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Addition of Cervical Elastography May Increase Preterm Delivery Prediction Performance in Pregnant Women with Short Cervix: a Prospective Study

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dc.contributor.authorPark, HS-
dc.contributor.authorKwon, H-
dc.contributor.authorKwak, DW-
dc.contributor.authorKim, MY-
dc.contributor.authorSeol, HJ-
dc.contributor.authorHong, JS-
dc.contributor.authorShim, JY-
dc.contributor.authorChoi, SK-
dc.contributor.authorHwang, HS-
dc.contributor.authorOh, MJ-
dc.contributor.authorCho, GJ-
dc.contributor.authorKim, K-
dc.contributor.authorOh, SY-
dc.contributor.authorKorean Society of Ultrasound in Obstetrics and Gynecology Research Group-
dc.date.accessioned2020-10-21T07:21:17Z-
dc.date.available2020-10-21T07:21:17Z-
dc.date.issued2019-
dc.identifier.issn1011-8934-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/18889-
dc.description.abstractBACKGROUND: We investigated whether there is a difference in elastographic parameters between pregnancies with and without spontaneous preterm delivery (sPTD) in women with a short cervix (METHODS: E-Cervix(TM) (WS80A: Samsung Medison, Seoul, Korea) elastography was used to examine the cervical strain. Elastographic parameters were compared between pregnancies with and without sPTD. Diagnostic performance of elastographic parameters to predict sPTD RESULTS: A total of 130 women were included. Median gestational age (GA) at examination was 24.4 weeks (interquartile range, 21.4-28.9), and the prevalence of sPTD was 20.0% (26/130). Both the elastographic parameters and CL did not show statistical difference between those with and without sPTD. However, when only patients with CL >/= 1.5 cm (n = 110) were included in the analysis, there was a significant difference between two groups in elasticity contrast index (ECI) within 0.5/1.0/1.5 cm from the cervical canal (P < 0.05) which is one of elastographic parameters generated by E-Cervix. When AUC analysis was performed in women with CL >/= 1.5 cm, the combination of parameters (CL + pre-pregnancy body mass index + GA at exam + ECI within 0.5/1.0/1.5 cm) showed a significantly higher AUC than CL alone (P < 0.05).
CONCLUSION: An addition of cervical elastography may improve the ability to predict sPTD in women with a short CL between 1.5 and 2.5 cm.
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dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHArea Under Curve-
dc.subject.MESHCervix Uteri / diagnostic imaging-
dc.subject.MESHCervix Uteri / physiology-
dc.subject.MESHElasticity Imaging Techniques-
dc.subject.MESHFemale-
dc.subject.MESHGestational Age-
dc.subject.MESHHumans-
dc.subject.MESHPregnancy-
dc.subject.MESHPremature Birth / diagnosis-
dc.subject.MESHPremature Birth / epidemiology-
dc.subject.MESHPrevalence-
dc.subject.MESHProspective Studies-
dc.subject.MESHROC Curve-
dc.subject.MESHRepublic of Korea / epidemiology-
dc.titleAddition of Cervical Elastography May Increase Preterm Delivery Prediction Performance in Pregnant Women with Short Cervix: a Prospective Study-
dc.typeArticle-
dc.identifier.pmid30863266-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406042/-
dc.subject.keywordElastography-
dc.subject.keywordPregnancy-
dc.subject.keywordPreterm Delivery-
dc.subject.keywordShort Cervix-
dc.subject.keywordStrain-
dc.subject.keywordUltrasonography-
dc.contributor.affiliatedAuthor곽, 동욱-
dc.type.localJournal Papers-
dc.identifier.doi10.3346/jkms.2019.34.e68-
dc.citation.titleJournal of Korean medical science-
dc.citation.volume34-
dc.citation.number9-
dc.citation.date2019-
dc.citation.startPagee68-
dc.citation.endPagee68-
dc.identifier.bibliographicCitationJournal of Korean medical science, 34(9). : e68-e68, 2019-
dc.identifier.eissn1598-6357-
dc.relation.journalidJ010118934-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Obstetrics & Gynecology
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