{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:18:36Z","timestamp":1791559116264,"version":"4.3.4"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,2]],"date-time":"2024-11-02T00:00:00Z","timestamp":1730505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,11,2]],"date-time":"2024-11-02T00:00:00Z","timestamp":1730505600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Management of patients with placenta accreta spectrum (PAS) by trained multidisciplinary teams is associated with improved outcomes. Ultrasound can predict intraoperative risks, but expert ultrasound imaging of PAS is often limited. Telemedicine is used increasingly in obstetrics, permitting expert consultation when essential resources are not available locally. Our objective was to evaluate the feasibility of teleconsultation using standardized ultrasound image acquisition and reporting, and to correlate prognosis with intraoperative findings in patients at risk for PAS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 12 PAS imaging experts (teleconsultants) were selected to asynchronously review deidentified standardized grayscale and color Doppler ultrasound images for five patients who had completed treatment for PAS, resulting in 60 individual teleconsultations. All patients were managed at a center using standardized imaging acquisition and intraoperative topographic classification to individualize surgical management. Teleconsultants reported the predicted topographic classification and recommended a surgical approach based on the topographic classification algorithm. Prognoses were compared with that reported by the local sonologist and with intraoperative findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In all five patients, local sonologist prognosis and antenatal topographic classification was confirmed during surgery and the final surgical approach matched that which was recommended preoperatively. Teleconsultant antenatal evaluation and management plans matched those of the local team in 71.7% of the cases. When reports differed, PAS severity was overestimated in nine reviews (16.9%) and was underestimated in six reviews (11.3%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Remote imaging teleconsultation provides accurate prenatal staging in most patients at risk for PAS. Teleconsultation is a feasible strategy to improve prenatal imaging, management planning, and guidance for local teams in settings with limited healthcare resources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15991","type":"journal-article","created":{"date-parts":[[2024,11,2]],"date-time":"2024-11-02T04:49:02Z","timestamp":1730522942000},"page":"1191-1203","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Telemedicine ultrasound assessment for placenta accreta spectrum: Utility and interobserver reliability of asynchronous remote imaging review"],"prefix":"10.1002","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5639-9127","authenticated-orcid":false,"given":"Albaro Jos\u00e9","family":"Nieto\u2010Calvache","sequence":"first","affiliation":[{"name":"Fundaci\u00f3n Valle del Lili, Departamento de Ginecolog\u00eda y Obstetricia Cl\u00ednica de Espectro de Acretismo Placentario. Cra 98 No. 18\u201349  Cali Colombia"},{"name":"Doctoral School Amsterdam University Medical Center  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0141-4809","authenticated-orcid":false,"given":"Juan Pablo","family":"Benavides\u2010Calvache","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Valle del Lili, Departamento de Ginecolog\u00eda y Obstetricia Cl\u00ednica de Espectro de Acretismo Placentario. Cra 98 No. 18\u201349  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6674-7682","authenticated-orcid":false,"given":"Rozi","family":"Aryananda","sequence":"additional","affiliation":[{"name":"Maternal\u2013Fetal Medicine Division, Obstetrics &amp; Gynecology Department, Dr. Soetomo Academic General Hospital Universitas Airlangga  Surabaya Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5240-5320","authenticated-orcid":false,"given":"Jose M.","family":"Palacios\u2010Jaraquemada","sequence":"additional","affiliation":[{"name":"Hospital Universitario CEMIC  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0925-7737","authenticated-orcid":false,"given":"Eric","family":"Jauniaux","sequence":"additional","affiliation":[{"name":"EGA Institute for Women's Health, Faculty of Population Health Sciences University College London (UCL)  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8405-772X","authenticated-orcid":false,"given":"Karin A.","family":"Fox","sequence":"additional","affiliation":[{"name":"University of Texas Medical Branch at Galveston  Galveston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1966-0466","authenticated-orcid":false,"given":"Conrado Milani","family":"Coutinho","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Ribeir\u00e3o Preto Medical School University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2365-6769","authenticated-orcid":false,"given":"Theophilus","family":"Adu\u2010Bredu","sequence":"additional","affiliation":[{"name":"Nuffield Department of Women's and Reproductive Health University of Oxford  Oxford UK"},{"name":"Komfo Anokye teaching hospital  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0296-4327","authenticated-orcid":false,"given":"Jin\u2010Chung","family":"Shih","sequence":"additional","affiliation":[{"name":"Departments of Obstetrics and Gynecology National Taiwan University Hospital, National Taiwan University College of Medicine  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0003-2366","authenticated-orcid":false,"given":"Ahmed M.","family":"Hussein","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Cairo  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9774-3107","authenticated-orcid":false,"given":"Ilan E.","family":"Timor\u2010Tritsch","sequence":"additional","affiliation":[{"name":"Hackensack Meridian School of Medicine Maternal Resources  New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6470-9364","authenticated-orcid":false,"given":"Helena C.","family":"Bartels","sequence":"additional","affiliation":[{"name":"Department of UCD Obstetrics and Gynecology, School of Medicine University College Dublin, National Maternity Hospital  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1323-1129","authenticated-orcid":false,"given":"Jorge","family":"Hamer","sequence":"additional","affiliation":[{"name":"CEGYR, Medicina y Genetica Reproductiva  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Cali","sequence":"additional","affiliation":[{"name":"Maternal Fetal Medicine Unit AO Villa Sofia\u2010Cervello  Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5178-3354","authenticated-orcid":false,"given":"Francesco","family":"D'Antonio","sequence":"additional","affiliation":[{"name":"Center for Fetal Care and High\u2010risk Pregnancy University of Chieti  Chieti Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8894-6671","authenticated-orcid":false,"given":"Alejandro Solo","family":"Nieto\u2010Calvache","sequence":"additional","affiliation":[{"name":"Universidad Nacional Abierta y a Distancia (UNAD)  Cali Colombia"},{"name":"Universidad Santiago de Cali  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2764-192X","authenticated-orcid":false,"given":"Jaime Octavio","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Valle del Lili, Departamento de Ginecolog\u00eda y Obstetricia Cl\u00ednica de Espectro de Acretismo Placentario. 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