TY - JOUR
T1 - Predictive Value and Limitations of the Placenta Accreta Index
T2 - A Systematic Review
AU - Zarudskaya, Oxana M.
AU - Boyd, Angela R.
AU - Byrne, John J.
AU - Berkus, Michael D.
AU - Ramsey, Patrick S.
N1 - Publisher Copyright:
© 2024 American Institute of Ultrasound in Medicine.
PY - 2024/9
Y1 - 2024/9
N2 - Our systematic review highlights that multiparametric PAI score assessment is a consistent tool with high sensitivity and specificity for prenatal prediction for placenta accreta spectrum (PAS) in high-risk population with anterior placenta previa or low-lying placenta and prior cesarean deliveries. A systematic search was conducted on November 1, 2022, of MEDLINE via PubMed, Scopus, Web of Science Core Collection, Cochrane Library, and Google Scholar to identify relevant studies (PROSPERO ID # CRD42022368211). A total of 11 articles met our inclusion criteria, representing the data of a total of 1,044 cases. Women with PAS had an increased mean PAI total score, compared to those without PAS. Limitations of the PAI are most studies were conducted in developing countries in high-risk population which limit the global generalizability of findings. Heterogeneity of reported data did not allow to perform meta-analysis.
AB - Our systematic review highlights that multiparametric PAI score assessment is a consistent tool with high sensitivity and specificity for prenatal prediction for placenta accreta spectrum (PAS) in high-risk population with anterior placenta previa or low-lying placenta and prior cesarean deliveries. A systematic search was conducted on November 1, 2022, of MEDLINE via PubMed, Scopus, Web of Science Core Collection, Cochrane Library, and Google Scholar to identify relevant studies (PROSPERO ID # CRD42022368211). A total of 11 articles met our inclusion criteria, representing the data of a total of 1,044 cases. Women with PAS had an increased mean PAI total score, compared to those without PAS. Limitations of the PAI are most studies were conducted in developing countries in high-risk population which limit the global generalizability of findings. Heterogeneity of reported data did not allow to perform meta-analysis.
KW - abnormal placentation
KW - placenta accreta index
KW - placenta accreta spectrum
KW - prenatal diagnosis of placenta accreta
KW - ultrasound in obstetrics
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U2 - 10.1002/jum.16509
DO - 10.1002/jum.16509
M3 - Review article
C2 - 38888042
AN - SCOPUS:85196321563
SN - 0278-4297
VL - 43
SP - 1579
EP - 1593
JO - Journal of Ultrasound in Medicine
JF - Journal of Ultrasound in Medicine
IS - 9
ER -