Is evaluation of placenta with real time sonoelastography during the second trimester of pregnancy an effective method for the assessment of spontaneous preterm birth risk?   
Yazarlar (10)
Prof. Dr. Eda ALBAYRAK Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Hatice Yılmaz Doğru
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. Zafer ÖZMEN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Ayşegül Altunkaş
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Tuğçe Özlem Kalaycı
Mehmet Fatih İnci
İzmir Katip Çelebi Üniversitesi, Türkiye
Sadık Server
İstanbul Bilim Üniversitesi, Türkiye
Fitnet Sönmezgöz
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Doç. Dr. Fatma KÖKCÜ Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Dr. Öğr. Üyesi Osman DEMİR Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Clinical Imaging
Dergi ISSN 0899-7071 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 04-2016
Cilt No 40
Sayı 5
Sayfalar 926 / 930
DOI Numarası 10.1016/j.clinimag.2016.04.006
Özet

Purpose

The aim of this study is to investigate the effectiveness of placental strain ratio (SR) values measured by real-time sonoelastography (SE) in the second trimester in the prediction of spontaneous preterm birth (sPTB).

Methods

This study included 70 pregnant women who applied to our clinic for routine second-trimester screening. Placental SR measurements were performed with the SE method. Two different SR measurements were performed by taking two different tissues as references. The SR value measured when taking the rectus abdominis muscle as a reference was termed the muscle-to-placenta strain ratio (MPSR), while the SR value measured when taking subcutaneous tissue as a reference was termed the fat-to-placenta strain ratio (FPSR). Women whose gestational age at birth was less than 37 weeks 0 days were accepted as sPTB. The association between gestational age at birth and MPSR and FPSR was investigated. Receiver operating characteristics analysis was used to calculate the sensitivity and specificity of the elastographic outcomes.

Results

There was a low-level negative correlation between MPSR and gestational age at birth (r=-0.300, P=.012) and there was a moderate-level negative correlation between FPSR and gestational age at birth (r=-0.513, P<.001). The multivariate linear regression analysis showed that the FPSR (β=0.609, P=.002) was the significant predictor for the sPTB.

Conclusions

Our data indicate that the FPSR value measured with real-time SE in the second trimester of pregnancy may be effective in the prediction of sPTB.
Anahtar Kelimeler