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Related Experiment Video

Updated: Oct 21, 2025

High Frequency Ultrasound for the Analysis of Fetal and Placental Development In Vivo
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Changes in placental elastography in the third trimester - Analysis using a linear mixed effect model.

Christopher Edwards1, Erika Cavanagh1, Sailesh Kumar2

  • 1School of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, 4000, Australia; Mater Research Institute-University of Queensland, Level 3 Aubigny Place, Raymond Terrace, South Brisbane, QLD, 4000, Australia; Centre for Biomedical Technologies, Queensland University of Technology, Brisbane, QLD, 4000, Australia.

Placenta
|September 9, 2021
PubMed
Summary
This summary is machine-generated.

Ultrasound elastography measures placental shear wave velocity (SWV). Gestational age and amniotic fluid index (AFI) have minimal impact on SWV in the third trimester, aiding future pregnancy management.

Keywords:
In vivoPlacentaPlacental elasticityShear-wave elastographyUltrasoundlongitudinal study

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Area of Science:

  • Obstetrics and Gynecology
  • Medical Imaging
  • Fetal Medicine

Background:

  • Ultrasound elastography is being researched for assessing placental health.
  • Uteroplacental dysfunction assessment using elastography requires understanding influencing factors.
  • Limited data exists on maternal and fetal factors affecting placental shear wave velocity (SWV).

Purpose of the Study:

  • To evaluate longitudinal changes in placental SWV throughout gestation.
  • To model SWV changes with maternal and fetal physiological characteristics.
  • To identify key predictors of placental SWV in singleton pregnancies.

Main Methods:

  • Longitudinal data collected from 238 singleton pregnancies (629 data points) in the 3rd trimester.
  • Linear mixed-effects model regression analysis employed.
  • Ten potential predictor variables were assessed for their impact on SWV.

Main Results:

  • Gestational age, amniotic fluid index (AFI), body mass index (BMI), and sample depth were significant predictors of placental SWV.
  • Gestational age and AFI demonstrated only a minimal impact on SWV.
  • Sophisticated statistical modeling indicated minimal influence from many expected third-trimester maternal and fetal changes.

Conclusions:

  • Placental SWV is minimally affected by gestational age and AFI in the third trimester.
  • Understanding factors influencing placental SWV is crucial for its clinical application in managing placental dysfunction.
  • Elastography shows potential for pregnancy management, but influencing factors require careful consideration.