{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T21:50:07Z","timestamp":1777326607578,"version":"3.51.4"},"reference-count":40,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2020,11,18]],"date-time":"2020-11-18T00:00:00Z","timestamp":1605657600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100011011","name":"Junta de Andaluc\u00eda","doi-asserted-by":"publisher","award":["PIN-0030-2017"],"award-info":[{"award-number":["PIN-0030-2017"]}],"id":[{"id":"10.13039\/501100011011","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011011","name":"Junta de Andaluc\u00eda","doi-asserted-by":"publisher","award":["PI-0107-2017"],"award-info":[{"award-number":["PI-0107-2017"]}],"id":[{"id":"10.13039\/501100011011","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ministry of Education Spain","award":["DPI2017-85359-R"],"award-info":[{"award-number":["DPI2017-85359-R"]}]},{"name":"Ministry of Education Spain","award":["UNGR15-CE-3664"],"award-info":[{"award-number":["UNGR15-CE-3664"]}]},{"name":"Carlos III Feder funding,","award":["PI16\/00339"],"award-info":[{"award-number":["PI16\/00339"]}]},{"DOI":"10.13039\/501100003329","name":"Ministerio de Econom\u00eda y Competitividad","doi-asserted-by":"publisher","award":["TEC2014-57394-P"],"award-info":[{"award-number":["TEC2014-57394-P"]}],"id":[{"id":"10.13039\/501100003329","id-type":"DOI","asserted-by":"publisher"}]},{"name":"MNat Scientific Unit of Excellence","award":["UCE.PP2017.03"],"award-info":[{"award-number":["UCE.PP2017.03"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Transient or acoustic radiation force elastography (ARFE) is becoming the most extended technology to assess cervical effacement, additionally to the Bishop test and conventional ultrasound. However, a debate on the fetal safety has been opened due to the high intensity focused beam emitted to produce shear waves. This work is aimed at providing preliminary data to assess clinical effects of fetal exposure. A follow-up study in newborns of 42 women exposed to ARFE during pregnancy was carried out to explore neonatal hypoacusia, Apgar test, and anthropometry. No hypoacusia cases attributable to ARFE were observed. The Apgar test at five minutes scored normally in all the newborns. Comparisons between anthropometric measurements showed no significant statistically differences. The results preclude to state the harmfulness nor the safety of ARFE. However, given the concern on the high level of energy and the potential risk of harmful bioeffects, larger studies are recommended.<\/jats:p>","DOI":"10.3390\/diagnostics10110967","type":"journal-article","created":{"date-parts":[[2020,11,18]],"date-time":"2020-11-18T07:41:00Z","timestamp":1605685260000},"page":"967","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A Preliminary Study on the Safety of Elastography during Pregnancy: Hypoacusia, Anthropometry, and Apgar Score in Newborns"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3519-9254","authenticated-orcid":false,"given":"Paloma","family":"Mass\u00f3","sequence":"first","affiliation":[{"name":"Department of Preventive Medicine, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain"},{"name":"Biomechanics Group (TEC-12), Instituto de Investigaci\u00f3n Biosanitaria, ibs.GRANADA, 18012 Granada, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5542-1588","authenticated-orcid":false,"given":"Juan","family":"Melchor","sequence":"additional","affiliation":[{"name":"Biomechanics Group (TEC-12), Instituto de Investigaci\u00f3n Biosanitaria, ibs.GRANADA, 18012 Granada, Spain"},{"name":"Department of Statistics and Operations Research, University of Granada, 18071 Granada, Spain"},{"name":"Excellence Research Unit \u201cModelingNature\u201d MNat, University of Granada, 18071 Granada, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9190-5654","authenticated-orcid":false,"given":"Guillermo","family":"Rus","sequence":"additional","affiliation":[{"name":"Biomechanics Group (TEC-12), Instituto de Investigaci\u00f3n Biosanitaria, ibs.GRANADA, 18012 Granada, Spain"},{"name":"Excellence Research Unit \u201cModelingNature\u201d MNat, University of Granada, 18071 Granada, Spain"},{"name":"Department of Structural Mechanics, University of Granada, 18071 Granada, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9239-294X","authenticated-orcid":false,"given":"Francisca Sonia","family":"Molina","sequence":"additional","affiliation":[{"name":"Biomechanics Group (TEC-12), Instituto de Investigaci\u00f3n Biosanitaria, ibs.GRANADA, 18012 Granada, Spain"},{"name":"Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynaecology, Hospital Universitario San Cecilio, 18016 Granada, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,11,18]]},"reference":[{"key":"ref_1","first-page":"A4570","article-title":"Cervical ultrasound elastography may hold potential to predict risk of preterm birth","volume":"60","author":"Khalil","year":"2013","journal-title":"Dan. 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