Acta Academiae Medicinae Sinica ›› 2019, Vol. 41 ›› Issue (1): 86-92.doi: 10.3881/j.issn.1000-503X.10486
• Original Articles • Previous Articles Next Articles
MA Hongli,Lü Furong(),XIAO Zhibo,DU Jinchao,SHENG Bo
Received:
2018-04-20
Online:
2019-02-28
Published:
2019-03-06
Contact:
Furong Lü
E-mail:lfr918@sina.com
Supported by:
CLC Number:
MA Hongli,Lü Furong,XIAO Zhibo,DU Jinchao,SHENG Bo. Comparison of Prenatal Diagnostic Value between Fast Imaging Employing Steady State Acquisition and Single Shot Fast Spin Echo Sequence in Diagnosis of Placental Invasion[J].Acta Academiae Medicinae Sinica, 2019, 41(1): 86-92.
Table 1
Comparison of the ability to display MRI signs associated with placental invasion and confirmed diagnosis of placenta invasion between FIESTA and SSFSE[n(n)]"
序列Sequence | ABV | PH | HIB | UB | FIM | UR | UPPI | PPC |
---|---|---|---|---|---|---|---|---|
FIESTA | 59(52) | 68(59) | 56(50) | 56(52) | 70(62) | 24(24) | 13(13) | 7(7) |
SSFSE | 72(65) | 88(75) | 65(57) | 54(51) | 60(49) | 22(22) | 10(10) | 6(6) |
χ2 | 8.471 | 13.885 | 4.267 | 0.250 | 6.750 | 0.167 | 0.800 | 0.081 |
P | 0.020 | 0.000 | 0.035 | 0.625 | 0.006 | 0.687 | 0.375 | 0.776 |
Fig 1
A 28-year-old woman in the 31st week of gestation with extensive uterine anterior wall implantation FIESTA:fast imaging employing steady state acquisition;SSFSE:single shot fast spin echo;focal interruptions in the myometrial wall(short thin arrow)is clearer in FIESTA,and hypointense intraplacental bands(long thick arrow)is more pronounced in SSFSE;abnormal vessels(long thin arrow)are slightly hyperintense in FIESTA but hypointense in SSFSE;combining these two sequences can differentiate blood vessels;the rough serosal surface of the bladder(short thick arrow)and increased blood vessels around the bladder(long thin arrow)suggest bladder posterior wall implantation A. FIESTA;B. SSFSE"
Fig 3
A 31-year-old woman in the 32nd week of gestation with anterior uterine wall and lower segment placenta percreta Uterine bulging(thick arrow)and protrusion of the placenta into the cervix(thin arrow),the boundary between the placenta and the periphery is displayed clearly in FIESTA A. FIESTA;B. SSFSE"
Table 2
Sensitivity,specificity,PPV,and NPV of MRI signs associated with placental invasion in SSFSE[%(n/n)]"
征象Sign | 敏感度 Sensitivity | 特异度Specificity | PPV | NPV |
---|---|---|---|---|
ABV | 67.71(65/96) | 72.00(18/25) | 90.28(65/72) | 36.73(18/49) |
PH | 78.12(75/96) | 48.00(12/25) | 85.23(75/88) | 36.36(12/33) |
HIB | 59.38(57/96) | 68.00(17/25) | 87.69(57/65) | 30.36(17/56) |
UB | 53.13(51/96) | 88.00(22/25) | 94.44(51/54) | 32.84(22/67) |
FIM | 51.04(49/96) | 56.00(14/25) | 81.67(49/60) | 22.95(14/61) |
UR | 22.92(22/96) | 100.00(25/25) | 100.00(22/22) | 25.25(25/99) |
UPPI | 10.41(10/96) | 100.00(25/25) | 100.00(10/10) | 22.52(25/111) |
PPC | 6.25(6/96) | 100.00(25/25) | 100.00(6/6) | 21.74(25/115) |
Table 3
Sensitivity,specificity,PPV,and NPV of MRI signs associated with placental invasion in FIESTA[%(n/n)]"
征象 Sign | 敏感度Sensitivity | 特异度Specificity | PPV | NPV |
---|---|---|---|---|
ABV | 54.17(52/96) | 72.00(18/25) | 88.14(52/59) | 29.03(18/62) |
PH | 61.46(59/96) | 64.00(16/25) | 86.76(59/68) | 30.19(16/53) |
HIB | 52.08(50/96) | 76.00(19/25) | 89.29(50/56) | 29.23(19/65) |
UB | 54.16(52/96) | 84.00(21/25) | 92.86(52/56) | 32.31(21/65) |
FIM | 64.58(62/96) | 68.00(17/25) | 88.57(62/70) | 33.33(17/51) |
UR | 25.00(24/96) | 100.00(25/25) | 100.00(24/24) | 25.51(25/98) |
UPPI | 13.54(13/96) | 100.00(25/25) | 100.00(13/13) | 23.15(25/108) |
PPC | 7.29(7/96) | 100.00(25/25) | 100.00(7/7) | 21.93(25/114) |
[1] |
Wang YL, Su FM, Zhang HY , et al. Aortic balloon occlusion for controlling intraoperative hemorrhage in patients with placenta previa increta/percreta[J]. J Matern Fetal Neonatal Med, 2017,30(21):2564-2568.DOI: 10.1080/14767058.2016.1256990.
doi: 10.1080/14767058.2016.1256990 pmid: 28264601 |
[2] |
Silver RM, Fox KA, Barton JR , et al. Center of excellence for placenta accreta[J]. Am J Obstet Gynecol, 2015,212(5):561-568.DOI: 10.1016/j.ajog.2014.11.018.
