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Diagnostic Accuracy of Grey Ultrasound in Antenatal Diagnosis of Morbidly Adherent Placenta, Taking Per-Operative Findings of Caesarean Section as Gold Standard

2025· article· en· W4414664496 on OpenAlexaff
Durri Shahwar, Abeera Choudhry, Khalida, Zareen Tahir

Bibliographic record

VenuePakistan Armed Forces Medical Journal · 2025
Typearticle
Languageen
FieldMedicine
TopicPregnancy and preeclampsia studies
Canadian institutionsContinental (Canada)
Fundersnot available
KeywordsGold standard (test)UltrasoundPlacenta previaCaesarean sectionDiagnostic accuracyUltrasonographyPlacentaPregnancyPredictive value

Abstract

fetched live from OpenAlex

Objective: To assess the diagnostic accurateness of grey ultrasound in the antenatal diagnosis of morbidly adherent placenta, taking per- operative findings of caesarean section as gold standard. Study Design: Cross sectional study. Place and Duration of Study: Radiology Department in collaboration with Obstetrics and Gynecology Department, Pak Emirates Military Hospital, Rawalpindi Pakistan, from Aug 2019 to Aug 2020. Methodology: 89 pregnant women registered with diagnosis of placenta Previa in present pregnancy were included. Primi-gravida and females with pregnancies complicated by diabetes, heart disease and hypertension were omitted from study. All patients endured grey ultrasound examination and revealed absence or presence of morbidly adherent placenta Previa. Grey ultrasound results were associated with surgical per-operative findings. Results: The mean age of the patients was 27.78±2.65 years. In patients with positive ultrasound results, 01 was false positive and 10 were true positive. Of the 78 ultrasound negative results, true negative were 70 patients and 02 were false negative (p=1000). Of the 78 ultrasound negative results, true negative were 70 patients and 02 were false negative (p=1000). Specificity, sensitivity, negative predictive value, positive predictive value and diagnostic accurateness of grey ultrasound in the antenatal analysis of morbidly adherent placenta are 98.36%, 87.5%, 98.36%, 87.5% and 97.10%, respectively. Conclusion: In this study, the grey ultrasonography showed greater diagnostic accuracy in the prenatal detection of the morbidly adherent placenta in pregnant women with placenta previa.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.015
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.138
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.015
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.015
GPT teacher head0.341
Teacher spread0.325 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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