{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:54:59Z","timestamp":1777503299711,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2017,9,7]],"date-time":"2017-09-07T00:00:00Z","timestamp":1504742400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Preterm birth is one of the important causes of neonatal morbidity where we rely on subjective criteria such as modified Bishop\u2019s scoring and contemporary sonographic measurement of cervical length. Acoustic radiation force impulse (ARFI) is a technological advancement in elastography that can be employed in prediction of cervical softening and preterm labor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the role of ARFI technique and shear wave velocity (SWV) estimates as a predictor of preterm birth and its comparison with other clinical and sono-elastographic measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>Thirty-four pregnant women (gestation age\u2009=\u200928\u201337 weeks age) showing features suggestive of preterm labor were included and evaluated with modified Bishop\u2019s score, cervical length by ultrasound (US), ARFI to derive Elastography index (EI), and SWV of the cervix. The patients were later divided into two groups, using the clinical outcome of preterm or term delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty patients delivered at term (gestational age\u2009&gt;\u200937 weeks) and 14 were preterm. Receiver operating characteristics (ROC) curves showed SWV with highest sensitivity and specificity (93% and 90%, respectively) for the prediction of preterm birth at a cutoff value of 2.83\u2009m\/s. EI and modified Bishop\u2019s score were comparable to each other, but were less sensitive techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Elastographic assessment of antenatal cervix is a novel technique of virtual palpation of internal os and can be utilized as an objective criterion for preterm birth prediction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0284185117730689","type":"journal-article","created":{"date-parts":[[2017,9,8]],"date-time":"2017-09-08T01:21:58Z","timestamp":1504833718000},"page":"755-762","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Role of acoustic radiation force impulse and shear wave velocity in prediction of preterm birth: a prospective study"],"prefix":"10.1177","volume":"59","author":[{"given":"Arjit","family":"Agarwal","sequence":"first","affiliation":[{"name":"Department of Radiodiagnosis, Teerthanker Mahaveer Medical College and Research Centre, Teerthanker Mahaveer University, Moradabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shubhra","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynecology, Teerthanker Mahaveer Medical College and Research Centre, Teerthanker Mahaveer University, Moradabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shruti","family":"Chandak","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Teerthanker Mahaveer Medical College and Research Centre, Teerthanker Mahaveer University, Moradabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,9,7]]},"reference":[{"key":"bibr1-0284185117730689","unstructured":"International classification of diseases and related health problems. 10th revision. Geneva: World Health Organization, 1992."},{"key":"bibr2-0284185117730689","doi-asserted-by":"crossref","unstructured":"Svigos JM, Dodd JM, Robinson JS. Threatened and actual preterm labor including mode of delivery. In: James D, editor. High Risk Pregnancy Management Options. 4th ed. Elsevier India Pvt Ltd, 2012:1075\u20131090.","DOI":"10.1016\/B978-1-4160-5908-0.00061-2"},{"key":"bibr3-0284185117730689","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2012.03.011"},{"key":"bibr4-0284185117730689","doi-asserted-by":"publisher","DOI":"10.1007\/s00535-011-0509-4"},{"key":"bibr5-0284185117730689","doi-asserted-by":"crossref","unstructured":"Sporea I, Sirli R, Popescu A, et\u00a0al: Is it better to use together transient elastography (TE) and acoustic radiation force impulse elastography (ARFI) for fibrosis evaluation in patients with chronic HCV hepatitis? 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