What question did this study set out to answer?

To assess the diagnostic accuracy of prenatal ultrasound for detecting invasive placentation in women identified as high risk.

August 13, 2013Ultrasound in Obstetrics and Gynecology

Prenatal identification of invasive placentation using ultrasound: systematic review and meta-analysis

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To assess the diagnostic accuracy of prenatal ultrasound for detecting invasive placentation in women identified as high risk.
Searched MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, DARE, and CENTRAL adhering to MOOSE guidelines.
Extracted data from 23 studies including 3,707 at-risk pregnancies to calculate pooled sensitivity, specificity, likelihood ratios, and diagnostic odds ratios.
Ultrasound demonstrated an overall sensitivity of 90.72% (95% CI, 87.2–93.6%), specificity of 96.94% (95% CI, 96.3–97.5%), positive likelihood ratio of 11.01 (95% CI, 6.1–20.0), negative likelihood ratio of 0.16 (95% CI, 0.11–0.23), and diagnostic odds ratio of 98.59 (95% CI, 48.8–199.0).
Color Doppler offered the highest predictive performance among evaluated signs, with a sensitivity of 90.74% (95% CI, 85.2–94.7%), specificity of 87.68% (95% CI, 84.6–90.4%), positive likelihood ratio of 7.77 (95% CI, 3.3–18.4), negative likelihood ratio of 0.17 (95% CI, 0.10–0.29), and diagnostic odds ratio of 69.02 (95% CI, 22.8–208.9).

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Implication

Systematic review and meta-analysis reveals high diagnostic accuracy of ultrasound in high-risk pregnancies, indicating robust prenatal detection of invasive placentation.

Cite This Study

D’Antonio et al. (2013) studied this question.

synapsesocial.com/papers/6a0d5bab88250cfcc2a4e55c https://doi.org/10.1002/uog.13194

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Implication

Systematic review and meta-analysis reveals high diagnostic accuracy of ultrasound in high-risk pregnancies, indicating robust prenatal detection of invasive placentation.

Prenatal identification of invasive placentation using ultrasound: systematic review and meta-analysis

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Discussion

Implication

Cite This Study

Prenatal identification of invasive placentation using ultrasound: systematic review and meta-analysis

Key Points

Discussion

Implication

Cite This Study

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