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22 October 2021: Database Analysis

Comparison of Magnetic Resonance Imaging of the Lower Uterine Segment in Pregnant Women with Central Placenta Previa with and without Placenta Accreta Spectrum from a Single Center

Shunyu Hou 1G* , Ye Song 1B* , Jiahui Wu 2D , Liping Zhou 1B , Suya Kang 1F , Xi Chen 3C , Lei Zhang 4F , Yanli Lu 5C , Yongfei Yue 1ACE*

DOI: 10.12659/MSM.932759

Med Sci Monit 2021; 27:e932759

Table 2 Interobserver reliability of magnetic resonance imaging (MRI) in the diagnosis of placenta accreta spectrum (PAS).

MRI featuresEitherBothAgreeKappaInterpertation
Placenta thickness43 (27.564)41 (26.282)98.7180.967Almost perfect
Cervical lengths28 (17.949)24 (15.385)97.4360.908Almost perfect
Placental dark T2 bands area73 (46.795)63 (40.385)93.5900.870Substantial
Cervical marginal sinus32 (20.213)27 (17.308)96.7950.895Substantial
Bladder bulge23 (14.744)16 (10.256)95.5130.795Moderate
Myometrial thinning47 (30.128)36 (23.077)92.9490.819Substantial
Lower uterine segment bulge52 (33.333)43 (27.564)94.2310.864Substantial
Placental signals in the cervix26 (16.667)22 (14.103)97.4360.902Almost perfect
Presented here as No. (%). Number (and proportion) of studies in which either radiologist or both radiologists reported a finding. Percentage of studies in which they agreed.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750