Comparative Study of Abdominal Versus Transvaginal Ultrasound for Uterine Artery Doppler Velocimetry at 11 to 13 Weeks
Objectives To compare the first‐trimester uterine artery pulsatility index (PI) measured by abdominal and transvaginal ultrasound (US). Methods We performed a prospective study of singleton pregnant women recruited at 11 to 13 weeks' gestation. The mean uterine artery PI was obtained by abdomin...
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| Veröffentlicht in: | Journal of ultrasound in medicine 2018-07, Vol.37 (7), p.1771-1776 |
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| container_title | Journal of ultrasound in medicine |
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| creator | Demers, Marie‐Elaine Dubé, Samuel Bourdages, Mélodie Gasse, Cedric Boutin, Amélie Girard, Mario Bujold, Emmanuel Demers, Suzanne |
| description | Objectives
To compare the first‐trimester uterine artery pulsatility index (PI) measured by abdominal and transvaginal ultrasound (US).
Methods
We performed a prospective study of singleton pregnant women recruited at 11 to 13 weeks' gestation. The mean uterine artery PI was obtained by abdominal followed by transvaginal US. The mean of the left and right uterine artery PIs was used, and differences between approaches were computed. The intraclass correlation coefficient and a Bland‐Altman plot were used to compare the two approaches.
Results
Data were available for 940 participants, including 928 (99%) with uterine artery PIs obtained on both uterine sides. The mean uterine artery PI decreased with gestational age in both approaches (P |
| doi_str_mv | 10.1002/jum.14530 |
| format | Article |
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To compare the first‐trimester uterine artery pulsatility index (PI) measured by abdominal and transvaginal ultrasound (US).
Methods
We performed a prospective study of singleton pregnant women recruited at 11 to 13 weeks' gestation. The mean uterine artery PI was obtained by abdominal followed by transvaginal US. The mean of the left and right uterine artery PIs was used, and differences between approaches were computed. The intraclass correlation coefficient and a Bland‐Altman plot were used to compare the two approaches.
Results
Data were available for 940 participants, including 928 (99%) with uterine artery PIs obtained on both uterine sides. The mean uterine artery PI decreased with gestational age in both approaches (P < .001). We observed a moderate correlation between abdominal and transvaginal mean uterine artery PIs (intraclass correlation coefficient, 0.72; 95% confidence interval, 0.69 to 0.75). Values obtained by abdominal US (median, 1.70, interquartile range, 1.35 to 2.09) were greater than those obtained by transvaginal US (median, 1.65; interquartile range, 1.37 to 1.99). There was a significant increase in differences as average measurements became higher (P < .01).
Conclusions
The first‐trimester mean uterine artery PI decreases with gestational age in both approaches. Abdominal US could be associated with greater uterine artery PI values than transvaginal US, especially at higher measurements. The first‐trimester uterine artery PI for prediction of adverse perinatal outcomes should be adjusted for gestational age and possibly for the US approach.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.1002/jum.14530</identifier><identifier>PMID: 29319201</identifier><language>eng</language><publisher>England</publisher><subject>Adult ; Cohort Studies ; Doppler (obstetrics) ; Female ; Humans ; Pregnancy ; Pregnancy Trimester, First ; Prospective Studies ; Rheology - methods ; Ultrasonography, Doppler - methods ; Ultrasonography, Prenatal - methods ; ultrasound ; uterine artery ; Uterine Artery - anatomy & histology ; Uterine Artery - diagnostic imaging</subject><ispartof>Journal of ultrasound in medicine, 2018-07, Vol.37 (7), p.1771-1776</ispartof><rights>2018 by the American Institute of Ultrasound in Medicine</rights><rights>2018 by the American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2550-1999470a6ce35950e0c5f965e347bb58ed5358c1489d4955b70a086cbee01ca3</citedby><cites>FETCH-LOGICAL-c2550-1999470a6ce35950e0c5f965e347bb58ed5358c1489d4955b70a086cbee01ca3</cites><orcidid>0000-0003-1317-4168</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjum.14530$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjum.14530$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29319201$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Demers, Marie‐Elaine</creatorcontrib><creatorcontrib>Dubé, Samuel</creatorcontrib><creatorcontrib>Bourdages, Mélodie</creatorcontrib><creatorcontrib>Gasse, Cedric</creatorcontrib><creatorcontrib>Boutin, Amélie</creatorcontrib><creatorcontrib>Girard, Mario</creatorcontrib><creatorcontrib>Bujold, Emmanuel</creatorcontrib><creatorcontrib>Demers, Suzanne</creatorcontrib><title>Comparative Study of Abdominal Versus Transvaginal Ultrasound for Uterine Artery Doppler Velocimetry at 11 to 13 Weeks</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Objectives
To compare the first‐trimester uterine artery pulsatility index (PI) measured by abdominal and transvaginal ultrasound (US).
