Study on the repeatability of shear wave elastography in measuring cervical hardness

Shi Fengshuo; Wang Hui; Zhang Zhijun; Zhang Yan; Cui Liqing; Cai Lu

doi:10.13406/j.cnki.cyxb.003223

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Study on the repeatability of shear wave elastography in measuring cervical hardness

Clinical research | 更新时间：2025-10-21

- Study on the repeatability of shear wave elastography in measuring cervical hardness
- Journal of Chongqing Medical University Vol. 48, Issue 5, Pages: 587-590(2023)
- 作者机构：
  
  重庆医科大学附属大学城医院超声科，重庆 401331
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.003223
  CLC： R445.1
- Received：22 June 2022，
  
  Revised：2022-10-09，
  
  Accepted：03 January 2023，
  
  Published：28 May 2023
- 稿件说明：
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石丰硕,王惠,张志君,等.剪切波弹性成像测量宫颈硬度的可重复性研究[J].重庆医科大学学报,2023,48(5):587-590.

Shi Fengshuo,Wang Hui,Zhang Zhijun,et al.Study on the repeatability of shear wave elastography in measuring cervical hardness[J].Journal of Chongqing Medical University,2023,48(5):587-590.
石丰硕,王惠,张志君,等.剪切波弹性成像测量宫颈硬度的可重复性研究[J].重庆医科大学学报,2023,48(5):587-590. DOI： 10.13406/j.cnki.cyxb.003223.

Shi Fengshuo,Wang Hui,Zhang Zhijun,et al.Study on the repeatability of shear wave elastography in measuring cervical hardness[J].Journal of Chongqing Medical University,2023,48(5):587-590. DOI： 10.13406/j.cnki.cyxb.003223.

摘要

目的

评价剪切波弹性成像（shear wave elastography，SWE）测量育龄期健康未育女性宫颈杨氏模量值的可重复性。

方法

由同一名接受过SWE检测培训的高年资医师于同一天不同时间点，前后2次对100名处于育龄期但未育的健康女性宫颈行剪切波弹性成像，测量时选取宫颈4个位点：内口前唇（anterior lip of the inner mouth，IA）、内口后唇（posterior lip of the inner mouth，IP）、外口前唇（anterior lip of the outer mouth，EA）及外口后唇（posterior lip of the outer mouth，EP），获取育龄期健康未育女性宫颈杨氏模量值。使用组内相关系数（interclass correlation coefficient，ICC）评价检查者内可重复性，同时绘制Bland-Altman散点图评价测量一致性。

结果

宫颈4个测量位点的前后2次测值均无统计学差异（

0.05）；宫颈IA、EA、EP处杨氏模量值的组内相关系数分别为0.828、0.785、0.768，提示组内可重复性非常好；宫颈IP处杨氏模量值的组内相关系数

为0.632，提示组内可重复性好；Bland-Altman散点图提示SWE测量宫颈4个位点杨氏模量值的组内一致性均为好。

结论

SWE可用于宫颈硬度的测量，且在宫颈不同位点均具有良好的可重复性与一致性。

Abstract

Objective

To assess the repeatability of shear wave elastography（SWE） in the measurement of cervical Young's modulus in healthy childless women of childbearing age.

Methods

SWE was performed twice on the cervix of 100 healthy childless women of childbearing age on the same day and at different time points by the same senior physician who had received SWE testing training. The cervical Young's modulus value in healthy childless women of childbearing age was obtained by measuring the following four sites of cervix：anterior lip of the inner mouth（IA），posterior lip of the inner mouth（IP），anterior lip of the outer mouth（EA） and posterior lip of the outer mouth（EP）. Interclass correlation coefficient（ICC） was used to evaluate the intra-group repeatability，and Bland-Altman scatter plot was performed to assess the consistency of the measurement.

Results

There were no statistical significances between the two measurements of the four sites of cervix（

0.05）. The intra -group correlation coefficients of Young's modulus at IA，EA and EP were 0.828，0.785 and 0.768 respectively，indicating quite satisfactory repeatability. The intra-group correlation coefficient of Young's modulus at IP was 0.632，indicating satisfactory repeatability. And Bland-Altman scatter plot indicated preferable intra-group consistency of Young's modulus measured by SWE at four sites of cervix.

Conclusion

SWE can be used to measure cervical hardness，and has good repeatability and consistency at different sites of cervix.

关键词

Keywords

references

于亚男，常洁文，米亚儒，等 . 超声弹性成像技术评价周围神经病变研究概况 [J ] . 中国医药导刊， 2022 ， 24 （ 3 ）： 248 - 252 .

Yu YN ， Chang JW ， Mi YR ， et al . Research overview of the evaluation of peripheral neuropathy by ultrasonic elastography [J ] . Chin J Med Guide ， 2022 ， 24 （ 3 ）： 248 - 252 .

