Shear Wave Elastography on the Uterine Cervix: Technical Development for the Transvaginal Approach

Objectives: This research aimed to identify biological and technical confounders in the nonpregnant cervix when applying shear wave elastography with an endovaginal transducer. Methods: Cervical speed measurements were obtained at the internal and external os in the anterior and posterior portions o...

Full description

Bibliographic Details
Main Authors: O'Hara, S., Zelesco, M., Sun, Zhonghua
Format: Journal Article
Published: American Institute for Ultrasound in Medicine 2018
Online Access:http://hdl.handle.net/20.500.11937/71087
_version_ 1848762386124636160
author O'Hara, S.
Zelesco, M.
Sun, Zhonghua
author_facet O'Hara, S.
Zelesco, M.
Sun, Zhonghua
author_sort O'Hara, S.
building Curtin Institutional Repository
collection Online Access
description Objectives: This research aimed to identify biological and technical confounders in the nonpregnant cervix when applying shear wave elastography with an endovaginal transducer. Methods: Cervical speed measurements were obtained at the internal and external os in the anterior and posterior portions of the cervix using a transvaginal approach in 69 nongravid patients. Results: Reliable measurements were obtained at the external os and internal os, anteriorly and posteriorly, in 63, 55, 55, and 26 patients, respectively. The mean speed obtained at the external os, anteriorly and posteriorly, was 2.52 ± 0.49 m/s and 2.87 ± 0.63 m/s, respectively, and at the internal os, anteriorly and posteriorly, 3.29 ± 0.79 m/s and 4.10 ± 1.11 m/s, respectively. The difference in speed between all regions was statistically significant (P < .05). Conclusion: Ultrasound‐induced artifacts appear to affect the transmission of the elastographic main pulse, with cervical position contributing to suboptimal shear wave production in the posterior cervix. Reliable shear wave propagation can be achieved in the anterior cervix in most patients.
first_indexed 2025-11-14T10:46:44Z
format Journal Article
id curtin-20.500.11937-71087
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T10:46:44Z
publishDate 2018
publisher American Institute for Ultrasound in Medicine
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-710872019-09-02T00:47:05Z Shear Wave Elastography on the Uterine Cervix: Technical Development for the Transvaginal Approach O'Hara, S. Zelesco, M. Sun, Zhonghua Objectives: This research aimed to identify biological and technical confounders in the nonpregnant cervix when applying shear wave elastography with an endovaginal transducer. Methods: Cervical speed measurements were obtained at the internal and external os in the anterior and posterior portions of the cervix using a transvaginal approach in 69 nongravid patients. Results: Reliable measurements were obtained at the external os and internal os, anteriorly and posteriorly, in 63, 55, 55, and 26 patients, respectively. The mean speed obtained at the external os, anteriorly and posteriorly, was 2.52 ± 0.49 m/s and 2.87 ± 0.63 m/s, respectively, and at the internal os, anteriorly and posteriorly, 3.29 ± 0.79 m/s and 4.10 ± 1.11 m/s, respectively. The difference in speed between all regions was statistically significant (P < .05). Conclusion: Ultrasound‐induced artifacts appear to affect the transmission of the elastographic main pulse, with cervical position contributing to suboptimal shear wave production in the posterior cervix. Reliable shear wave propagation can be achieved in the anterior cervix in most patients. 2018 Journal Article http://hdl.handle.net/20.500.11937/71087 10.1002/jum.14793 American Institute for Ultrasound in Medicine fulltext
spellingShingle O'Hara, S.
Zelesco, M.
Sun, Zhonghua
Shear Wave Elastography on the Uterine Cervix: Technical Development for the Transvaginal Approach
title Shear Wave Elastography on the Uterine Cervix: Technical Development for the Transvaginal Approach
title_full Shear Wave Elastography on the Uterine Cervix: Technical Development for the Transvaginal Approach
title_fullStr Shear Wave Elastography on the Uterine Cervix: Technical Development for the Transvaginal Approach
title_full_unstemmed Shear Wave Elastography on the Uterine Cervix: Technical Development for the Transvaginal Approach
title_short Shear Wave Elastography on the Uterine Cervix: Technical Development for the Transvaginal Approach
title_sort shear wave elastography on the uterine cervix: technical development for the transvaginal approach
url http://hdl.handle.net/20.500.11937/71087