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Article Abstract

Background: With more pregnant women undergoing cesarean section, the number of women with scarring in the uterus undergoing uterine magnetic resonance (MR) examination in the second and third trimesters following a subsequent pregnancy, has increased.

Objective: To investigate features of MR signals in retroplacental basal decidual space.

Methods: The MR imaging data of patients with clinically and pathologically confirmed placenta implantation and complete placental abruption were retrospectively analyzed.

Results: Patients with high-intensity signals in T2-weighted images (T2WI) of the retroplacental basal decidual space did not suffer placenta implantation after delivery, while high-intensity signals in T2WI of the retroplacental basal decidual space was not observed in patients with different degrees of placenta implantation.

Conclusion: As the retroplacental basal decidual space is the barrier between the placenta and myometrium, high-intensity signals in T2WI can improve the confidence of MR exclusion diagnostics of placenta implantation, and can be used as exclusion criteria for MR diagnosis of placenta implantation.

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http://dx.doi.org/10.3233/THC-230098DOI Listing

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Article Synopsis
  • The Amsterdam Consensus Statement introduced maternal vascular malperfusion (MVM) to describe issues with maternal-placental blood flow, revealing a commonality of these features in normal pregnancies but with uncertainty on their diagnostic criteria.
  • A study of 200 placentas aimed to correlate specific MVM features with negative obstetrical outcomes, identifying significant associations with low placental weight, accelerated villous maturation, decidual arteriopathy, and infarcts.
  • The researchers recommend consistent reporting of these MVM features, highlighting that certain combinations can predict adverse outcomes in pregnancy with probabilities ranging from 52% to 97%.
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Background: With more pregnant women undergoing cesarean section, the number of women with scarring in the uterus undergoing uterine magnetic resonance (MR) examination in the second and third trimesters following a subsequent pregnancy, has increased.

Objective: To investigate features of MR signals in retroplacental basal decidual space.

Methods: The MR imaging data of patients with clinically and pathologically confirmed placenta implantation and complete placental abruption were retrospectively analyzed.

View Article and Find Full Text PDF

Ultrasound accuracy in prenatal diagnosis of abnormal placentation of posterior placenta previa.

Eur J Obstet Gynecol Reprod Biol

November 2019

Department of Obstetrics and Gynaecology, Ultrasound Centre, University of Turin, Sant'Anna Hospital, Italy.

Objectives: To evaluate the accuracy of ultrasound in prenatal diagnosis of Placenta accrete spectrum disorders in patients with posterior placenta previa, and to assess the impact of prenatal diagnosis in our population.

Study Design: We prospectively enrolled 198 women with posterior placenta previa from 2011 to 2017. We performed transabdominal and transvaginal ultrasound examinations (Grey-scale and colour/power Doppler).

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Objectives Diagnosed clinical abruption showing blood clot should be signed out in the pathology report as retroplacental hemorrhage with or without parenchymal indentation, and submitted clot separate from the placenta should be weighed. In our experience, some cases sent as clinical abruptions have been cases of morbid adherence. This study was undertaken to evaluate the association of retroplacental blood with basal plate myofibers (BPMF).

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Decidual vasculopathy (DV) is a general term for a number of lesions involving uteroplacental vessels. It is often seen in preeclamptic placentas and indicates a disorder of uteroplacental malperfusion and is associated with placental ischemia and infarction. Although some have advocated submitting special sections in order to better document DV, it is unclear which placental sections have the highest yield in demonstrating these abnormal vessels.

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