Addition of Cervical Elastography May Increase Preterm Delivery Prediction Performance in Pregnant Women with Short Cervix: a Prospective Study
DC Field | Value | Language |
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dc.contributor.author | Park, Hyun Soo | - |
dc.contributor.author | Kwon, Hayan | - |
dc.contributor.author | Kwak, Dong Wook | - |
dc.contributor.author | Kim, Moon Young | - |
dc.contributor.author | Seol, Hyun-Joo | - |
dc.contributor.author | Hong, Joon-Seok | - |
dc.contributor.author | Shim, Jae-Yoon | - |
dc.contributor.author | Choi, Sae-Kyung | - |
dc.contributor.author | Hwang, Han-Sung | - |
dc.contributor.author | Oh, Min Jeong | - |
dc.contributor.author | Cho, Geum Joon | - |
dc.contributor.author | Kim, Kunwoo | - |
dc.contributor.author | Oh, Soo-young | - |
dc.date.accessioned | 2021-09-01T17:21:45Z | - |
dc.date.available | 2021-09-01T17:21:45Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2019-03-11 | - |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/66680 | - |
dc.description.abstract | Background: 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 (<= 25 mm), and examined the ability of elastographic parameters to predict sPTD in those women. 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 <= 37 weeks, both alone and in combination with other parameters, was compared with that of cervical length (CL) using area under receiver operating characteristic curve (AUC) analysis. 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. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | KOREAN ACAD MEDICAL SCIENCES | - |
dc.subject | UTERINE CERVIX | - |
dc.subject | ULTRASOUND ELASTOGRAPHY | - |
dc.subject | VAGINAL PROGESTERONE | - |
dc.subject | SUCCESSFUL INDUCTION | - |
dc.subject | BIRTH | - |
dc.subject | LENGTH | - |
dc.subject | RISK | - |
dc.subject | LABOR | - |
dc.subject | SONOELASTOGRAPHY | - |
dc.subject | METAANALYSIS | - |
dc.title | Addition of Cervical Elastography May Increase Preterm Delivery Prediction Performance in Pregnant Women with Short Cervix: a Prospective Study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Oh, Min Jeong | - |
dc.contributor.affiliatedAuthor | Cho, Geum Joon | - |
dc.identifier.doi | 10.3346/jkms.2019.34.e68 | - |
dc.identifier.scopusid | 2-s2.0-85062855746 | - |
dc.identifier.wosid | 000460745100003 | - |
dc.identifier.bibliographicCitation | JOURNAL OF KOREAN MEDICAL SCIENCE, v.34, no.9 | - |
dc.relation.isPartOf | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.citation.title | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.citation.volume | 34 | - |
dc.citation.number | 9 | - |
dc.type.rims | ART | - |
dc.type.docType | Article; Proceedings Paper | - |
dc.identifier.kciid | ART002445724 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | UTERINE CERVIX | - |
dc.subject.keywordPlus | ULTRASOUND ELASTOGRAPHY | - |
dc.subject.keywordPlus | VAGINAL PROGESTERONE | - |
dc.subject.keywordPlus | SUCCESSFUL INDUCTION | - |
dc.subject.keywordPlus | BIRTH | - |
dc.subject.keywordPlus | LENGTH | - |
dc.subject.keywordPlus | RISK | - |
dc.subject.keywordPlus | LABOR | - |
dc.subject.keywordPlus | SONOELASTOGRAPHY | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordAuthor | Short Cervix | - |
dc.subject.keywordAuthor | Elastography | - |
dc.subject.keywordAuthor | Strain | - |
dc.subject.keywordAuthor | Preterm Delivery | - |
dc.subject.keywordAuthor | Ultrasonography | - |
dc.subject.keywordAuthor | Pregnancy | - |
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