{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T15:30:53Z","timestamp":1782833453322,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,12,22]],"date-time":"2017-12-22T00:00:00Z","timestamp":1513900800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2018,3]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To evaluate interobserver agreement in assessment of ultrasound signs and histopathologic findings associated with placenta accreta spectrum (PAS<\/jats:styled-content>) disorders.<\/jats:p><\/jats:sec>Methods<\/jats:title>A retrospective study was conducted using data for patients prenatally diagnosed with PAS<\/jats:styled-content> disorders at a UK<\/jats:styled-content> hospital between January 31, 2012, and March 30, 2017. Ultrasound images (including gray\u2010scale and color Doppler imaging [CDI<\/jats:styled-content>] parameters) and histopathologic slides were reviewed by two observers; the level of agreement was calculated.<\/jats:p><\/jats:sec>Results<\/jats:title>Among 25 patients, 11 had placenta creta, 10 had placenta increta, and four had placenta percreta. Interobserver agreement for ultrasound imaging in the second and third trimesters and histopathologic diagnosis of PAS<\/jats:styled-content> was rated as good\u2010to\u2010excellent. The highest level of interobserver agreement for ultrasound signs was found for loss of clear zone (100%) and substantial myometrial thinning (96%\u2013100%) on gray\u2010scale imaging, the presence of lacunar feeder vessels (100%) on two\u2010dimensional CDI<\/jats:styled-content>, and crossing vessels and lacunae (92%\u201395%) on three\u2010dimensional CDI<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Standardized ultrasound signs might prove useful for prenatal screening of women at risk of PAS<\/jats:styled-content> disorders and should enable remote evaluation of images when PAS<\/jats:styled-content> is suspected.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12389","type":"journal-article","created":{"date-parts":[[2017,11,16]],"date-time":"2017-11-16T09:06:39Z","timestamp":1510823199000},"page":"326-331","source":"Crossref","is-referenced-by-count":25,"title":["Interobserver agreement on standardized ultrasound and histopathologic signs for the prenatal diagnosis of placenta accreta spectrum disorders"],"prefix":"10.1002","volume":"140","author":[{"given":"Nurit","family":"Zosmer","sequence":"first","affiliation":[{"name":"Harris Birthright Research Centre for Fetal Medicine Kings College Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Jauniaux","sequence":"additional","affiliation":[{"name":"EGA Institute for Women's Health Faculty of Population Health Sciences University College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catey","family":"Bunce","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health Sciences Kings College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenie","family":"Panaiotova","sequence":"additional","affiliation":[{"name":"Harris Birthright Research Centre for Fetal Medicine Kings College Hospital London 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