Evidence map›Paper›PMID 39198283›Full record

ReviewArchives of gynecology and obstetrics2024

Recommendations for strain elastography of the uterine cervix.

Christine Rohr Thomsen, Maria Strandbo Schmidt Jensen, Pinar Bor, Mogens Hinge, Puk Sandager, Niels Uldbjerg

Abstract readReview
In one paragraph

Review in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Christine Rohr ThomsenDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Palle Juul-Jensens, Boulevard 99, 8200, Aarhus N, Denmark.ORCID http://orcid.org/0000-0002-5295-6923
Maria Strandbo Schmidt JensenDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Palle Juul-Jensens, Boulevard 99, 8200, Aarhus N, Denmark.ORCID http://orcid.org/0000-0003-0326-2973
Pinar BorDepartment of Obstetrics and Gynecology, Randers Regional Hospital, Randers NØ, Denmark.ORCID http://orcid.org/0000-0001-5841-5418
Mogens HingeDepartment of Biological and Chemical Engineering, Aarhus University, Aarhus N, Denmark.ORCID http://orcid.org/0000-0002-8787-5314
Puk SandagerDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Palle Juul-Jensens, Boulevard 99, 8200, Aarhus N, Denmark.ORCID http://orcid.org/0000-0001-7153-7081
Niels UldbjergDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Palle Juul-Jensens, Boulevard 99, 8200, Aarhus N, Denmark. uldbjerg@dadlnet.dk.ORCID http://orcid.org/0000-0002-6449-6426

Funding

Novo Nordisk Foundation NNF20OC0063220
6 · The paper itself

Abstract

purposeConventional vaginal strain ultrasound elastography, not based on shear-wave elastography imaging, can assess the biomechanical properties of the uterine cervix. This assessment may inform the risks of preterm birth and failed induction of labor. However, there is considerable variation in the approaches to strain elastography, including the placement of the region of interest (ROI). Therefore, our aim was to provide recommendations for cervical elastography.

methodsWe conducted a literature review on (1) elastography principles, and (2) the cervical anatomy. Subsequently, we performed elastography scanning using a Voluson

resultsIncreasing the distance between the ROI and probe led to a decrease in the obtained strain value; a 53% decrease was observed at 17.5 mm. Similarly, an increased angle between the ROI and probe-centerline resulted in a 59% decrease for 40° angle. Interposition of soft tissue (e.g., cervical canal) between the ROI and the probe induced an artifact with values from the posterior lip being 54% lower than those from the anterior lip, even after adjusting for probe-ROI distance. Equipment and the recording conductance significantly influenced the results.

conclusionOur findings inform recommendations for future studies on strain cervical elastography.

Indexed as

Cervix UteriElasticity Imaging TechniquesFemaleHumansPregnancyElasticity imaging techniques (E01.370.350.850.270)Induced labor (E04.520.252.968)Ultrasonography (E01.370.350.850)Uterine cervical incompetence (C12.050.351.500.852.593.120)Uterine cervix (A05.360.319.679.256)

Identifiers

PMID39198283
PMCPMC11393049

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.