Predictive value of clinical combined MRI scoring scale in placenta previa with placenta implantation
10.3969/j.issn.1002-1671.2025.01.016
- VernacularTitle:临床联合MRI评分量表对前置胎盘伴胎盘植入的预测价值
- Author:
Qi YAO
1
;
Oucheng WANG
1
;
Pingping JIE
1
;
Liulu ZHANG
1
;
Yao XIAO
1
Author Information
1. 西南医科大学附属中医医院MR室,四川 泸州 646000
- Publication Type:Journal Article
- Keywords:
placenta accreta spectrum disorders;
placenta previa;
magnetic resonance imaging;
scoring scale
- From:
Journal of Practical Radiology
2025;41(1):72-76
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of clinical combined MRI scoring scale in predicting placenta previa with pla-centa accreta spectrum disorders(PAS).Methods The clinical and MRI data of 96 pregnant women with placenta previa were ana-lyzed retrospectively,including 37 cases in the non-PAS group and 59 cases in the PAS group.In the PAS group,there were 14 cases in the placenta accreta(PA)group,33 cases in the placenta increta(PI)group and 12 cases in the placenta percreta(PP)group.The differences in clinical and imaging features of the variables between non-PAS,PA,PI,and PP groups were analyzed to establish a sco-ring scale,and the receiver operating characteristic(ROC)curves were used to calculate the critical values of the different groups.Results Ten clinical and 15 imaging features were included for evaluation,there were statistically significant differences in 14 indicators,including the number of caesarean sections,placental thickness,abnormal subplacental vessels,and short T2 signal bands within the placenta(P<0.05).Incorporate the above indicators into the MRI scoring scale.The ROC curves showed that the area under the curve(AUC)of the MRI scoring scale analyzed diagnostic non-PAS group versus PA group was 0.874,with a significance of 0.000 and a critical value of 5.5,the AUC of the PA group versus PI group was 0.784,with a significance of 0.002 and a critical value of 9.5,and the AUC of the PI group versus PP group was 0.986,with a significance of 0.000 and a critical value of 14.5.Conclusion Clini-cal combined MRI scoring scale can evaluate whether placenta previa is accompanied by PAS and evaluate the depth of PAS,which has important clinical value.
