We Should Perform a Systematic Evaluation of the Placenta

IF 2.4 4区 医学 Q2 ACOUSTICS Journal of Ultrasound in Medicine Pub Date : 2025-01-09 DOI:10.1002/jum.16645
Edgar Hernandez-Andrade MD, Donatella Gerulewicz MD, Eleazar Soto-Torres MD, Farah H. Amro MD, Yinka Oyelese MD, Ramesha Papanna MD, Baha M. Sibai MD, Sean C. Blackwell MD
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Abstract

Despite its critical importance, the placenta receives substantially less attention during obstetric ultrasound examinations compared to the fetus. The evaluation of the placenta is typically limited to determining its location within the uterus, particularly its relationship to the cervix. Abnormal placenta findings are the result of gross anomalies identified by chance during obstetric examinations, rather than from a systematic evaluation. Here we describe a standardized protocol evaluating four placental regions: 1) the uterine wall/decidua/chorion interface; 2) the amnion/chorion interface; 3) the placental body; and 4) cord insertion and marginal area, which can improve the identification of placental anomalies in all pregnant subjects.

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我们应该对胎盘进行系统的评估。
尽管胎盘至关重要,但与胎儿相比,产科超声检查对胎盘的关注要少得多。对胎盘的评估通常限于确定其在子宫内的位置,特别是其与子宫颈的关系。胎盘异常的发现是在产科检查中偶然发现的大体异常的结果,而不是来自系统的评估。在这里,我们描述了一个评估四个胎盘区域的标准化方案:1)子宫壁/蜕膜/绒毛膜界面;2)羊膜/绒毛膜界面;3)胎盘体;4)脐带插入和边缘区域,可以提高对所有妊娠受试者胎盘异常的识别。
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来源期刊
CiteScore
5.10
自引率
4.30%
发文量
205
审稿时长
1.5 months
期刊介绍: The Journal of Ultrasound in Medicine (JUM) is dedicated to the rapid, accurate publication of original articles dealing with all aspects of medical ultrasound, particularly its direct application to patient care but also relevant basic science, advances in instrumentation, and biological effects. The journal is an official publication of the American Institute of Ultrasound in Medicine and publishes articles in a variety of categories, including Original Research papers, Review Articles, Pictorial Essays, Technical Innovations, Case Series, Letters to the Editor, and more, from an international bevy of countries in a continual effort to showcase and promote advances in the ultrasound community. Represented through these efforts are a wide variety of disciplines of ultrasound, including, but not limited to: -Basic Science- Breast Ultrasound- Contrast-Enhanced Ultrasound- Dermatology- Echocardiography- Elastography- Emergency Medicine- Fetal Echocardiography- Gastrointestinal Ultrasound- General and Abdominal Ultrasound- Genitourinary Ultrasound- Gynecologic Ultrasound- Head and Neck Ultrasound- High Frequency Clinical and Preclinical Imaging- Interventional-Intraoperative Ultrasound- Musculoskeletal Ultrasound- Neurosonology- Obstetric Ultrasound- Ophthalmologic Ultrasound- Pediatric Ultrasound- Point-of-Care Ultrasound- Public Policy- Superficial Structures- Therapeutic Ultrasound- Ultrasound Education- Ultrasound in Global Health- Urologic Ultrasound- Vascular Ultrasound
期刊最新文献
Comment on "Correlation of Sonographic and Intraoperative Findings of Deep-Infiltrating Endometriosis". AIUM Practice Parameter for the Performance of Diagnostic and Screening Ultrasound of the Abdominal Aorta in Adults, 2025 Revision. Visualization of Obturator Nerve by Means of Fusion Imaging Technique. AIUM Practice Parameter for Documentation of an Ultrasound Examination, 2025 Revision. Neurosonographic Assessment of Cortical Maturation and Fissure Development in Fetal Growth Restriction.
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