Comparative Assessment of Uterocervical Angle Using Transvaginal, Transabdominal, and Transperineal Ultrasonography Between 16 and 24 Weeks of Gestation

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Udgivet i:Diagnostics vol. 15, no. 17 (2025), p. 2146-2157
Hovedforfatter: Dagdeviren Emrah
Andre forfattere: Tercan Can, Yeniocak, Ali Selcuk, Busra, Cigdem, Ataseven Elif, Akin, Varlik, Kilic, Mehmet Fatih, Kaya Yucel
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MDPI AG
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022 |a 2075-4418 
024 7 |a 10.3390/diagnostics15172146  |2 doi 
035 |a 3249677349 
045 2 |b d20250101  |b d20251231 
084 |a 231452  |2 nlm 
100 1 |a Dagdeviren Emrah  |u Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul 34480, Turkey; cntrcn89@gmail.com (C.T.); a.s.yeniocak@hotmail.com (A.S.Y.); drbusracigdem@gmail.com (B.C.); dr.elifataseven@gmail.com (E.A.); akinvarlik@yahoo.com (A.V.) 
245 1 |a Comparative Assessment of Uterocervical Angle Using Transvaginal, Transabdominal, and Transperineal Ultrasonography Between 16 and 24 Weeks of Gestation 
260 |b MDPI AG  |c 2025 
513 |a Journal Article 
520 3 |a Objectives: To assess the correlation and agreement of uterocervical angle (UCA) measurements obtained via transabdominal (TAUS), transperineal (TPUS), and transvaginal ultrasound (TVUS) between 16 and 24 weeks of gestation. Methods: In this prospective cross-sectional study, 136 pregnant women underwent UCA and cervical length (CL) assessments using TVUS, TAUS, and TPUS. All measurements were performed by a single experienced operator with an empty bladder. Correlation was assessed using Pearson analysis, while consistency and agreement were evaluated with intraclass correlation coefficient (ICC) and Bland–Altman plots. Results: Mean UCA values differed significantly between modalities (p < 0.001). Moderate correlation (r = 0.547) and consistency (ICC = 0.545) were found between TAUS and TVUS. The Bland–Altman analysis showed a systematic bias of –8° between TAUS and TVUS, with wide limits of agreement (–64° to +32.6°). TPUS showed a higher correlation with TVUS (r = 0.686), but poor consistency (ICC = 0.052), with broader limits of agreement (–32° to +49.2°). Conclusions: Although both TAUS and TPUS showed significant correlation with TVUS for UCA measurement, only TAUS demonstrated moderate consistency, suggesting that it should be used cautiously in clinical practice. TPUS demonstrated considerable variability in individual assessments and does not seem appropriate as a replacement for TVUS. Further studies are needed to validate these findings and improve measurement reliability. 
653 |a Pregnancy 
653 |a Vagina 
653 |a Premature birth 
653 |a Cervix 
653 |a Mortality 
653 |a Ultrasonic imaging 
653 |a Normal distribution 
653 |a Gestational age 
700 1 |a Tercan Can  |u Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul 34480, Turkey; cntrcn89@gmail.com (C.T.); a.s.yeniocak@hotmail.com (A.S.Y.); drbusracigdem@gmail.com (B.C.); dr.elifataseven@gmail.com (E.A.); akinvarlik@yahoo.com (A.V.) 
700 1 |a Yeniocak, Ali Selcuk  |u Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul 34480, Turkey; cntrcn89@gmail.com (C.T.); a.s.yeniocak@hotmail.com (A.S.Y.); drbusracigdem@gmail.com (B.C.); dr.elifataseven@gmail.com (E.A.); akinvarlik@yahoo.com (A.V.) 
700 1 |a Busra, Cigdem  |u Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul 34480, Turkey; cntrcn89@gmail.com (C.T.); a.s.yeniocak@hotmail.com (A.S.Y.); drbusracigdem@gmail.com (B.C.); dr.elifataseven@gmail.com (E.A.); akinvarlik@yahoo.com (A.V.) 
700 1 |a Ataseven Elif  |u Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul 34480, Turkey; cntrcn89@gmail.com (C.T.); a.s.yeniocak@hotmail.com (A.S.Y.); drbusracigdem@gmail.com (B.C.); dr.elifataseven@gmail.com (E.A.); akinvarlik@yahoo.com (A.V.) 
700 1 |a Akin, Varlik  |u Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul 34480, Turkey; cntrcn89@gmail.com (C.T.); a.s.yeniocak@hotmail.com (A.S.Y.); drbusracigdem@gmail.com (B.C.); dr.elifataseven@gmail.com (E.A.); akinvarlik@yahoo.com (A.V.) 
700 1 |a Kilic, Mehmet Fatih  |u Department of Obstetrics and Gynecology, Merkezefendi State Hospital, Manisa 45120, Turkey; drmfatihkilic@gmail.com 
700 1 |a Kaya Yucel  |u Division of Perinatology, Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul 34480, Turkey; yucelkaya0007@gmail.com 
773 0 |t Diagnostics  |g vol. 15, no. 17 (2025), p. 2146-2157 
786 0 |d ProQuest  |t Research Library 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3249677349/abstract/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text + Graphics  |u https://www.proquest.com/docview/3249677349/fulltextwithgraphics/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3249677349/fulltextPDF/embedded/6A8EOT78XXH2IG52?source=fedsrch