Iranian Journal of Radiology

Published by: Kowsar

Evaluation of a Healthy Pregnant Placenta with Shear Wave Elastography

Ayşegül Altunkeser 1 , * , Ender Alkan 2 , Oğuzhan Günenç 3 , İsmet Tolu 1 and Muslu Kazım Körez 4
Authors Information
1 Department of Radiology, Konya Training and Research Hospital, University of Health Sciences, Konya, Turkey
2 Department of Radiology, Aksaray Training and Research Hospital, Aksaray, Turkey
3 Department of Obstetrics and Gynecology, Konya Trainning and Research Hospital, University of Health Sciences, Konya, Turkey
4 Department of Statistics, Faculty of Science, Selcuk University, Konya, Turkey
Article information
  • Iranian Journal of Radiology: January 31, 2019, 16 (1); e68280
  • Published Online: October 3, 2018
  • Article Type: Research Article
  • Received: March 4, 2018
  • Revised: August 8, 2018
  • Accepted: August 18, 2018
  • DOI: 10.5812/iranjradiol.68280

To Cite: Altunkeser A, Alkan E, Günenç O, Tolu İ, Körez M K. Evaluation of a Healthy Pregnant Placenta with Shear Wave Elastography, Iran J Radiol. 2019 ; 16(1):e68280. doi: 10.5812/iranjradiol.68280.

