Accuracy of three-dimensional multislice view Doppler in diagnosis of placenta accreta spectrum

Abstract

Placenta accreta spectrum (PAS) has become a life-threatening issue; its incidence is increasing significantly with marked morbidity and mortality. The markedly increased rate of caesarean section and increased maternal age explain this upsetting increase in PAS. PAS refers to different degrees of invasion of the uterine wall and/or it's surrounding (placenta accreta, increta and percreta). Accurate antenatal diagnosis of PAS allows proper assessment and management by experienced multidisciplinary teams in tertiary referral centers, thus improving maternal outcome. Current prenatal diagnosis depends on the interpretation of ultrasound findings using two‐dimensional (2D) grey‐scale and color Doppler imaging. . Magnetic resonance imaging (MRI), although has proved a beneficial role in the diagnosis of PAS, yet did not show significant improvement in pregnancy outcome or management .This study investigates the value of three-dimensional multislice view (3D MSV) Doppler as a single adiagnostic tool in the diagnosis of PAS and compare its diagnostic performance based on receiver–operating characteristics (ROC) curve analysis.