Schmalzl J ， Fenwick A ， Boehm D ， et al . The application of ultrasound elastography in the shoulder [J ] . J Shoulder Elb Surg ， 2017 ， 26 （ 12 ）： 2236 - 2246 .

张菁菁，徐海飞，李统怀，等 . 声辐射力脉冲成像联合应力式弹性成像诊断子宫肌瘤变性的应用价值 [J ] . 临床超声医学杂志， 2020 ， 22 （ 11 ）： 843 - 846 .

Zhang JJ ， Xu HF ， Li TH ， et al . Application value of acoustic radiation force impulse imaging combined with stress elastography in the diagnosis of hysteromyoma degeneration [J ] . J Clin Ultrasound Med ， 2020 ， 22 （ 11 ）： 843 - 846 .

黄点点，陈路增，邢海英，等 . 正中神经剪切波弹性成像的可重复性评价 [J ] . 中国医学影像学杂志， 2018 ， 26 （ 5 ）： 383 - 387 .

Huang DD ， Chen LZ ， Xing HY ， et al . Repeatability of shear wave elastography on Median nerve [J ] . Chin J Med Imaging ， 2018 ， 26 （ 5 ）： 383 - 387 .

Agarwal A ， Agarwal S ， Chandak S . Role of acoustic radiation force impulse and shear wave velocity in prediction of preterm birth：a prospective study [J ] . Acta Radiol ， 2018 ， 59 （ 6 ）： 755 - 762 .

Ono T ， Katsura D ， Yamada K ， et al . Use of ultrasound shear-wave elastography to evaluate change in cervical stiffness during pregnancy [J ] . J Obstet Gynaecol Res ， 2017 ， 43 （ 9 ）： 1405 - 1410 .

Jansen C ， Möller P ， Meyer C ， et al . Increase in liver stiffness after transjugular intrahepatic portosystemic shunt is associated with inflammation and predicts mortality [J ] . Hepatology ， 2018 ， 67 （ 4 ）： 1472 - 1484 .

乔晓慧，邢晋放 . 剪切波超声弹性成像的原理及临床应用现状 [J ] . 中国介入影像与治疗学， 2015 ， 12 （ 8 ）： 512 - 515 .

Qiao XH ， Xing JF . Principles and clinical application of shear wave elastography [J ] . Chin J Interv Imaging Ther ， 2015 ， 12 （ 8 ）： 512 - 515 .

李　凌，熊　雯，陈　琴，等 . 经阴道宫颈剪切波弹性成像预测早产 [J ] . 中国介入影像与治疗学， 2021 ， 18 （ 7 ）： 406 - 410 .

Li L ， Xiong W ， Chen Q ， et al . Transvaginal cervical shear wave elastography for evaluating preterm birth [J ] . Chin J Interv Imaging Ther ， 2021 ， 18 （ 7 ）： 406 - 410 .

Gemici AA ， Gulsever AB ， Tunca AF ， et al . Shear wave elastography of the uterine cervix under different conditions with inter-operator agreement analysis [J ] . Pol J Radiol ， 2020 ， 85 ： e245 - e249 .

Manchanda S ， Vora Z ， Sharma R ， et al . Quantitative sonoelastographic assessment of the normal uterus using shear wave elastography：an initial experience [J ] . J Ultrasound Med ， 2019 ， 38 （ 12 ）： 3183 - 3189 .

Du L ， Lin MF ， Wu LH ， et al . Quantitative elastography of cervical stiffness during the three trimesters of pregnancy with a semiautomatic measurement program：a longitudinal prospective pilot study [J ] . J Obstet Gynaecol Res ， 2020 ， 46 （ 2 ）： 237 - 248 .

张　敏 . 超声弹性成像及阴道超声检查在子宫颈占位性病变诊断中的对比研究 [J ] . 蚌埠医学院学报， 2011 ， 36 （ 4 ）： 398 - 400，404 .

Zhang M . Comparative study of real-time elastography and transvaginal ultrasonography in diagnosis of cervical occupied lesions [J ] . J Bengbu Med Coll ， 2011 ， 36 （ 4 ）： 398 - 400，404 .

郑　璇，杨　铖，石楠 . 宫颈组织剪切波弹性成像技术对流产及早产的预测价值 [J ] . 中国超声医学杂志， 2022 ， 38 （ 1 ）： 99 - 102 .

Zheng X ， Yang C ， Shi N . Study on the predictive value of cervical tissue shear-wave elastic imagingfor abortion and premature delivery [J ] . Chin J Ultrasound Med ， 2022 ， 38 （ 1 ）： 99 - 102 .

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