Evaluation of placenta and fetal lung using shear wave elastography in gestational diabetes mellitus: An innovative approach

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dc.authoridInce, Onur/0000-0003-2263-8956
dc.authorid, Sevim Tuncer Can/0000-0003-3119-1148
dc.authoridBayraktar, Burak/0000-0001-6233-4207
dc.authoridGolbasi, Hakan/0000-0001-8682-5537
dc.authoridEkin, Atalay/0000-0002-4712-3927
dc.contributor.authorBayraktar, Burak
dc.contributor.authorGolbasi, Hakan
dc.contributor.authorOmeroglu, Ibrahim
dc.contributor.authorGolbasi, Ceren
dc.contributor.authorCan, Sevim Tuncer
dc.contributor.authorInce, Onur
dc.contributor.authorBayraktar, Miyase Gizem
dc.date.accessioned2025-03-20T09:51:04Z
dc.date.available2025-03-20T09:51:04Z
dc.date.issued2024
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractPurpose This study aims to investigate placental and fetal lung stiffness in pregnant women with and without gestational diabetes, considering the well-established delay in fetal lung maturation associated with gestational diabetes. Materials and Methods This prospective cohort study was conducted at a tertiary center and included pregnant women who underwent a 75-gram oral glucose tolerance test between 24-28 weeks of gestation. Elastography measurements were performed using point shear wave elastography (pSWE). Results The study included 60 pregnant women diagnosed with gestational diabetes and 60 pregnant women in the control group. The SWE velocity of the peripheral placenta, central placenta, and lung was higher in the gestational diabetes group compared to the control group. Furthermore, the SWE velocity of the peripheral placenta, central placenta, and lung was higher in newborns with neonatal respiratory morbidity. Based on the ROC analysis of patients with gestational diabetes, the AUC for lung SWE velocity was 0.88 (cut-off 12.4 kPa, 95% CI: 0.77-0.99, p<0.001) with a sensitivity of 71.4% and specificity of 95.6% for predicting neonatal respiratory morbidity. Conclusion Fetal placental and lung stiffness increase in fetuses of pregnant women with diabetes. Moreover, higher fetal lung stiffness during the fetal period is associated with increased neonatal respiratory morbidity.
dc.identifier.doi10.1055/a-2323-0941
dc.identifier.issn0172-4614
dc.identifier.issn1438-8782
dc.identifier.pmid38729175
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1055/a-2323-0941
dc.identifier.urihttps://hdl.handle.net/20.500.14034/2393
dc.identifier.wosWOS:001347727600001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherGeorg Thieme Verlag Kg
dc.relation.ispartofUltraschall in Der Medizin
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250319
dc.subjectshear wave elastography
dc.subjectstiffness
dc.subjectfetal lung elastography
dc.subjectgestational diabetes
dc.subjectneonatal respiratory morbidity
dc.titleEvaluation of placenta and fetal lung using shear wave elastography in gestational diabetes mellitus: An innovative approach
dc.typeArticle

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