Table 2 Discriminative ability of each sign in differentiating PI + PP from Normal + PA groups.

From: Increased intra-myometrial vascularity adds diagnostic value to MRI for high-risk placenta accreta spectrum

MRI risk signs

(N (%))

Observer 1

Observer 2

k value

Normal + PA

(n = 136)

PI + PP

(n = 30)

p1

AUC1

Normal + PA

(n = 136)

PI + PP

(n = 30)

p2

AUC2

Increased intra-myometrial vascularity

30 (22%)

20 (67%)

< 0.0001*

0.72

53 (38%)

18 (60%)

0.0289*

0.61

0.28

Bulge†

92 (68%)

30 (100%)

< 0.0001*

0.67

72 (53%)

25 (83%)

0.0022*

0.65

0.23

Loss of T2 hypointense interface†

102 (75%)

29 (97%)

0.0023*

0.61

69 (51%)

21 (70%)

0.0552

0.59

0.20

Myometrial thinning†

78 (57%)

25 (83%)

0.0053*

0.63

27 (20%)

16 (53%)

0.0002*

0.67

0.22

Bladder wall interruption†

11 (8%)

13 (43%)

< 0.0001*

0.68

4 (3%)

10 (33%)

< 0.0001*

0.65

0.41

Abnormal vascularization of the placental bed†

56 (41%)

19 (63%)

0.0273*

0.61

29 (21%)

12 (40%)

0.0337*

0.59

0.21

T2 dark band†

130 (96%)

29 (97%)

0.7909

0.51

68 (50%)

17 (57%)

0.5085

0.53

0.15

Focal exophytic mass†

6 (4%)

6 (20%)

0.0084*

0.58

6 (4%)

6 (20%)

0.0028*

0.58

0.36

  1. †: signs recommended by SAR-ESUR guidelines.
  2. AUC: area under the curve.