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Quantitative Evaluation of Neonatal Brain Elasticity Using Shear Wave Elastography
Author(s) -
Garcés Iñigo Enrique,
Llorens Salvador Roberto,
Escrig Raquel,
Hervás David,
Vento Máximo,
MartíBonmatí Luis
Publication year - 2021
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.1002/jum.15464
Subject(s) - medicine , confidence interval , elastography , white matter , gestational age , corona radiata (embryology) , thalamus , echogenicity , ultrasound , elasticity (physics) , nuclear medicine , porencephaly , radiology , pregnancy , magnetic resonance imaging , pathology , genetics , materials science , ovarian follicle , biology , hormone , cumulus oophorus , composite material
Objectives To demonstrate the feasibility of 2‐dimensional brain ultrasound shear wave elastography (SWE) and to define the average elasticity values of the gray and white matter in term neonates. Methods This work was a prospective observational single‐center study including 55 healthy term neonates consecutively recruited in the maternity ward between the second and third postnatal days. All were successfully evaluated with a cerebral SWE examination performed with a multifrequency 4–9‐MHz transducer. Bilateral sagittal planes of the thalamus and corona radiata were used to measure stiffness using a quantitative SWE method. Several elastograms with 5 to 15 nonoverlapping areas were obtained from the 2 different anatomic locations. The 5 most central measurements were averaged as representative values. Results The 55 neonates ranged from 37 to 40 weeks' gestation. The estimated mean velocity values of the thalamus (1.17 m/s; 95% confidence interval, 1.13, 1.22 m/s) and corona radiata (1.60 m/s; 95% confidence interval, 1.57, 1.64 m/s) were statistically different ( P < .001). There was no significant influence of laterality, gestational age, cephalic perimeter, sex, length, or type of delivery on the stiffness measurements. Conclusions Brain ultrasound SWE is feasible and allows measurements of neonatal brain elasticity. The elasticity of the thalamus and corona radiata at the frontal white matter in healthy term neonates is different. The knowledge of normal SWE ranges in term neonates allows comparative studies under pathologic conditions.