SynthesisMedicine2019
Diagnostic accuracy of cervical elastography in predicting preterm delivery: A systematic review and meta-analysis.
Synthesis in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Reframing Cervical Insufficiency as a Dynamic Process in the Preterm Birth Continuum: From Fixed Disease to a Modifiable Condition.Diagnostics (Basel, Switzerland) · 2026Article
- Cervical strain elastography improves mid-trimester prediction of spontaneous preterm birth beyond cervical length: a single-center cohort study.Frontiers in medicine · 2026Article
- Cervical Elastography as a Predictive Tool for Preterm Birth: A Systematic Review and Meta-analysis.Cureus · 2025Review
- Article
- A comparative study between modified Bishop score and transvaginal sonography to predict successful induction of labor.Journal of family medicine and primary care · 2024Article
- Ultrasound Elastography in Benign Gynecology: A Scoping Review.Reproductive sciences (Thousand Oaks, Calif.) · 2024Article
- Evaluating the Efficacy of Cervical Tactile Ultrasound Technique as a Predictive Tool for Spontaneous Preterm Birth.Open journal of obstetrics and gynecology · 2024Article
- Elasticity of the Cervix in Relation to Uterus Position.Journal of clinical medicine · 2024Article
- Article
- Predicting Preterm Birth with Strain Ratio Analysis of the Internal Cervical Os: A Prospective Study.Journal of clinical medicine · 2023Article
- The Association between Cervical Length and Successful Labor Induction: A Retrospective Cohort Study.International journal of environmental research and public health · 2023Article
- Article
- Preterm Birth: Screening and Prediction.International journal of women's health · 2023Review
- Advances in the clinical application of ultrasound elastography in uterine imaging.Insights into imaging · 2022Review
- Nomogram Incorporating Multimodal Transvaginal Ultrasound Assessment at 20 to 24 Weeks' Gestation for Predicting Spontaneous Preterm Delivery in Low-Risk Women.International journal of women's health · 2022Article
- Applications of Advanced Ultrasound Technology in Obstetrics.Diagnostics (Basel, Switzerland) · 2021Review
- Menstrual Pain and Elasticity of Uterine Cervix.Journal of clinical medicine · 2021Article
- Cervical Assessment for Predicting Preterm Birth-Cervical Length and Beyond.Journal of clinical medicine · 2021Review
- Shear wave dispersion as a potential biomarker for cervical remodeling during pregnancy: evidence from a non-human primate model.Frontiers in physics · 2021Article
- Aspiration technique-based device is more reliable in cervical stiffness assessment than digital palpation.BMC pregnancy and childbirth · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of the study was to evaluate the diagnostic accuracy of cervical elastography in predicting preterm delivery (PTD).
methodsWe searched the PubMed, EMBASE, and Cochrane databases to identify relevant studies that applied ultrasound (US) elastography to assess cervical stiffness and predict PTD. All the studies were published before December 11, 2018, and only studies published in English were collected. The cervical length (CL) was considered a comparator, and the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool was applied to assess the quality of the included studies. Summary receiver operating characteristic (SROC) modeling was performed to evaluate the diagnostic performance of cervical elastography in predicting PTD. Subgroup analyses were also performed.
resultsSeven studies, including 1488 pregnant women, were included in this meta-analysis. Cervical elastography showed a summary sensitivity of 0.84 [95% confidence interval (CI): 0.68, 0.93], a specificity of 0.82 (95% CI: 0.63, 0.93), a diagnostic odds ratio of 25 (95% CI: 7, 93), and an area under the curve (AUC) of SROC of 0.90 (95% CI: 0.87-0.93). CL measurement showed that the AUC of SROC was 0.60 (95% CI: 0.56-0.64). The results of subgroup analysis showed that the summary sensitivity and specificity were different in the QUADAS-2 score subgroups.
conclusionCervical elastography is a promising and reliable method to predict PTD. Cervical elastography showed better diagnostic performance to predict PTD than CL measurement.
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