Korean Journal of Radiology

  • 제17권2호
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  • Pages.218-223
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  • 2016
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

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Assessment of Placental Stiffness Using Acoustic Radiation Force Impulse Elastography in Pregnant Women with Fetal Anomalies

  • Alan, Bircan (Department of Radiology, Dicle University Medical Faculty) ;
  • Goya, Cemil (Department of Radiology, Dicle University Medical Faculty) ;
  • Tunc, Senem (Department of Gynecology and Obstetric, Dicle University Medical Faculty) ;
  • Teke, Memik (Department of Radiology, Dicle University Medical Faculty) ;
  • Hattapoglu, Salih (Department of Radiology, Dicle University Medical Faculty)
  • 투고 : 2015.08.07
  • 심사 : 2015.11.28
  • 발행 : 2016.04.01
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: We aimed to evaluate placental stiffness measured by acoustic radiation force impulse (ARFI) elastography in pregnant women in the second trimester with a normal fetus versus those with structural anomalies and non-structural findings. Materials and Methods: Forty pregnant women carrying a fetus with structural anomalies diagnosed sonographically at 18-28 weeks of gestation comprised the study group. The control group consisted of 34 healthy pregnant women with a sonographically normal fetus at a similar gestational age. Placental shear wave velocity (SWV) was measured by ARFI elastography and compared between the two groups. Structural anomalies and non-structural findings were scored based on sonographic markers. Placental stiffness measurements were compared among fetus anomaly categories. Doppler parameters of umbilical and uterine arteries were compared with placental SWV measurements. Results: All placental SWV measurements, including minimum SWV, maximum SWV, and mean SWV were significantly higher in the study group than the control group ([$0.86{\pm}0.2$, $0.74{\pm}0.1$; p < 0.001], [$1.89{\pm}0.7$, $1.59{\pm}0.5$; p = 0.04], and [$1.26{\pm}0.4$, $1.09{\pm}0.2$; p = 0.01]), respectively. Conclusion: Placental stiffness evaluated by ARFI elastography during the second trimester in pregnant women with fetuses with congenital structural anomalies is higher than that of pregnant women with normal fetuses.

키워드

참고문헌

  1. Bowman ZS, Kennedy AM. Sonographic appearance of the placenta. Curr Probl Diagn Radiol 2014;43:356-373 https://doi.org/10.1067/j.cpradiol.2014.05.006
  2. Arizawa M, Nakayama M. [Pathological analysis of the placenta in trisomies 21, 18 and 13]. Nihon Sanka Fujinka Gakkai Zasshi 1992;44:9-13
  3. Zhi H, Ou B, Xiao XY, Peng YL, Wang Y, Liu LS, et al. Ultrasound elastography of breast lesions in chinese women: a multicenter study in China. Clin Breast Cancer 2013;13:392-400 https://doi.org/10.1016/j.clbc.2013.02.015
  4. Goddi A, Bonardi M, Alessi S. Breast elastography: a literature review. J Ultrasound 2012;15:192-198 https://doi.org/10.1016/j.jus.2012.06.009
  5. Kuroda H, Kakisaka K, Oikawa T, Onodera M, Miyamoto Y, Sawara K, et al. Liver stiffness measured by acoustic radiation force impulse elastography reflects the severity of liver damage and prognosis in patients with acute liver failure. Hepatol Res 2015;45:571-577 https://doi.org/10.1111/hepr.12389
  6. Calvete AC, Mestre JD, Gonzalez JM, Martinez ES, Sala BT, Zambudio AR. Acoustic radiation force impulse imaging for evaluation of the thyroid gland. J Ultrasound Med 2014;33:1031-1040 https://doi.org/10.7863/ultra.33.6.1031
  7. Goya C, Hamidi C, Okur MH, Icer M, Oguz A, Hattapoglu S, et al. The utility of acoustic radiation force impulse imaging in diagnosing acute appendicitis and staging its severity. Diagn Interv Radiol 2014;20:453-458 https://doi.org/10.5152/dir.2014.13439
  8. Bromley B, Shipp T, Benacerraf BR. Genetic sonogram scoring index: accuracy and clinical utility. J Ultrasound Med 1999;18:523-528; quiz 529-530 https://doi.org/10.7863/jum.1999.18.8.523
  9. Bromley B, Benacerraf BR. The Genetic Sonogram Scoring Index. Semin Perinatol 2003;27:124-129 https://doi.org/10.1053/sper.2003.50011
  10. Benacerraf BR, Neuberg D, Bromley B, Frigoletto FD Jr. Sonographic scoring index for prenatal detection of chromosomal abnormalities. J Ultrasound Med 1992;11:449-458 https://doi.org/10.7863/jum.1992.11.9.449
  11. Sugitani M, Fujita Y, Yumoto Y, Fukushima K, Takeuchi T, Shimokawa M, et al. A new method for measurement of placental elasticity: acoustic radiation force impulse imaging. Placenta 2013;34:1009-1013 https://doi.org/10.1016/j.placenta.2013.08.014
  12. Ohmaru T, Fujita Y, Sugitani M, Shimokawa M, Fukushima K, Kato K. Placental elasticity evaluation using virtual touch tissue quantification during pregnancy. Placenta 2015;36:915-920 https://doi.org/10.1016/j.placenta.2015.06.008
  13. Li WJ, Wei ZT, Yan RL, Zhang YL. Detection of placenta elasticity modulus by quantitative real-time shear wave imaging. Clin Exp Obstet Gynecol 2012;39:470-473
  14. Cimsit C, Yoldemir T, Akpinar IN. Shear wave elastography in placental dysfunction: comparison of elasticity values in normal and preeclamptic pregnancies in the second trimester. J Ultrasound Med 2015;34:151-159 https://doi.org/10.7863/ultra.34.1.151
  15. Cimsit C, Yoldemir T, Akpinar IN. Strain elastography in placental dysfunction: placental elasticity differences in normal and preeclamptic pregnancies in the second trimester. Arch Gynecol Obstet 2015;291:811-817 https://doi.org/10.1007/s00404-014-3479-y
  16. Papageorghiou AT, Yu CK, Bindra R, Pandis G, Nicolaides KH; Fetal Medicine Foundation Second Trimester Screening Group. Multicenter screening for pre-eclampsia and fetal growth restriction by transvaginal uterine artery Doppler at 23 weeks of gestation. Ultrasound Obstet Gynecol 2001;18:441-449 https://doi.org/10.1046/j.0960-7692.2001.00572.x
  17. Papageorghiou AT, Yu CK, Nicolaides KH. The role of uterine artery Doppler in predicting adverse pregnancy outcome. Best Pract Res Clin Obstet Gynaecol 2004;18:383-396 https://doi.org/10.1016/j.bpobgyn.2004.02.003
  18. Cnossen JS, Morris RK, ter Riet G, Mol BW, van der Post JA, Coomarasamy A, et al. Use of uterine artery Doppler ultrasonography to predict pre-eclampsia and intrauterine growth restriction: a systematic review and bivariable meta-analysis. CMAJ 2008;178:701-711 https://doi.org/10.1503/cmaj.070430
  19. Afrakhteh M, Moeini A, Taheri MS, Haghighatkhah HR, Fakhri M, Masoom N. Uterine Doppler velocimetry of the uterine arteries in the second and third trimesters for the prediction of gestational outcome. Rev Bras Ginecol Obstet 2014;36:35-39

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