Placental Elasticity as a New Non-invasive Predictive Marker of Pre-eclampsia |
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Authors: | Yasuyuki Fujita Takako Ohmaru Nakanishi Maiko Sugitani Kiyoko Kato |
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Institution: | Department of Obstetrics and Gynecology, Kyushu University Hospital, Fukuoka, Japan |
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Abstract: | Point shear wave elastography is an ultrasonography technique used to evaluate tissue elasticity. We examined whether placental elasticity is useful for predicting the onset of pre-eclampsia. Two hundred twenty-one participants were divided into two groups: one group at low risk (n?=?185) and the other at high risk (n?=?36) for pre-eclampsia. The two groups were compared with respect to shear wave velocity (SWV) of the placenta. Use of SWV as a predictor of pre-eclampsia was also investigated by creating a receiver operating characteristic (ROC) curve. The ROC curve was used to set a cutoff SWV value for predicting pre-eclampsia. The SWV of the high-risk group was significantly higher than that of the low-risk group (p < 0.001). Thirteen participants developed pre-eclampsia after SWV measurements, and the SWVs of these participants were significantly higher than those of participants in who pre-eclampsia did not develop. The cutoff value and area under the ROC curve were 1.188 m/s and 0.9118, respectively. Placental elasticity was significantly increased even before the onset of pre-eclampsia onset and, thus, may be a parameter used to predict the onset of pre-eclampsia. |
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Keywords: | Hypertensive disorders of pregnancy Placental elasticity Point shear wave elastography Pre-eclampsia Prediction of pre-eclampsia |
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