{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T16:27:22Z","timestamp":1777480042323,"version":"3.51.4"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T00:00:00Z","timestamp":1572912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ultrason Med"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>HELLP syndrome is a rare, potentially life threatening obstetric condition that is diagnosed by the combination of Haemolysis, Elevated Liver enzyme levels, and Low Platelets (<jats:italic>Pregnancy Hypertens<\/jats:italic>, 1, 164, 2011). HELLP affects between 0.5% and 0.9% of all pregnancies (<jats:italic>BMC Pregnancy Childbirth<\/jats:italic>, 9, 8, 2009), however less than 0.5% of HELLP syndrome cases demonstrate any imaging abnormalities (<jats:italic>Am J Roentgenol<\/jats:italic> 185, 1205, 2005). This case report outlines the use of three new liver ultrasound technologies \u2013 shear wave elastography (SWE), shear wave dispersion (SWD) and attenuation imaging (ATI) in the evaluation of a patient with HELLP syndrome. The ultrasound applications were used to examine temporal changes of the disease with corresponding biochemical variations. The SWE and SWD values correlated with B mode ultrasound imaging and the clinical findings of HELLP.<\/jats:p>","DOI":"10.1002\/ajum.12185","type":"journal-article","created":{"date-parts":[[2019,11,6]],"date-time":"2019-11-06T06:25:15Z","timestamp":1573021515000},"page":"149-155","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["HELLP syndrome: An ultrasound case of geographically altered liver parenchymal echogenicity with shear wave elastography, shear wave dispersion and attenuation imaging correlation"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9141-1910","authenticated-orcid":false,"given":"Andrea","family":"Mould","sequence":"first","affiliation":[{"name":"Department of Medical Imaging Fiona Stanley Hospital Murdoch WA 6150 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Abbott","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging Fiona Stanley Hospital Murdoch WA 6150 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher J.","family":"Welman","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging Fiona Stanley Hospital Murdoch WA 6150 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,11,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2011.01.004"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-8"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.04.0817"},{"key":"e_1_2_9_5_1","article-title":"HELLP syndrome","author":"Martin JN","year":"2018","journal-title":"BMJ Best Practice"},{"key":"e_1_2_9_6_1","first-page":"38","article-title":"Preliminary clinical experience with shear wave dispersion imaging for liver viscosity","volume":"30","author":"Sugimoto K","year":"2018","journal-title":"Visions"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.33.2.197"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2015.03.007"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-103952"},{"key":"e_1_2_9_10_1","first-page":"20","article-title":"Diagnosis of liver fibrosis using shear wave Elastography","volume":"30","author":"Iijima H","year":"2018","journal-title":"Visions"},{"key":"e_1_2_9_11_1","unstructured":"BrynesEA MertonL.Common reference Intervals Survey \u2013 Results from the Western Australia AACB QC Subcommittee. Available from:www.aacb.asn.au\/documents\/item\/1097. Accessed 11\/03\/2019."},{"key":"e_1_2_9_12_1","first-page":"1","article-title":"Transient Elastography (TE) of the liver as a new diagnostic tool to discriminate between HELLP syndrome and acute fatty liver of pregnancy (AFLP)","volume":"5","author":"Duvekot J","year":"2015","journal-title":"Pregnancy Hypertension"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(92)91735-S"}],"updated-by":[{"DOI":"10.1002\/ajum.12350","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2023,5,27]],"date-time":"2023-05-27T00:00:00Z","timestamp":1685145600000}}],"container-title":["Australasian Journal of Ultrasound in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fajum.12185","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajum.12185","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ajum.12185","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajum.12185","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T02:56:42Z","timestamp":1693969002000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajum.12185"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,5]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,5]]}},"alternative-id":["10.1002\/ajum.12185"],"URL":"https:\/\/doi.org\/10.1002\/ajum.12185","archive":["Portico"],"relation":{"erratum":[{"id-type":"doi","id":"10.1002\/ajum.12350","asserted-by":"object"}]},"ISSN":["1836-6864","2205-0140"],"issn-type":[{"value":"1836-6864","type":"print"},{"value":"2205-0140","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,5]]},"assertion":[{"value":"2019-11-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}