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Shear wave elastography of placenta: in vivo quantitation of placental elasticity in preeclampsia
Open accessAbstract
PURPOSE: We aimed to evaluate the utility of shear wave elastography (SWE) for assessing the placenta in preeclampsia disease. METHODS: A total of 50 pregnant women in the second or third trimester (23 preeclampsia patients and 27 healthy control subjects) were enrolled in the study. Obstetrical grayscale and Doppler ultrasonography, SWE findings of placenta, and prenatal/postnatal clinical data were analyzed and the best SWE cutoff value which represents the diagnosis of preeclampsia was determined. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy of preeclampsia were calculated based on SWE measurements. RESULTS: Mean stiffness values were much higher in preeclamptic placentas in all regions and layers than in normal controls. The most significant difference was observed in the central placental area facing the fetus where the umbilical cord inserts, with a median of 21 kPa (range, 3-71 kPa) for preeclampsia and 4 kPa (range, 1.5-14 kPa) for the control group (P < 0.01). The SWE data showed a moderate correlation with the uterine artery resistivity and pulsatility indices. The cutoff value maximizing the accuracy of diagnosis was 7.35 kPa (area under curve, 0.895; 95% confidence interval, 0.791-0.998); sensitivity, specificity, PPV, NPV, and accuracy were 90%, 86%, 82%, 92%, and 88%, respectively. CONCLUSION: Stiffness of the placenta is significantly higher in patients with preeclampsia. SWE appears to be an assistive diagnostic technique for placenta evaluation in preeclampsia.
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“placental elastography reveals correlations between tissue stiffness and lung delay (7).”
From Placenta-pulmonary coupling-guided multimodal AI for fetal lung maturity staging and individualized glucocorticoid therapy (2026) · cites this paper as [7]
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SIBAI, B., DEKKER, G., & KUPFERMINC, M. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71003-5 · Cited by 1,089
Practice bulletin #33: diagnosis and management of preeclampsia and eclampsia
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Quantitative shear wave ultrasound elastography: initial experience in solid breast masses
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Shear wave elastography for breast masses is highly reproducible
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Lima, K. M. M. E., Costa‐Júnior, J. F. S., Pereira, W. C. D. A., & de Oliveira, L. F. (2017) · ULTRASONOGRAPHY · doi:10.14366/usg.17017 · Cited by 125
Kuo, C., Eranki, A., Placone, J. K., Rhodes, K. R., Aranda‐Espinoza, H., Fernandes, R., Fisher, J. P., & Kim, P. C. W. (2016) · ACS Biomaterials Science & Engineering · doi:10.1021/acsbiomaterials.6b00031 · Cited by 90
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Zambuto, S. G., Clancy, K. B. H., & Harley, B. A. C. (2019) · Interface Focus · doi:10.1098/rsfs.2019.0016 · Cited by 84
Habibi, H. A., Davutoğlu, E. A., Kandemirli, S. G., Aslan, M., Özel, A., Ucar, A. K., Zeytun, P., Madazlı, R., & Adaletli, İ. (2017) · European Journal of Radiology · doi:10.1016/j.ejrad.2017.10.007 · Cited by 65
Self-citationInspired by the human placenta: a novel 3D bioprinted membrane system to create barrier models
Kreuder, A.-E., Bolaños-Rosales, A., Palmer, C. P., Thomas, A., Geiger, M., Lam, T., Amler, A.-K., Markert, U. R., Lauster, R., & Kloke, L. (2020) · Scientific Reports · doi:10.1038/s41598-020-72559-6 · Cited by 58
Metadata
- Authors
- Kilic, F., Kayadibi, Y., Yuksel, M. A., Adaletli, I., Ustabasioglu, F. E., Oncul, M., Madazli, R., Yilmaz, M. H., Mihmanli, I., & Kantarci, F.
- Affiliations
- Istanbul University-Cerrahpaşa (TR)
- Venue
- Diagnostic and Interventional Radiology
- Publisher
- Galenos Yayinevi
- Published
- 2015-05-08
- Volume
- 21
- Issue
- 3
- Pages
- 202-207
- ISSN
- 1300-4360 (ISSN-L)
- 1305-3825
- 1305-3612
- PMC
- PMC4463268
- OpenAlex
- W2187828688
- Cited by
- 114
- References
- 28
- Citations by year
- 2026: 10 · 2025: 12 · 2024: 13 · 2023: 13 · 2022: 8 · 2021: 10 · 2020: 14 · 2019: 7 · 2018: 9 · 2017: 9 · 2016: 7 · 2015: 2
- FWCI
- 7.29
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Diagnostic and Interventional Radiology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Ultrasound Imaging and Elastography
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Dermatological and Skeletal Disorders
- Keywords
- shear wave elastography, placenta, preeclampsia, placental stiffness, uterine artery pulsatility index, prenatal diagnosis, diagnostic accuracy, cut-off values
- MeSH terms
- Adult, Birth Weight, Elasticity, Female, Humans, Middle Aged, Placenta, Pre-Eclampsia, Predictive Value of Tests, Pregnancy, Turkey, Umbilical Cord, Case-Control Studies, Elasticity Imaging Techniques, Young Adult, Vascular Stiffness
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- Kilic, F., Kayadibi, Y., Yuksel, M. A., Adaletli, I., Ustabasioglu, F. E., Oncul, M., Madazli, R., Yilmaz, M. H., Mihmanli, I., & Kantarci, F. (2015). Shear wave elastography of placenta: in vivo quantitation of placental elasticity in preeclampsia. Diagnostic and Interventional Radiology. https://doi.org/10.5152/dir.2014.14338
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