In this ISUOG 2025 session, Prof. Francesco D’Antonio examines the clinical context of placenta accreta spectrum and the role of ultrasound in prenatal assessment. The presentation is structured around understanding how imaging contributes to identifying abnormal placental attachment and supporting clinical evaluation during pregnancy.
The session begins by outlining key ultrasound features commonly assessed in suspected placenta accreta spectrum cases, including placental morphology and the relationship between the placenta and the myometrium. Emphasis is placed on systematic image interpretation and the importance of experience when evaluating complex placental anatomy.
A central part of the discussion focuses on the use of CrystalVue as an imaging feature within obstetric ultrasound examinations. The presentation explains how enhanced contrast visualization may assist clinicians in delineating placental structures and interfaces during assessment. Examples are used to illustrate how visualization tools can support interpretation, particularly in anatomically complex cases.
Rather than focusing on diagnostic outcomes, the session highlights practical considerations for incorporating visualization features into routine prenatal ultrasound workflows. The importance of standardized scanning technique, careful image acquisition, and correlation with other ultrasound findings is emphasized throughout.
The presentation also addresses how ultrasound findings in placenta accreta spectrum should be interpreted within the broader clinical context, supporting multidisciplinary planning and communication. The role of ultrasound as part of an overall prenatal assessment strategy is reinforced.
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