The prenatal diagnostic indicators of placenta accreta spectrum disorders

作者全名："Wu, Xiafei; Yang, Huan; Yu, Xinyang; Zeng, Jing; Qiao, Juan; Qi, Hongbo; Xu, Hongbing"

作者地址："[Wu, Xiafei; Yu, Xinyang; Qiao, Juan; Qi, Hongbo; Xu, Hongbing] Chongqing Med Univ, Affiliated Hosp 1, Dept Obstet, Chongqing 400016, Peoples R China; [Yang, Huan] Chongqing Univ, Three Gorges Hosp, Dept Obstet, Chongqing 404100, Peoples R China; [Zeng, Jing] Chongqing Med Univ, Stomatol Hosp, Chongqing 401147, Peoples R China; [Qi, Hongbo] Chongqing Med Univ, Women & Childrens Hosp, Chongqing 401147, Peoples R China"

通信作者："Yu, XY; Xu, HB (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Obstet, Chongqing 400016, Peoples R China."

来源：HELIYON

ESI学科分类：　

WOS号：WOS:001042354500001

JCR分区：Q1

影响因子：3.4

年份：2023

卷号：9

期号：5

开始页：　

结束页：　

文献类型：Review

关键词：Placenta accreta spectrum; Prenatal; Diagnostic indicators; Updated indicators; Combined markers

摘要："Placenta accreta spectrum (PAS) disorders refers to a heterogeneous group of anomalies distinguished by abnormal adhesion or invasion of chorionic villi through the myometrium and uterine serosa. PAS frequently results in life-threatening complications, including postpartum hemorrhage and hysterotomy. The incidence of PAS has increased recently as a result of rising cesarean section rates. Consequently, prenatal screening for PAS is essential. Despite the need to increase specificity, ultrasound is still considered a primary adjunct. Given the dangers and adverse effects of PAS, it is necessary to identify pertinent markers and validate indicators to improve prenatal diagnosis. This article summarizes the predictors regarding biomarkers, ultrasound indicators, and magnetic resonance imaging (MRI) features. In addition, we discuss the effectiveness of joint diagnosis and the most recent research on PAS. In particular, we focus on (a) posterior placental implantation and (b) accreta after in vitro fertilization-embryo transfer, both of which have low diagnostic rates. At last, we graphically display the prenatal diagnostic indicators and each diagnostic performance."

基金机构：National Key Research and Development Program of China [YJSZHYX202117]; Intelligent Medicine Research Project of Chongqing Medical University [2022YFC2704500]

基金资助正文：This research was funded by the National Key Research and Development Program of China (2022YFC2704500) and the Intelligent Medicine Research Project of Chongqing Medical University (No. YJSZHYX202117)