, Kamra Pakistan
Muhammad Omar Amir Combined Military Hospital, Sargodha/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72i6.6642

Keywords:

Magnetic resonance imaging (MRI), Placental accreta, Placental adhesion

Abstract

Objective: To determine the diagnostic accuracy of MRI in diagnosing placenta accrete with post-operative histopathological findings considered a gold standard.

Study Design: Cross-sectional study.

Place and Duration of study: Combined Military Hospital, Kharian Pakistan, from Jan to Dec 2020.
Methodology: In total, 119 individuals suspected of placenta accreta were evaluated with the help of magnetic resonance imaging (MRI). However, confirmation for 71 patients was obtained based on clinical criteria at the time of delivery.

Results: The mean age of women was 28.67±5.64 years, and the mean gestational age for the foetus was 33.14±1.74 weeks. The present study showed that MRI has 90(141%) sensitivity, 91(66%) specificity, 94(11%) positive predictive value (PPV), and 86(27%) negative predictive value (NPV) and diagnostic accuracy of 90(75%) for diagnosing placental accreta.

Conclusion: It is concluded that the use of MRI should be encouraged as an efficient and primary diagnostic tool for placenta accreta.