Traumatic abruptio placenta scale

Last revised by Dr Jeremy Jones ◉ on 20 Sep 2021

Citation, DOI and article data

Citation:

Morgan, M., Jones, J. Traumatic abruptio placenta scale. Reference article, Radiopaedia.org. (accessed on 22 Oct 2021) https://radiopaedia.org/articles/53634

DOI:

Permalink:

https://radiopaedia.org/articles/53634

rID:

53634

Article created:

28 May 2017 by Dr Matt A. Morgan ◉

Revisions:

6 times by 3 users - see full revision history

System:

Obstetrics

Section:

Classifications

Tag:

trauma, pregnancy, cases

Synonyms:

Traumatic abruptio placenta scale (TAPS)
Traumatic abruption placenta scale

The traumatic abruptio placenta scale (TAPS) was devised to stratify placental injury findings on CT. Since placental abruption is a concern in a pregnant patient who has undergone traumatic injury, CT is occasionally the first imaging modality used to evaluate the placenta.

0: normal homogeneously enhancing placenta
1: heterogeneous placenta with low-attenuation geographic areas due to normal variants
2: non-geographic contiguous or full-thickness areas of low attenuation with acute angles with myometrium
- 2a: >50% placental enhancement
- 2b: 25-50% placental enhancement
3: large perfusion defects with <25% overall residual placental enhancement

The numerical score is less important than recognizing the findings of more severe and less severe placental injury.

The scale requires assessment with IV contrast-enhanced CT, however, if the study is performed without contrast, retroplacental hemorrhage can still be evaluated since it will be hyperattenuating relative to the myometrium and normal placenta.