ROLE OF USG VERSUS MRI IMAGING IN THE DIAGNOSIS OF ABNORMALLY ADHERENT LOW LYING PLACENTA AND THEREBY MODIFYING THE MANAGEMENT
Dr. Shabir Ahmad Bhat, Dr. Nisar Ul Hassan, Dr. Shadab Maqsood and *Dr. Iqubal Hussain Dar
ABSTRACT
To compare the effectiveness of ultrasonography and magnetic resonance imaging in the diagnosis of placental a adherence disorders and to modify management for better outcome. Method: A Hospital – based prospective study of 100 cases, were diagnosed to have low lying placental with adherence disorders on the bases of clinical history and furthered study by ultrasonography and magnetic resonance imaging comparison was made between pre- and per- operative findings. Results: Amongst the 100 study subjects, majority (52%) belonged to age group of 26 to 30 years, with gestational age of 30 to 37 weeks. The sensitivity and specificity of ultrasonography was 53.35 and 90% respectively, whereas that of magnetic resonance imaging was 73.3% and 91.4% respectively. This was found crucial from the management point of view and reduced mortality. Conclusions: Pre-operative diagnosis of placental adherence disorders by ultrasound and magnetic resonance imaging is helpful to modify management and bring down mortality, demanding further research.
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