Abstract
Objective: Comparison of Placental Elasticity and different spectral Doppler indices in normal and intrauterine growth restricted fetuses to establish efficacy of shear wave elastography in early detection of Intrauterine Growth Restricted (IUGR). Design: Cross sectional comparative. 290 pregnant women previously diagnosed by ultrasound as normal and intrauterine growth restriction fetuses which were included in this study, placental elasicity in both groups was evalauted by SWE (shearwave elastography) and compared. Methods: Primarily both groups were scanned for grayscale and Color Doppler ultrasonography in which we took the measurements of resistivity and pulsatility indices of umbilical artery (UA), uterine artery and MCA (middle cerebral artery). In these groups placental elasticity was evaluated by SWE .The ratios of strain were compared between both groups. Statistical study was carried out by using Mann-Whitney test. Cut-off values for elasticity were analyzed by plotting receiver operative characteristic curve (ROC), sensitivity. Specificity and DA
 (diagnostic accuracy) for IUGR were designed established on Shear wave elastography measurements. Results: The mean placental elasticity in intrauterine growth restriction (IUGR) and in normal groups was 28.71+7.28 and 5.64+1.53, respectively while in the IUGR group median placental elasticity was 27+7 and 5.50+2 with statistically elevated median among patients in the IUGR group (P
Highlights
The incapability of the fetus to attain its genetic determined potential growth element is the Intrauterine Growth Restricted (IUGR) and denotes the foremost basis for intrauterine fetal demise (60-70%)[1]
Likewise median gestational age was found statistically lower in IUGR group (30.24 ± 2.75 weeks) when compared with normal group (32.41 ± 2.82 weeks), p-value < 0.001
The average middle cerebral resistance index was 0.62±0.05 in the IUGR group and was 0.74±0.05 among normal females, the median middle cerebral resistance index was 0.61±0.08 in the IUGR group and 0.75±0.09 among normal women with statistically lower middle cerebral RI in IUGR group, p-value < 0.001
Summary
The incapability of the fetus to attain its genetic determined potential growth element is the IUGR and denotes the foremost basis for intrauterine fetal demise (60-70%)[1]. The complications for instance: stillbirths, hypothermia, hypoglycemia, birth hypoxia, necrotizing enterocolitis, pulmonary hemorrhages, deficient cerebral function and impaired neuro development during babyhood are faced by fetuses together with growth retardation. They as adults are at enhanced risk of type 2 diabetes, hypertension and heart diseases[4]. There are anomalous uterine artery Doppler judgments, FGR, unfavorable maternal & neonatal outcomes in early onset of preeclampsia at or before 34 weeks[6]. This study was aimed to establish the role of shear wave elastography in early recognition of IUGR fetuses by a single step, irrespective of traditional ultrasonographic criteria including fetal biometry and different Doppler indices
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
