Rozi Aditya Aryananda, - and Muhammad Ilham Aldika Akbar, - and Manggala Pasca Wardhana, - and Khanisyah Erza Gumilar, - and Budi Wicaksono, - and Ernawati, - and Agus Sulistyono, - and Aditiawarman, - and Hermanto Tri Joewono, - and Erry Gumilar Dachlan, - and Anupam Parange, - and Gustaaf Albert Dekker, - (2019) New three‐dimensional/four‐dimensional volume rendering imaging software for detecting the abnormally invasive placenta. Journal of Clinical Ultrasound, 47 (1). pp. 9-13. ISSN 10970096

	Text (Peer Review) New three-dimensionfour-diemnsional volume rendering.pdf Download (2MB)
	Text (Similarity) New three-dimensional four-dimensional volume rendering.pdf Download (1MB)
	Text (Peer Review) New three-dimension.pdf Download (1MB)
	Text (Karil) Karil 6.pdf Download (332kB)
	Text (Artikel) 06. artikel.pdf Download (2MB)
	Text (Laik Etik) 06. etik.pdf Download (1MB)

Abstract

Objective This study aimed to determine the role of three‐dimensional (3D)/four‐dimensional (4D) volume rendering ultrasound (VRU) in the diagnosis of abnormally invasive placenta (AIP). Materials and Methods Twelve consecutive patients strongly suspected of having AIP on the basis of conventional ultrasound (US) and clinical history performed between September 2016 and December 2016 in the main tertiary referral hospital in Surabaya, East Java were included in this prospective observational study. A Samsung WS 80A Elite US scanner with a 3D/4D “crystal vue” and “realistic vue” volume rendering mode was used to establish the diagnosis of AIP and evaluate the site, and depth of placental invasion. The VRU images were compared with the intraoperative findings. Results Using this novel US technique, all cases of suspected AIP were subsequently confirmed during surgery. Importantly, the new US technique provided a correct diagnosis of the degree of invasion in 11 out of these 12 suspected AIP cases: 5/5 for placenta percreta, 3/3 for placenta increta, and 2/3 for placenta accreta; one patient was misdiagnosed in terms of the degree of placenta accreta, and one patient had normal implantation). Conclusion This new software of 3D/4D VRU represents a promising technique for the preoperative diagnosis and staging of AIP.

Actions (login required)

View Item