Methods
We performed a prospective study of singleton pregnant women recruited at 11 to 13 weeks' gestation. The mean uterine artery PI was obtained by abdominal followed by transvaginal US. The mean of the left and right uterine artery PIs was used, and differences between approaches were computed. The intraclass correlation coefficient and a Bland‐Altman plot were used to compare the two approaches.
Results
Data were available for 940 participants, including 928 (99%) with uterine artery PIs obtained on both uterine sides. The mean uterine artery PI decreased with gestational age in both approaches (P < .001). We observed a moderate correlation between abdominal and transvaginal mean uterine artery PIs (intraclass correlation coefficient, 0.72; 95% confidence interval, 0.69 to 0.75). Values obtained by abdominal US (median, 1.70, interquartile range, 1.35 to 2.09) were greater than those obtained by transvaginal US (median, 1.65; interquartile range, 1.37 to 1.99). There was a significant increase in differences as average measurements became higher (P < .01).
Conclusions
The first‐trimester mean uterine artery PI decreases with gestational age in both approaches. Abdominal US could be associated with greater uterine artery PI values than transvaginal US, especially at higher measurements. The first‐trimester uterine artery PI for prediction of adverse perinatal outcomes should be adjusted for gestational age and possibly for the US approach.</description><subject>Adult</subject><subject>Cohort Studies</subject><subject>Doppler (obstetrics)</subject><subject>Female</subject><subject>Humans</subject><subject>Pregnancy</subject><subject>Pregnancy Trimester, First</subject><subject>Prospective Studies</subject><subject>Rheology - methods</subject><subject>Ultrasonography, Doppler - methods</subject><subject>Ultrasonography, Prenatal - methods</subject><subject>ultrasound</subject><subject>uterine artery</subject><subject>Uterine Artery - anatomy & histology</subject><subject>Uterine Artery - diagnostic imaging</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLtOwzAUhi0EoqUw8ALIIwxp7ThO4rEqdxUx0MIYOc4JSkniYCdFeXvcBtiYzkXf-aTzI3ROyZQS4s82XTWlAWfkAI0p58QTIWWHaEz8KPYCX0QjdGLtxqGERsExGvmCUeGGMdoudNVII9tiC_il7bIe6xzP00xXRS1L_ArGdhavjKztVr7vd-uyNdLqrs5wrg1et2CKGvDcuKbH17ppSjDustSqqKB1O9liSnGrMWX4DeDDnqKjXJYWzn7qBK1ub1aLe2_5fPewmC895e_-oEKIICIyVMC44ASI4rkIObAgSlMeQ8YZjxUNYpEFgvPUsSQOVQpAqJJsgi4HbWP0Zwe2TarCKihLWYPubEJFLHjEY5859GpAldHWGsiTxhSVNH1CSbJLOXEpJ_uUHXvxo-3SCrI_8jdWB8wG4Ksoof_flDyunwblNyNehoM</recordid><startdate>201807</startdate><enddate>201807</enddate><creator>Demers, Marie‐Elaine</creator><creator>Dubé, Samuel</creator><creator>Bourdages, Mélodie</creator><creator>Gasse, Cedric</creator><creator>Boutin, Amélie</creator><creator>Girard, Mario</creator><creator>Bujold, Emmanuel</creator><creator>Demers, Suzanne</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1317-4168</orcidid></search><sort><creationdate>201807</creationdate><title>Comparative Study of Abdominal Versus Transvaginal Ultrasound for Uterine Artery Doppler Velocimetry at 11 to 13 Weeks</title><author>Demers, Marie‐Elaine ; Dubé, Samuel ; Bourdages, Mélodie ; Gasse, Cedric ; Boutin, Amélie ; Girard, Mario ; Bujold, Emmanuel ; Demers, Suzanne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2550-1999470a6ce35950e0c5f965e347bb58ed5358c1489d4955b70a086cbee01ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Cohort Studies</topic><topic>Doppler (obstetrics)</topic><topic>Female</topic><topic>Humans</topic><topic>Pregnancy</topic><topic>Pregnancy Trimester, First</topic><topic>Prospective Studies</topic><topic>Rheology - methods</topic><topic>Ultrasonography, Doppler - methods</topic><topic>Ultrasonography, Prenatal - methods</topic><topic>ultrasound</topic><topic>uterine artery</topic><topic>Uterine Artery - anatomy & histology</topic><topic>Uterine Artery - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Demers, Marie‐Elaine</creatorcontrib><creatorcontrib>Dubé, Samuel</creatorcontrib><creatorcontrib>Bourdages, Mélodie</creatorcontrib><creatorcontrib>Gasse, Cedric</creatorcontrib><creatorcontrib>Boutin, Amélie</creatorcontrib><creatorcontrib>Girard, Mario</creatorcontrib><creatorcontrib>Bujold, Emmanuel</creatorcontrib><creatorcontrib>Demers, Suzanne</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Demers, Marie‐Elaine</au><au>Dubé, Samuel</au><au>Bourdages, Mélodie</au><au>Gasse, Cedric</au><au>Boutin, Amélie</au><au>Girard, Mario</au><au>Bujold, Emmanuel</au><au>Demers, Suzanne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative Study of Abdominal Versus Transvaginal Ultrasound for Uterine Artery Doppler Velocimetry at 11 to 13 Weeks</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2018-07</date><risdate>2018</risdate><volume>37</volume><issue>7</issue><spage>1771</spage><epage>1776</epage><pages>1771-1776</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Objectives
To compare the first‐trimester uterine artery pulsatility index (PI) measured by abdominal and transvaginal ultrasound (US).
Methods
We performed a prospective study of singleton pregnant women recruited at 11 to 13 weeks' gestation. The mean uterine artery PI was obtained by abdominal followed by transvaginal US. The mean of the left and right uterine artery PIs was used, and differences between approaches were computed. The intraclass correlation coefficient and a Bland‐Altman plot were used to compare the two approaches.
Results
Data were available for 940 participants, including 928 (99%) with uterine artery PIs obtained on both uterine sides. The mean uterine artery PI decreased with gestational age in both approaches (P < .001). We observed a moderate correlation between abdominal and transvaginal mean uterine artery PIs (intraclass correlation coefficient, 0.72; 95% confidence interval, 0.69 to 0.75). Values obtained by abdominal US (median, 1.70, interquartile range, 1.35 to 2.09) were greater than those obtained by transvaginal US (median, 1.65; interquartile range, 1.37 to 1.99). There was a significant increase in differences as average measurements became higher (P < .01).
Conclusions
The first‐trimester mean uterine artery PI decreases with gestational age in both approaches. Abdominal US could be associated with greater uterine artery PI values than transvaginal US, especially at higher measurements. The first‐trimester uterine artery PI for prediction of adverse perinatal outcomes should be adjusted for gestational age and possibly for the US approach.</abstract><cop>England</cop><pmid>29319201</pmid><doi>10.1002/jum.14530</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1317-4168</orcidid></addata></record> |
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| ispartof | Journal of ultrasound in medicine, 2018-07, Vol.37 (7), p.1771-1776 |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Adult Cohort Studies Doppler (obstetrics) Female Humans Pregnancy Pregnancy Trimester, First Prospective Studies Rheology - methods Ultrasonography, Doppler - methods Ultrasonography, Prenatal - methods ultrasound uterine artery Uterine Artery - anatomy & histology Uterine Artery - diagnostic imaging |
| title | Comparative Study of Abdominal Versus Transvaginal Ultrasound for Uterine Artery Doppler Velocimetry at 11 to 13 Weeks |
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