Evidence map›Paper›PMID 42304119›Full record

ArticlePediatric research2026

Two-dimensional ultrasound shear wave elastography: an effective method for assessing fetal rabbit lung maturity.

Qingqing Huang, Xiali Wang, Yifang He, Dandan Wang, Guorong Lyu

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Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Qingqing HuangDepartment of Ultrasound, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, PR China.
Xiali WangDepartment of Clinical Medicine, Quanzhou Medical College, Quanzhou, PR China.
Yifang HeDepartment of Ultrasound, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, PR China.
Dandan WangDepartment of Ultrasound, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, PR China.
Guorong LyuDepartment of Ultrasound, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, PR China. lgr_feus@sina.com.

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6 · The paper itself

Abstract

backgroundTo investigate the correlation of fetal lung maturity (FLM) and its stiffness obtained by two-dimensional shear wave elastography (2D-SWE) in rabbits.

methodsIn 50 fetal rabbits (23-30 days gestation), lung and liver elasticity were measured by 2D-SWE. After cesarean section, dipalmitoylphosphatidylcholine (DPPC) concentration in alveolar lavage fluid and lung interstitial ratio were assessed. Partial correlation analysis was then performed to examine the correlation of fetal lung elasticity/lung-to-liver elasticity (LLE) ratio with DPPC content and with interstitial ratio, respectively.

resultsFetal lung and liver 2D-SWE measurements showed good consistency. Fetal lung elasticity and LLE ratio were strongly negatively correlated with DPPC (r = -0.866 [95% CI -0.928, -0.757] and -0.840 [-0.914, -0.714], P < 0.001) and slightly reduced after controlling for interstitial ratio (r = -0.727 [-0.848, -0.534] and -0.672 [-0.815, -0.453], P < 0.001). Conversely, strong positive correlations with the interstitial ratio (r = 0.757 [0.580, 0.865] and 0.763 [0.590, 0.869], P < 0.001) decreased to moderate levels after adjusting for DPPC (r = 0.446 [0.151, 0.667] and 0.471 [0.183, 0.685], P < 0.01).

conclusion2D-SWE may serve as a useful non-invasive tool for predicting FLM in rabbits, providing a basis for further studies on human FLM. IMPACT: Key Message: Two-dimensional shear wave elastography (2-DSWE) correlates strongly with surfactant content in fetal lungs, offering a potential non-invasive biomarker of functional lung maturity to address the clinical need for predicting neonatal respiratory readiness. Novelty: We provide the first quantitative evidence that 2D-SWE values reflect biochemical (surfactant) more closely than structural maturation, redefining its role in perinatal assessment. Significance & Impact: 2D-SWE may serve as a novel, non-invasive ultrasound modality for assessing fetal lung maturity. These preclinical findings suggest that it might potentially aid in RDS risk assessment, potentially laying a certain foundation for future clinical research.

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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.