{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:19:21Z","timestamp":1762917561261},"reference-count":58,"publisher":"Walter de Gruyter GmbH","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Accurate prediction of the risk of spontaneous preterm birth is crucial for the clinical management of patients with preterm labor. The aim of the study was to investigate whether cervical sonoelastography improves prediction of spontaneous preterm birth compared with cervical length measurement and a fetal fibronectin (fFN) test.<\/jats:p><jats:p>A prospective cohort study was conducted including 64 patients with preterm labor at 23\u201334 weeks of gestation. Patients had an fFN test and transvaginal cervical length measurement, followed by real-time cervical sonoelastography. The ratio of nondeformable tissue to the total area of a designed region of interest was analyzed and related to the gestational week of delivery.<\/jats:p><jats:p>Cervical sonoelastography and fFN test show a significant correlation with spontaneous preterm delivery (P=0.007, P=0.001), resulting in 72.7%\/36% sensitivity and 73%\/95% specificity. The positive predictive value (PPV) was 61.5%\/81.8% and the negative predictive value was 81.8%\/70%. The cervical length was not different in cases with and without term delivery (P=0.165).<\/jats:p><jats:p>Cervical sonoelastography is a promising technique that can complement routine diagnostic procedures to improve prediction of preterm birth. The PPV is improved by an fFN test.<\/jats:p>","DOI":"10.1515\/jpm-2014-0356","type":"journal-article","created":{"date-parts":[[2015,1,19]],"date-time":"2015-01-19T17:02:24Z","timestamp":1421686944000},"source":"Crossref","is-referenced-by-count":17,"title":["Cervical sonoelastography for improving prediction of preterm birth compared with cervical length measurement and fetal fibronectin test"],"prefix":"10.1515","volume":"43","author":[{"given":"Dinah","family":"von Sch\u00f6ning","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"von Tucher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torsten","family":"Slowinski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Weichert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Henrich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anke","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","reference":[{"key":"ref121","first-page":"207","article-title":"Beyond cervical length : emerging technologies for assessing the pregnant cervix","author":"Feltovich","year":"2012","journal-title":"Am J Obstet Gynecol"},{"key":"ref251","first-page":"194","article-title":"Selective use of fetal fibronectin detection after cervical length measurement to predict spontaneous preterm delivery in women with preterm labor","author":"Schmitz","year":"2006","journal-title":"Am J Obstet Gynecol"},{"key":"ref81","first-page":"238","article-title":"guidelines and recommendations on the clinical use of ultrasound elastography Part Clinical applications","author":"Cosgrove","year":"2013","journal-title":"Ultraschall Med"},{"key":"ref481","first-page":"38","article-title":"Preis Elastography of the uterine cervix : implications for success of induction of labor Ultrasound","author":"Swiatkowska","year":"2011","journal-title":"Obstet Gynecol"},{"key":"ref191","first-page":"4570","article-title":"Cervical ultrasound elastography may hold the potential to predict risk of preterm birth","author":"Khalil","year":"2013","journal-title":"Med"},{"key":"ref161","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.acra.2006.11.010","article-title":"Real - 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risk patients and the spectrum of risk for recurrent preterm delivery","author":"Kurtzman","year":"2009","journal-title":"Am J Obstet Gynecol"},{"key":"ref201","first-page":"101","article-title":"Reliability of cervix elastography in the late first and second trimester of pregnancy","author":"Fruscalzo","year":"2012","journal-title":"Ultraschall Med"},{"key":"ref461","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.acra.2006.11.010","article-title":"Real - time sonoelastography of the cervix : tissue elasticity of the normal and abnormal cervix","volume":"14","author":"Thomas","year":"2007","journal-title":"Acad Radiol"}],"container-title":["Journal of Perinatal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpm-2014-0356\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T03:57:38Z","timestamp":1690862258000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpm-2014-0356\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,1]]},"references-count":58,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.1515\/jpm-2014-0356","relation":{},"ISSN":["1619-3997","0300-5577"],"issn-type":[{"value":"1619-3997","type":"electronic"},{"value":"0300-5577","type":"print"}],"subject":[],"published":{"date-parts":[[2015,1,1]]}}}