ArticleInsights into imaging2023
Differentiation of placenta percreta through MRI features and diffusion-weighted magnetic resonance imaging.
Article in Insights into imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed, 3 citations in OpenAlex.
- Diagnosing placenta accreta spectrum in different placental locations using a combination of magnetic resonance imaging (MRI) features and diffusion-weighted MRI parameters.Quantitative imaging in medicine and surgery · 2025Article
- Feasibility of multimodal magnetic resonance imaging to assess maternal hyperoxygenation in sheep pregnancy.The Journal of physiology · 2025Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo identify whether parameters measured from diffusion kurtosis and intravoxel incoherent motion help diagnose placenta percreta.
methodsWe retrospectively enrolled 75 patients with PAS disorders including 13 patients with placenta percreta and 40 patients without PAS disorders. Each patients underwent diffusion-weighted imaging (DWI), intravoxel incoherent motion (IVIM), and diffusion kurtosis imaging (DKI). The apparent diffusion coefficient (ADC), perfusion fraction (f), pure diffusion coefficient (D), pseudo-diffusion coefficient (D*), mean diffusion kurtosis (MK) and mean diffusion coefficient (MD) were measured by the volumetric analysis and compared. MRI features were also analyzed and compared. The receiver operating characteristic (ROC) curve and logistic regression analysis were used to evaluate the diagnostic efficiency of different diffusion parameters and MRI features for distinguishing placental percreta.
resultsD* was an independent risk factor from DWI for predicting placenta percreta with sensitivity of 73% and specificity of 76%. Focal exophytic mass remained as independent risk factor from MRI features for predicting placenta percreta with sensitivity of 72.7% and specificity of 88.1%. When the two risk factors were combined together, the AUC was the highest, 0.880 (95% CI 0.8-0.96).
conclusionD* and focal exophytic mass were associated with placenta percreta. A combination of the 2 risk factors can be used to predict placenta percreta. CRITICAL RELEVANCE STATEMENT: A combination of D* and focal exophytic mass can be used to differentiate placenta percreta.
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