Copyright © 2018, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Wells PN, Liang HD. Medical ultrasound: Imaging of soft tissue strain and elasticity. J R Soc Interface. 2011;8(64):1521-49. doi: 10.1098/rsif.2011.0054. [PubMed: 21680780]. [PubMed Central: PMC3177611].
  • 2. Shiina T, Nightingale KR, Palmeri ML, Hall TJ, Bamber JC, Barr RG, et al. WFUMB guidelines and recommendations for clinical use of ultrasound elastography: Part 1: Basic principles and terminology. Ultrasound Med Biol. 2015;41(5):1126-47. doi: 10.1016/j.ultrasmedbio.2015.03.009. [PubMed: 25805059].
  • 3. Palmeri ML, McAleavey SA, Fong KL, Trahey GE, Nightingale KR. Dynamic mechanical response of elastic spherical inclusions to impulsive acoustic radiation force excitation. IEEE Trans Ultrason Ferroelectr Freq Control. 2006;53(11):2065-79. doi: 10.1109/TUFFC.2006.146. [PubMed: 17091842]. [PubMed Central: PMC1815395].
  • 4. Nightingale K, Bentley R, Trahey G. Observations of tissue response to acoustic radiation force: Opportunities for imaging. Ultrason Imaging. 2002;24(3):129-38. doi: 10.1177/016173460202400301. [PubMed: 12503770].
  • 5. Athanasiou A, Tardivon A, Tanter M, Sigal-Zafrani B, Bercoff J, Deffieux T, et al. Breast lesions: Quantitative elastography with supersonic shear imaging--preliminary results. Radiology. 2010;256(1):297-303. doi: 10.1148/radiol.10090385. [PubMed: 20505064].
  • 6. Bamber J, Cosgrove D, Dietrich CF, Fromageau J, Bojunga J, Calliada F, et al. EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 1: Basic principles and technology. Ultraschall Med. 2013;34(2):169-84. doi: 10.1055/s-0033-1335205. [PubMed: 23558397].
  • 7. Arda K, Ciledag N, Aktas E, Aribas BK, Kose K. Quantitative assessment of normal soft-tissue elasticity using shear-wave ultrasound elastography. AJR Am J Roentgenol. 2011;197(3):532-6. doi: 10.2214/AJR.10.5449. [PubMed: 21862792].
  • 8. Friedrich-Rust M, Nierhoff J, Lupsor M, Sporea I, Fierbinteanu-Braticevici C, Strobel D, et al. Performance of acoustic radiation force impulse imaging for the staging of liver fibrosis: A pooled meta-analysis. J Viral Hepat. 2012;19(2):e212-9. doi: 10.1111/j.1365-2893.2011.01537.x. [PubMed: 22239521].
  • 9. Yashima Y, Sasahira N, Isayama H, Kogure H, Ikeda H, Hirano K, et al. Acoustic radiation force impulse elastography for noninvasive assessment of chronic pancreatitis. J Gastroenterol. 2012;47(4):427-32. doi: 10.1007/s00535-011-0491-x. [PubMed: 22065162].
  • 10. Wu S, Nan R, Li Y, Cui X, Liang X, Zhao Y. Measurement of elasticity of normal placenta using the virtual touch quantification technique. Ultrasonography. 2016;35(3):253-7. doi: 10.14366/usg.16002. [PubMed: 27184654]. [PubMed Central: PMC4939723].
  • 11. Chen KH, Chen LR, Lee YH. Exploring the relationship between preterm placental calcification and adverse maternal and fetal outcome. Ultrasound Obstet Gynecol. 2011;37(3):328-34. doi: 10.1002/uog.7733. [PubMed: 20586039].
  • 12. Cimsit C, Yoldemir T, Akpinar IN. Shear wave elastography in placental dysfunction: Comparison of elasticity values in normal and preeclamptic pregnancies in the second trimester. J Ultrasound Med. 2015;34(1):151-9. doi: 10.7863/ultra.34.1.151. [PubMed: 25542951].
  • 13. Kilic F, Kayadibi Y, Yuksel MA, Adaletli I, Ustabasioglu FE, Oncul M, et al. Shear wave elastography of placenta: In vivo quantitation of placental elasticity in preeclampsia. Diagn Interv Radiol. 2015;21(3):202-7. doi: 10.5152/dir.2014.14338. [PubMed: 25858523]. [PubMed Central: PMC4463268].
  • 14. Ohmaru T, Fujita Y, Sugitani M, Shimokawa M, Fukushima K, Kato K. Placental elasticity evaluation using virtual touch tissue quantification during pregnancy. Placenta. 2015;36(8):915-20. doi: 10.1016/j.placenta.2015.06.008. [PubMed: 26149518].
  • 15. Marcy PY, Thariat J, Lacout A. Should we catch the train of shear-wave elastography? AJR Am J Roentgenol. 2012;198(6):W624-5. author reply W626. doi: 10.2214/AJR.11.8078. [PubMed: 22623583].
  • 16. Sebag F, Vaillant-Lombard J, Berbis J, Griset V, Henry JF, Petit P, et al. Shear wave elastography: A new ultrasound imaging mode for the differential diagnosis of benign and malignant thyroid nodules. J Clin Endocrinol Metab. 2010;95(12):5281-8. doi: 10.1210/jc.2010-0766. [PubMed: 20881263].
  • 17. Arda K, Ciledag N, Gumusdag P. Differential diagnosis of malignant cervical lymph nodes at real-time ultrasonographic elastography and Doppler ultrasonography. Hung Radiol Online. 2010;6:12-5.
  • 18. Golatta M, Schweitzer-Martin M, Harcos A, Schott S, Junkermann H, Rauch G, et al. Normal breast tissue stiffness measured by a new ultrasound technique: Virtual touch tissue imaging quantification (VTIQ). Eur J Radiol. 2013;82(11):e676-9. doi: 10.1016/j.ejrad.2013.06.029. [PubMed: 23932637].
  • 19. Fontanilla T, Canas T, Macia A, Alfageme M, Gutierrez Junquera C, Malalana 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):470-7. doi: 10.1016/j.ultrasmedbio.2013.10.024. [PubMed: 24361222].
  • 20. Soliman AA, Wojcinski S, Degenhardt F. Ultrasonographic examination of the endometrium and myometrium using acoustic radiation force impulse (ARFI) imaging technology: An initial experience with a new method. Clin Hemorheol Microcirc. 2015;59(3):235-43. doi: 10.3233/CH-141842. [PubMed: 24840338].
  • 21. Sugitani M, Fujita Y, Yumoto Y, Fukushima K, Takeuchi T, Shimokawa M, et al. A new method for measurement of placental elasticity: Acoustic radiation force impulse imaging. Placenta. 2013;34(11):1009-13. doi: 10.1016/j.placenta.2013.08.014. [PubMed: 24075540].
  • 22. Vinnars MT, Nasiell J, Ghazi S, Westgren M, Papadogiannakis N. The severity of clinical manifestations in preeclampsia correlates with the amount of placental infarction. Acta Obstet Gynecol Scand. 2011;90(1):19-25. doi: 10.1111/j.1600-0412.2010.01012.x. [PubMed: 21275911].
  • 23. Hladunewich M, Karumanchi SA, Lafayette R. Pathophysiology of the clinical manifestations of preeclampsia. Clin J Am Soc Nephrol. 2007;2(3):543-9. doi: 10.2215/CJN.03761106. [PubMed: 17699462].
  • 24. Saha S, Biswas S, Mitra D, Adhikari A, Saha C. Histologic and morphometric study of human placenta in gestational diabetes mellitus. Ital J Anat Embryol. 2014;119(1):1-9. [PubMed: 25345070].
  • 25. Yuksel MA, Kilic F, Kayadibi Y, Alici Davutoglu E, Imamoglu M, Bakan S, et al. Shear wave elastography of the placenta in patients with gestational diabetes mellitus. J Obstet Gynaecol. 2016;36(5):585-8. doi: 10.3109/01443615.2015.1110120. [PubMed: 27012734].
  • 26. Cim N, Tolunay HE, Boza B, Arslan H, Ates C, Ilik I, et al. Use of ARFI elastography in the prediction of placental invasion anomaly via a new virtual touch quantification technique. J Obstet Gynaecol. 2018:1-5. doi: 10.1080/01443615.2018.1433646. [PubMed: 29564950].
  • 27. Li WJ, Wei ZT, Yan RL, Zhang YL. Detection of placenta elasticity modulus by quantitative real-time shear wave imaging. Clin Exp Obstet Gynecol. 2012;39(4):470-3. [PubMed: 23444746].
  • 28. Doherty JR, Trahey GE, Nightingale KR, Palmeri ML. Acoustic radiation force elasticity imaging in diagnostic ultrasound. IEEE Trans Ultrason Ferroelectr Freq Control. 2013;60(4):685-701. doi: 10.1109/TUFFC.2013.2617. [PubMed: 23549529]. [PubMed Central: PMC3679553].
  • 29. Chen CY, Su HW, Pai SH, Hsieh CW, Jong TL, Hsu CS, et al. Evaluation of placental maturity by the sonographic textures. Arch Gynecol Obstet. 2011;284(1):13-8. doi: 10.1007/s00404-010-1555-5. [PubMed: 20556406].
  • 30. Palmeri ML, Frinkley KD, Nightingale KR. Experimental studies of the thermal effects associated with radiation force imaging of soft tissue. Ultrason Imaging. 2004;26(2):100-14. doi: 10.1177/016173460402600203. [PubMed: 15344414].

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