doi: 10.1016/j.ajog.2014.11.018 pmid: 25460838 |
[3] |
Sato T, Mori N, Hasegawa O , et al. Placental recess accompanied by a T2 dark band:a new finding for diagnosing placental invasion[J]. Abdom Radiol(NY), 2017,42(8):2146-2153. DOI: 10.1007/s00261-017-1100-0.
doi: 10.1007/s00261-017-1100-0 pmid: 28293719 |
[4] |
Yamashita Y, Namimoto T, Abe Y , et al. MR imaging of the fetus by a HASTE sequence[J]. AJR Am J Roentgenol, 1997,168(2):513-519.DOI: 10.2214/ajr.168.2.9016238.
doi: 10.2214/ajr.168.2.9016238 pmid: 9016238 |
[5] |
Blaicher W, Brugger PC, Mittermayer C , et al. Magnetic resonance imaging of the normal placenta[J]. Eur J Radiol, 2006,57(2):256-260.DOI: 10.1016/j.ejrad.2005.11.025.
doi: 10.1016/j.ejrad.2005.11.025 pmid: 16413986 |
[6] |
Baughman WC, Corteville JE, Shah RR . Placenta accreta:spectrum of US and MR imaging findings[J]. Radiographics, 2008,28(7):1905-1916.DOI: 10.1148/rg.287085060.
doi: 10.1148/rg.287085060 pmid: 19001647 |
[7] |
Masselli G, Gualdi G . MR imaging of the placenta:what a radiologist should know[J]. Abdom Imaging, 2013,38(3):573-587.DOI: 10.1007/s00261-012-9929-8.
doi: 10.1007/s00261-012-9929-8 pmid: 22797659 |
[8] |
Ueno Y, Kitajima K, Kawakami F , et al. Novel MRI finding for diagnosis of invasive placenta praevia:evaluation of findings for 65 patients using clinical and histopathological correlations[J]. Eur Radiol, 2014,24(4):881-888.DOI: 10.1007/s00330-013-3076-7.
doi: 10.1007/s00330-013-3076-7 pmid: 24272229 |
[9] |
Derman AY, Nikac V, Haberman S , et al. MRI of placenta accreta:a new imaging perspective[J]. AJR Am J Roentgenol, 2011,197(6):1514-1521.DOI: 10.2214/AJR.10.5443.
doi: 10.2214/AJR.10.5443 pmid: 22109310 |
[10] |
Ueno Y, Maeda T, Tanaka U , et al. Evaluation of interobserver variability and diagnostic performance of developed MRI-based radiological scoring system for invasive placenta previa[J]. J Magn Reson Imaging, 2016,44(3):573-583.DOI: 10.1002/jmri.25184.
doi: 10.1002/jmri.25184 pmid: 26898236 |
[11] |
Lax A, Prince MR, Mennitt KW , et al. The value of specific MRI features in the evaluation of suspected placental invasion[J]. Magn Reson Imaging, 2007,25(1):87-93. DOI: 10.1016/j.mri.2006.10.007.
doi: 10.1016/j.mri.2006.10.007 pmid: 17222719 |
[12] |
Noda Y, Kanematsu M, Goshima S , et al. Prenatal MR imaging diagnosis of placental invasion[J]. Abdom Imaging, 2015,40(5):1273-1278.DOI: 10.1007/s00261-014-0281-z.
doi: 10.1007/s00261-014-0281-z |
[13] |
Kilcoyne A, Shenoy-Bhangle AS, Roberts DJ , et al. MRI of placenta accreta,placenta increta,and placenta percreta:pearls and pitfalls[J]. AJR Am J Roentgenol, 2017,208(1):214-221.DOI: 10.2214/AJR.16.16281.
doi: 10.2214/AJR.16.16281 pmid: 27762597 |
[14] |
Shetty MK, Dryden DK . Morbidly adherent placenta:ultrasound assessment and supplemental role of magnetic resonance imaging[J]. Semin Ultrasound CT MR, 2015,36(4):324-331.DOI: 10.1053/j.sult.2015.05.007.
doi: 10.1053/j.sult.2015.05.007 |
[15] |
刘炳光, 曹满瑞, 张方璟 , 等. 比较快速自旋回波序列和平衡式快速场回波序列对胎盘植入征象的显示效能[J]. 中国医学影像技术, 2013,29(2):302-305.DOI: 10.13929/j.1003-3289.2013.02.033.
doi: 10.13929/j.1003-3289.2013.02.033 |
[16] |
Chen Q, Levine D . Fast fetal magnetic resonance imaging techniques[J]. Top Magn Reson Imaging, 2001,12(1):67-79.
doi: 10.1097/00002142-200102000-00007 pmid: 11215717 |
[17] |
杜金超, 肖智博, 吕富荣 , 等. 快速平衡稳态采集与单次激发快速自旋回波序列诊断正常胎儿胸腺的价值比较[J]. 中国医学影像技术, 2017,33(10):1526-1530.DOI: 10.13929/j.1003-3289.201701098.
doi: 10.13929/j.1003-3289.201701098 |
[18] |
Azour L, Besa C, Lewis S , et al. The gravid uterus:MR imaging and reporting of abnormal placentation[J]. Abdom Radiol(NY), 2016,41(12):2411-2423.DOI: 10.1007/s00261-016-0752-5.
doi: 10.1007/s00261-016-0752-5 pmid: 27472936 |
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