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. 2014 Apr 14;9(4):e94866. doi: 10.1371/journal.pone.0094866

Table 4. Sensitivity and predictive values of ultrasound and MRI features.

Placentaaccreta/percreta (n = 26) Non-adherent placenta (n = 16) P Se Sp PPV NPV
ULTRASOUND FEATURES
Intraplacental lacunae 23 12 0.39 88% 25% 66% 57%
Loss of the normal retroplacental clear space 23 5 0.0004 88% 69% 82% 79%
Thinning or disappearance of the myometrium 19 5 0.01 73% 69% 79% 61%
Thinning or disruption of the hyperechogenic uterine serosa-bladder wall interface 15 6 0.34 58% 63% 71% 48%
Increased vascularization at the uterine serosa-bladder wall interface 11 1 0.01 42% 94% 92% 50%
Vascularization perpendicular to the uterine wall 12 1 0.007 46% 94% 92% 52%
Exophytic uterine masses 11 2 0.08 42% 88% 85% 48%
Irregular bladder wall 10 3 0.3 38% 81% 77% 45%
Pseudo-tumoral appearance of placenta, uterine bulging 9 2 0.15 35% 88% 82% 45%
MRI FEATURES n = 23 n = 16
Uterine bulging 11 2 0.04 48% 88% 85% 54%
Dark intraplacental bands on T2-weighted images 14 6 0.2 61% 63% 70% 53%
Disruption of the interface between placenta and myometrium on T2-weighted images 20 15 0.63 87% 6% 57% 25%
Thinning or disappearance of the myometrium 21 14 1 91% 13% 60% 50%
Extension of the placenta on T2-weighted images 8 2 0.15 35% 88% 80% 48%
Presence of neovessels 6 4 1 26% 75% 60% 41%
Dark intraplacental bands and thinning or disappearance of the myometrium 14 6 0.2 61% 63% 70% 53%
Dark intraplacental bands and disruption of the interface beetwen placenta and myometrium 12 6 0.5 52% 63% 67% 48%
Uterine bulging and dark intraplacental bands 9 1 0.02 39% 94% 90% 52%