Shear wave elastography combined with two-dimensional ultrasonography for detecting optic nerve sheath: An effective tool for assessing preeclampsia.


Journal

Journal of clinical ultrasound : JCU
ISSN: 1097-0096
Titre abrégé: J Clin Ultrasound
Pays: United States
ID NLM: 0401663

Informations de publication

Date de publication:
Oct 2023
Historique:
revised: 08 08 2023
received: 08 07 2023
accepted: 18 08 2023
medline: 12 10 2023
pubmed: 30 8 2023
entrez: 29 8 2023
Statut: ppublish

Résumé

This study aimed to investigate two-dimensional ultrasound and shear-wave elastography (SWE) in evaluating optic neuropathy in preeclampsia. Ninety-one singleton pregnant women (51 with preeclampsia [observation group]; 40 without complications [control group]) admitted between January 2022 and April 2022 participated in this study. Optic nerve sheath diameter (ONSD) and optic nerve stiffness measurement (ONSM) were measured using two-dimensional ultrasound and SWE, respectively, and compared between the two groups. Receiver operating characteristic curves were employed to evaluate the performance of ONSD, ONSM, and combination (ONSD + ONSM) for diagnosing preeclampsia. The observation (preeclampsia) group ONSD and ONSM were significantly higher than those in the control group (p < 0.05). Optimal diagnostic values for ONSD and ONSM were 4.10 mm and 11.20 kPa, respectively. Areas under the curve for diagnosing preeclampsia were 0.958 (95% confidence interval [CI], 0.926-0.990) for ONSD, 0.939 (95% CI, 0.894-0.985) for ONSM, and 0.982 (95% CI, 0.962-1.000) for ONSD + ONSM. There was no significant difference between ONSD and ONSM in diagnosing preeclampsia (p = 0.436). However, ONSD + ONSM was significantly advantageous over ONSD or ONSM alone in diagnosing preeclampsia (p = 0.033; p = 0.014). Ultrasonic evaluation of the optic nerve can quantitatively assess optic nerve changes in pregnant women with preeclampsia.

Identifiants

pubmed: 37643987
doi: 10.1002/jcu.23551
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1412-1418

Subventions

Organisme : Science and Technology Bureau of Quanzhou
ID : 2021N011S

Informations de copyright

© 2023 Wiley Periodicals LLC.

Références

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Auteurs

Shanshan Su (S)

Department of Ultrasound, Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

Huohu Zhong (H)

Department of Ultrasound, Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

Xiaohua Wang (X)

Department of Anesthesiology, Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

Yanyan Huang (Y)

Department of Ultrasound, Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
Department of Reproductive in Medicine, Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

Qichen Su (Q)

Department of Ultrasound, Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

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