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Article

A Preliminary Study on the Safety of Elastography during Pregnancy: Hypoacusia, Anthropometry, and Apgar Score in Newborns

by
Paloma Massó
1,2,
Juan Melchor
2,3,4,*,
Guillermo Rus
2,4,5 and
Francisca Sonia Molina
2,6
1
Department of Preventive Medicine, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain
2
Biomechanics Group (TEC-12), Instituto de Investigación Biosanitaria, ibs.GRANADA, 18012 Granada, Spain
3
Department of Statistics and Operations Research, University of Granada, 18071 Granada, Spain
4
Excellence Research Unit “ModelingNature” MNat, University of Granada, 18071 Granada, Spain
5
Department of Structural Mechanics, University of Granada, 18071 Granada, Spain
6
Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynaecology, Hospital Universitario San Cecilio, 18016 Granada, Spain
*
Author to whom correspondence should be addressed.
Diagnostics 2020, 10(11), 967; https://doi.org/10.3390/diagnostics10110967
Submission received: 27 October 2020 / Revised: 12 November 2020 / Accepted: 16 November 2020 / Published: 18 November 2020
(This article belongs to the Special Issue Elastography 2.0)
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Abstract

Transient or acoustic radiation force elastography (ARFE) is becoming the most extended technology to assess cervical effacement, additionally to the Bishop test and conventional ultrasound. However, a debate on the fetal safety has been opened due to the high intensity focused beam emitted to produce shear waves. This work is aimed at providing preliminary data to assess clinical effects of fetal exposure. A follow-up study in newborns of 42 women exposed to ARFE during pregnancy was carried out to explore neonatal hypoacusia, Apgar test, and anthropometry. No hypoacusia cases attributable to ARFE were observed. The Apgar test at five minutes scored normally in all the newborns. Comparisons between anthropometric measurements showed no significant statistically differences. The results preclude to state the harmfulness nor the safety of ARFE. However, given the concern on the high level of energy and the potential risk of harmful bioeffects, larger studies are recommended.
Keywords: elastography; ARFE; fetal safety; ultrasound safety; hypoacusia; anthropometric measurements; Apgar test score elastography; ARFE; fetal safety; ultrasound safety; hypoacusia; anthropometric measurements; Apgar test score

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MDPI and ACS Style

Massó, P.; Melchor, J.; Rus, G.; Molina, F.S. A Preliminary Study on the Safety of Elastography during Pregnancy: Hypoacusia, Anthropometry, and Apgar Score in Newborns. Diagnostics 2020, 10, 967. https://doi.org/10.3390/diagnostics10110967

AMA Style

Massó P, Melchor J, Rus G, Molina FS. A Preliminary Study on the Safety of Elastography during Pregnancy: Hypoacusia, Anthropometry, and Apgar Score in Newborns. Diagnostics. 2020; 10(11):967. https://doi.org/10.3390/diagnostics10110967

Chicago/Turabian Style

Massó, Paloma, Juan Melchor, Guillermo Rus, and Francisca Sonia Molina. 2020. "A Preliminary Study on the Safety of Elastography during Pregnancy: Hypoacusia, Anthropometry, and Apgar Score in Newborns" Diagnostics 10, no. 11: 967. https://doi.org/10.3390/diagnostics10110967

APA Style

Massó, P., Melchor, J., Rus, G., & Molina, F. S. (2020). A Preliminary Study on the Safety of Elastography during Pregnancy: Hypoacusia, Anthropometry, and Apgar Score in Newborns. Diagnostics, 10(11), 967. https://doi.org/10.3390/diagnostics10110967

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