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Abstract #4305

Prognosticating Maternal and Neonatal Outcomes in Placenta Accreta Spectrum Disorders by Combining Placental Perfusion and MRI Features

Jin Zhang*1, Lingnan Kong*1, Feifei Qu2, Ting Chen1, Xin Zhou3, Zhiping Ge3, Bai Jin3, Xuan Zhang#1, and Meng Zhao#1
1Department of Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China, 2MR Research Collaboration, Siemens Healthineers, Shanghai, China, Shanghai, China, 3Department of Obstetrics & Gynecology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China

Synopsis

Keywords: Placenta, Placenta, Diffusion-weighted imaging, intravoxel incoherent motion, perfusion, placenta accreta spectrum, postpartum hemorrhage, screening

Motivation: The factors to predict adverse maternal and neonatal outcomes in patients with placenta accreta spectrum disorders needed identification.

Goal(s): This study aimed to identify appropriate predictive indicators using magnetic resonance imaging (MRI) and intravoxel incoherent motion (IVIM) parameters.

Approach: The study examined the association between various influencing factors (clinical risk factors, MRI features, and IVIM parameters) and adverse outcomes using univariate and multivariate analyses.

Results: Independent predictors of a poor prognosis included previous cesarean sections, low-signal-intensity bands on T2WI, and D value.

Impact: The components of the prediction model in this study were more comprehensive and improved the prediction efficiency. The study analyzed the relationship between f value and postpartum hemorrhage and further examined the importance of IVIM in predicting adverse outcomes.

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Keywords