PMID- 28864011
OWN - NLM
STAT- MEDLINE
DCOM- 20180529
LR  - 20180529
IS  - 1532-3102 (Electronic)
IS  - 0143-4004 (Linking)
VI  - 57
DP  - 2017 Sep
TI  - Can color difference on the maternal side of the placenta distinguish between 
      acute peripartum twin-twin transfusion syndrome and twin anemia-polycythemia 
      sequence?
PG  - 189-193
LID - S0143-4004(17)30657-4 [pii]
LID - 10.1016/j.placenta.2017.07.008 [doi]
AB  - OBJECTIVE: To investigate the color difference between two placental shares in 
      monochorionic placentas with acute peripartum twin-twin transfusion syndrome 
      (TTTS) and twin anemia-polycythemia sequence (TAPS). METHODS: We evaluated all 
      digital pictures of TAPS, acute peripartum TTTS and a control group of 
      uncomplicated monochorionic placentas examined at our center. We determined the 
      color intensity of the individual placental share on the maternal side of each 
      monochorionic placenta using an image-processing program and calculated the color 
      difference ratio (CDR). RESULTS: Digital pictures of 5 acute peripartum TTTS, 25 
      TAPS and 54 control group placentas were included in this study. The median CDR 
      in acute peripartum TTTS was significantly lower compared to TAPS placentas, 1.20 
      (inter-quartile range (IQR) 1.05-1.20) and 2.50 (IQR 1.85-3.34), respectively 
      (p < 0.01), and was comparable to the control group (CDR 1.11, IQR 1.05-1.22). 
      CONCLUSION: TAPS placentas have a higher CDR compared to acute peripartum TTTS 
      placentas. Examining color difference on the maternal side of the placenta might 
      help distinguish between acute peripartum TTTS and TAPS.
CI  - Copyright (c) 2017 Elsevier Ltd. All rights reserved.
FAU - Tollenaar, Lisanne S A
AU  - Tollenaar LSA
AD  - Division of Fetal Medicine, Department of Obstetrics, Leiden University Medical 
      Center, The Netherlands. Electronic address: l.s.a.tollenaar@lumc.nl.
FAU - Zhao, Danny P
AU  - Zhao DP
AD  - Division of Neonatology, Department of Pediatrics, Leiden University Medical 
      Center, The Netherlands.
FAU - Middeldorp, Johanna M
AU  - Middeldorp JM
AD  - Division of Fetal Medicine, Department of Obstetrics, Leiden University Medical 
      Center, The Netherlands.
FAU - Oepkes, Dick
AU  - Oepkes D
AD  - Division of Fetal Medicine, Department of Obstetrics, Leiden University Medical 
      Center, The Netherlands.
FAU - Slaghekke, Femke
AU  - Slaghekke F
AD  - Division of Fetal Medicine, Department of Obstetrics, Leiden University Medical 
      Center, The Netherlands.
FAU - Lopriore, Enrico
AU  - Lopriore E
AD  - Division of Neonatology, Department of Pediatrics, Leiden University Medical 
      Center, The Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20170712
PL  - Netherlands
TA  - Placenta
JT  - Placenta
JID - 8006349
SB  - IM
MH  - Color
MH  - Diagnosis, Differential
MH  - Female
MH  - Fetofetal Transfusion/*diagnosis/pathology
MH  - Hematologic Diseases/*diagnosis/pathology
MH  - Humans
MH  - Placenta/*pathology
MH  - Pregnancy
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Acute peripartum twin-twin transfusion syndrome
OT  - Color difference ratio
OT  - Monochorionic twin placentas
OT  - Twin anemia-polycythemia sequence
EDAT- 2017/09/03 06:00
MHDA- 2018/05/31 06:00
CRDT- 2017/09/03 06:00
PHST- 2017/04/13 00:00 [received]
PHST- 2017/06/17 00:00 [revised]
PHST- 2017/07/11 00:00 [accepted]
PHST- 2017/09/03 06:00 [entrez]
PHST- 2017/09/03 06:00 [pubmed]
PHST- 2018/05/31 06:00 [medline]
AID - S0143-4004(17)30657-4 [pii]
AID - 10.1016/j.placenta.2017.07.008 [doi]
PST - ppublish
SO  - Placenta. 2017 Sep;57:189-193. doi: 10.1016/j.placenta.2017.07.008. Epub 2017 Jul 
      12.