Ultrasound and MRI have comparable Diagnostic Accuracy for Placenta Accreta Spectrum Disorders: Study
Researchers have found in a new study that Ultrasound and MRI show similar diagnostic accuracy for Placenta Accreta Spectrum (PAS) disorders. However, radiographic findings alone should not be relied upon for an independent diagnosis.
The purpose of this study is to conduct a complete analysis of the accuracy of ultrasound and MRI in detecting placenta accreta spectrum (PAS) disorders, as well as to investigate the accuracy of independent imaging findings in these diseases. Pubmed, Web of Science, Embase, The Cochrane Library, and Google Scholar databases were searched from their establishment to January 1, 2025. Included were all studies that used both ultrasonography and MRI to diagnose pregnant women with PAS disorder.
The ability of ultrasonography, MRI, and their independent features to diagnose PAS was evaluated using pooled sensitivity, specificity, diagnostic odds ratio (DOR), and receiver operating curves (ROC). Heterogeneity was calculated using Cochran Q and I2 statistics, and the sources of heterogeneity were investigated using meta-regression and subgroup analysis. Results: Following a series of rigorous assessments, the meta-analysis comprised 1989 pregnant women from 30 studies.
The sensitivity and specificity of ultrasonography for the diagnosis of PAS were 0.87 (95 % CI, 0.82-0.90) and 0.83 (95 % CI, 0.77-0.88), respectively, whereas the sensitivity and specificity of MRI for the same diagnostic were 0.87 (95 % CI, 0.82-0.90) and 0.84 (95 % CI, 0.80-0.88). Intraplacental lacunae has the best diagnostic accuracy of ultrasound, while placental bulge has the highest diagnostic accuracy of MRI, with their area under the curve (AUC) of the ROC being 0.76 (95 % CI, 0.72-0.79) and 0.89 (95 % CI, 0.85-0.91), respectively. The diagnostic accuracy of ultrasound and MRI for PAS was similar. However, radiographic findings should not be utilized to make an independent diagnosis of PAS disorders.
Reference:
Li C, Chen Y, Gao Y, Duan Y. Ultrasound versus magnetic resonance imaging features in diagnosing placenta accreta: A systematic review and meta-analysis. Eur J Radiol. 2025 Apr 10;187:112108. doi: 10.1016/j.ejrad.2025.112108. Epub ahead of print. PMID: 40252278.
Disclaimer: This website is primarily for healthcare professionals. The content here does not replace medical advice and should not be used as medical, diagnostic, endorsement, treatment, or prescription advice. Medical science evolves rapidly, and we strive to keep our information current. If you find any discrepancies, please contact us at corrections@medicaldialogues.in. Read our Correction Policy here. Nothing here should be used as a substitute for medical advice, diagnosis, or treatment. We do not endorse any healthcare advice that contradicts a physician's guidance. Use of this site is subject to our Terms of Use, Privacy Policy, and Advertisement Policy. For more details, read our Full Disclaimer here.
NOTE: Join us in combating medical misinformation. If you encounter a questionable health, medical, or medical education claim, email us at factcheck@medicaldialogues.in for evaluation.