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- W2978863730 abstract "To evaluate cervical elastography strain pattern as a predictive marker for spontaneous preterm delivery (SPTD). In this case-control study cervical length (CL) and elastographic data (strain ratio, elastography index, strain pattern score) were acquired from 335 pregnant women (20th-34th week of gestation) by transvaginal ultrasound. Data of 50 preterm deliveries were compared with 285 normal controls. Strain ratio and elastography index were calculated by placing two regions of interest (ROI) parallel on the anterior cervical lip. Strain ratio was determined by dividing the higher strain value by the lower one. Elastography index was defined as the maximum of the strain ratio curve. Elastographic images were assigned a new established strain pattern (SP) score between 0 and 2 according to the distribution of strain induced by compression. Elastography index, SP score and CL differed between preterm and normal pregnancies (1.61 vs. 1.27, p < 0.001; SP score value of “2”: n = 31 (62%) vs. n = 36 (12.6%), p < 0.001; CL 30.7 vs. 41.0mm, p < 0.001; respectively). Elastography index and SP score were associated with a higher predictive potential than CL measurement alone (AUC 0.8059 (Area under the curve); AUC 0.7716; AUC 0.7631; respectively). A combination of all parameters proved more predictive than any single parameter (AUC 0.8987; respectively). Higher elastography index and SP scores were correlated with an elevated risk of SPTD and are superior to CL measurement as a predictive marker. A combination of these parameters could be used as a “Cervical index” for the prediction of SPTD. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
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- W2978863730 date "2019-09-30" @default.
- W2978863730 modified "2023-09-26" @default.
- W2978863730 title "P19.03: Evaluation of cervical elastography strain pattern to predict preterm birth" @default.
- W2978863730 doi "https://doi.org/10.1002/uog.21063" @default.
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