Of 123 patients, 84 patients were included in the final analysis when exclusion criteria were applied. Table 1 demonstrates the sensitivity, specificity, PPV, NPV and AUC data for MRI, US and combined MRI and US (see Table 1). The sensitivity, specificity and AUC of MRI in diagnosing PAD was 88.9%, 79.4% and 84.1%, respectively, compared to US (60.6%, 78.3% and 69.4%, respectively). Subgroup analysis for placenta accreta/increta accuracy for MRI revealed a sensitivity, specificity and AUC of 95.2%, 66.3% and 79.3%, respectively, compared to US (68.4%, 61.8% and 65.1%, respectively). For percreta, MRI demonstrated a sensitivity, specificity and AUC of 80%, 93.8% and 87%, respectively, compared to ultrasound (50%, 93.3% and 71.7%, respectively). The combined use of MRI and US however was superior to MRI or US alone, and provided a combined sensitivity, specificity and AUC for diagnosing PAD at 88.2%, 87.5% and 88.2%, respectively. For diagnosing percreta, the combined MRI/US had superior performance over MRI or US alone with sensitivity and NPV at 100% (p=<0.001).