{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:50:18Z","timestamp":1747198218027,"version":"3.40.5"},"reference-count":24,"publisher":"Walter de Gruyter GmbH","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2022-0407_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To define and compare the diagnostic accuracy of ultrasonography (USG) and magnetic resonance imaging (MRI) for the placental adhesive disorder (PAD).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0407_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A prospective study was conducted between January 2019 and February 2020 in a tertiary referral university hospital. A total of 115 placenta previa cases were included in the study during the third trimester of gestation. USG examination was performed, and the placenta was scanned in a systematic manner using gray-scale ultrasound, color Doppler flow mapping, and 3-D imaging for each participant. Thereafter, all participants underwent an MRI examination. USG and MRI findings were compared with histopathological findings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0407_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Loss of the retroplacental sonolucent zone (71%\u00a0[95% CI 47\u201388]) and an irregular retroplacental sonolucent zone (71% [95% CI 47\u201388]) were the most sensitive USG parameters. For MRI, the uterine bulging parameter was the most sensitive (60% [95% CI 36\u201380]) and\u00a0specific (91% [95% CI 83\u201396]) findings, and it had the\u00a0highest accuracy rate (85% [95% CI 77\u201391]). Overall, the USG sensitivity, specificity, and accuracy rates were 77% (95% CI 54\u201392), 87% (95% CI 79\u201393), and 85% (95% CI 77\u201391), respectively. The MRI sensitivity, specificity, and accuracy rates for all participants were 81% (95% CI 59\u201394), 85% (95%\u00a0CI 76\u201392), and 84% (95% CI 76\u201390), respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0407_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In the diagnosis of PAD, the specificity and accuracy of USG are higher than that of MRI, whereas the sensitivity of MRI is better than that of USG.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2022-0407","type":"journal-article","created":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T18:06:16Z","timestamp":1673028376000},"page":"675-681","source":"Crossref","is-referenced-by-count":2,"title":["A prospective cohort study: can advanced ultrasonography replace magnetic resonance imaging in the diagnosis of placental adhesion disorders?"],"prefix":"10.1515","volume":"51","author":[{"given":"Sabahattin Anil","family":"Ari","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology , Izmir Bakircay University School of Medicine , Izmir , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asli","family":"Suner","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Medical Informatics , Ege University School of Medicine , \u0130zmir , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayse Rabia","family":"Senkaya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Izmir Bakircay University School of Medicine , Izmir , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Firat","family":"Okmen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Izmir Democracy University Buca Seyfi Demirsoy Training and Research Hospital , Izmir , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8723-5889","authenticated-orcid":false,"given":"Ali","family":"Akdemir","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Ege University School of Medicine , Izmir , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet Mete","family":"Ergenoglu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Ege University School of Medicine , Izmir , T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2023,1,6]]},"reference":[{"key":"2023060719030790114_j_jpm-2022-0407_ref_001","doi-asserted-by":"crossref","unstructured":"Doumouchtsis, SK, Arulkumaran, S. 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