Use of Virtual Touch Tissue Quantification Elastography Technique in Fetal Lung Maturation: A Preliminary Study.
Journal
Ultrasound quarterly
ISSN: 1536-0253
Titre abrégé: Ultrasound Q
Pays: United States
ID NLM: 8809459
Informations de publication
Date de publication:
01 Sep 2023
01 Sep 2023
Historique:
medline:
4
9
2023
pubmed:
24
4
2023
entrez:
24
04
2023
Statut:
epublish
Résumé
This study is an analysis of fetal lung stiffness by virtual touch tissue quantification (VTTQ) elastography to predict fetal lung maturation. Evaluation of fetal lungs was first performed in B mode, and fetal lungs were analyzed at 3 different periods at third trimester in each pregnant woman, at 28 to 31, 32 to 36, and 37 to 41 weeks. Fetal lung elastography was performed at regions with the least acoustic shadow and far from ribs and heart. Each fetal lung assessment were done by taking mean lung stiffness obtained by measuring stiffness of both left and right fetal lungs. T test analysis showed no significant difference in fetal lung stiffness between male and female fetuses among 3 gestational periods. Analysis of variance was performed to evaluate fetal lung stiffness of the fetuses at 3 different gestational periods (28-31, 32-36, and 37-41 weeks). This analysis showed significant difference ( P < 0.01). Duncan multiple comparison analysis did not show significant difference in fetal lung stiffness between 28 and 31 weeks and 32 and 36 weeks, whereas fetal lung stiffness of fetuses at 37 to 41 weeks were significantly greater ( P < 0.01). This study is first step to analyze fetal lung maturation noninvasively using VTTQ elastography technique by measuring fetal lung stiffness.
Identifiants
pubmed: 37093671
doi: 10.1097/RUQ.0000000000000642
pii: 00013644-990000000-00039
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
134-137Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
Spong CY, Mercer BM, D'Alton M, et al. Timing of indicated late-preterm and early-term birth. Obstet Gynecol . 2011;118:323–333.
Teune MJ, Bakhuizen S, Gyamfi Bannerman C, et al. A systematic review of severe morbidity in infants born late preterm. Am J Obstet Gynecol . 2011;205:374–374.
Besnard AE, Wirjosoekarto SA, Broeze KA, et al. Lecithin/sphingomyelin ratio and lamellar body count for fetal lung maturity: a meta-analysis. Eur J Obstet Gynecol Reprod Biol . 2013;169:177–183.
Grenache DG, Gronowski AM. Fetal lung maturity. Clin Biochem . 2006;39:1–10.
Varner S, Sherman C, Lewis D, et al. Amniocentesis for fetal lung maturity: will it become obsolete? Rev Obstet Gynecol . 2013;6:126–134.
Schenone MH, Samson JE, Jenkins L, et al. Predicting fetal lung maturity using the fetal pulmonary artery Doppler wave acceleration/ejection time ratio. Fetal Diagn Ther . 2014;36:208–214.
Vergani P. Prenatal diagnosis of pulmonary hypoplasia. Curr Opin Obstet Gynecol . 2012;24:89–94.
Beck AP, Araujo Junior E, Leslie AT, et al. Assessment of fetal lung maturity by ultrasound: objective study using gray-scale histogram. J Matern Fetal Neonatal Med . 2015;28:617–622.
Bonet-Carne E, Palacio M, Cobo T, et al. Quantitative ultrasound texture analysis of fetal lungs to predict neonatal respiratory morbidity. Ultrasound Obstet Gynecol . 2015;45:427–433.
Cobo T, Bonet-Carne E, Martinez-Terron M, et al. Feasibility and reproducibility of fetal lung texture analysis by automatic quantitative ultrasound analysis and correlation with gestational age. Fetal Diagn Ther . 2012;31:230–236.
Ghorayeb SR, Bracero LA, Blitz MJ, et al. Quantitative ultrasound texture analysis for differentiating preterm from term fetal lungs. J Ultrasound Med . 2017;36:1437–1443.
Palmeri ML, McAleavey SA, Fong KL, et al. Dynamic mechanical response of elastic spherical inclusions to impulsive acoustic radiation force excitation. IEEE Trans Ultrason Ferroelectr Freq Control . 2006;53:2065–2079.
Fontanilla T, Canas T, Macia A, et al. Normal values of liver shear wave velocity in healthy children assessed by acoustic radiation force impulse imaging using a convex probe and a linear probe. Ultrasound Med Biol . 2014;40(3):470–477.
Arslan H, Tolunay HE, Cim N, et al. Shear-wave elastography—virtual touch tissue quantification of fetal placentas with a single umbilical artery. J Matern Fetal Neonatal Med . 2019;32:2481–2485.
Hislop AA, Wigglesworth JS, Desai R. Alveolar development in the human fetus and infant. Early Hum Dev . 1986;13:1–11.
Langston C, Kida K, Reed M, et al. Human lung growth in late gestation and in the neonate. Am Rev Respir Dis . 1984;129:607–613.
Thurlbeck WM. Postnatal growth and development of the lung. Am Rev Respir Dis . 1975;111:803–844.
Quarello E, Lacoste R, Mancini J, et al. ShearWave elastography of fetal lungs in pregnant baboons. Diagn Interv Imaging . 2016;97:605–610.
Mottet N, Cochet C, Vidal C, et al. Feasibility of two-dimensional ultrasound shear wave elastography of human fetal lungs and liver: a pilot study. Diagn Interv Imaging . 2020;101:69–78.
Zheng XZ, Wu J, Tan XY. A novel approach to assessing fetal tissue stiffness using virtual touch tissue quantification. Med Ultrason . 2016;18:70–74.
Gallotti A, D’Onofrio M, Pozzi Mucelli R. Acoustic radiation force impulse (ARFI) technique in ultrasound with virtual touch tissue quantification of the upper abdomen. Radiol Med . 2010;115:889–897.