Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score Parameters
Determination of the Bishop score (BS) is a traditional method of assessing the cervix in obstetrics and gynecology. This examination is characterized by subjectivity of assessment and low repeatability. In scientific studies intended to evaluate the results of the procedure based on the initial ass...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-07-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/12/13/4492 |
| _version_ | 1797591430570442752 |
|---|---|
| author | Jakub Mlodawski Marta Mlodawska Justyna Plusajska Karolina Detka Katarzyna Bialek Grzegorz Swiercz |
| author_facet | Jakub Mlodawski Marta Mlodawska Justyna Plusajska Karolina Detka Katarzyna Bialek Grzegorz Swiercz |
| author_sort | Jakub Mlodawski |
| collection | DOAJ |
| description | Determination of the Bishop score (BS) is a traditional method of assessing the cervix in obstetrics and gynecology. This examination is characterized by subjectivity of assessment and low repeatability. In scientific studies intended to evaluate the results of the procedure based on the initial assessment, it is necessary to find an objective scale based on ultrasonography. We selected five ultrasound parameters, measured with a transvaginal transducer, that are equivalent to the individual BS axes (dilatation assessed in three-dimensional ultrasound (DL), angle of progression (AoP), vagino-cervical angle (VCA), strain elastography using the E-Cervix module, and cervical length (CL)). All selected parameters were characterized by good to excellent repeatability (intraclass correlation coefficient (ICC) = 0.878–0.994) and reproducibility (ICC = 0.826–0.996). Each of the selected parameters significantly correlated with its corresponding BS axis. The highest value of the correlation coefficient was achieved with CL (−0.75) and DL (0.71). Other parameters were characterized by an average to high correlation (AoP and station = 0.69, hardness ratio and consistency = −0.33, position and VCA = −0.38). The best correlation with the sum of the BS points was exhibited by AoP (0.52) and CL (−0.61). The selected ultrasound parameters analogous to the BS axes were characterized by high repeatability and significant correlation with the axes of the original clinical BS. Further research into the predictive properties of a multivariate model based on these parameters is needed. |
| first_indexed | 2024-03-11T01:37:19Z |
| format | Article |
| id | doaj.art-9b128a08f8964c74b57a40baa2d94bcb |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T01:37:19Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-9b128a08f8964c74b57a40baa2d94bcb2023-11-18T16:54:44ZengMDPI AGJournal of Clinical Medicine2077-03832023-07-011213449210.3390/jcm12134492Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score ParametersJakub Mlodawski0Marta Mlodawska1Justyna Plusajska2Karolina Detka3Katarzyna Bialek4Grzegorz Swiercz5Collegium Medicum, Jan Kochanowski University, 25-369 Kielce, PolandCollegium Medicum, Jan Kochanowski University, 25-369 Kielce, PolandCollegium Medicum, Jan Kochanowski University, 25-369 Kielce, PolandClinic of Obstetrics and Gynaecology, Provincial Combined Hospital in Kielce, 25-736 Kielce, PolandCollegium Medicum, Jan Kochanowski University, 25-369 Kielce, PolandCollegium Medicum, Jan Kochanowski University, 25-369 Kielce, PolandDetermination of the Bishop score (BS) is a traditional method of assessing the cervix in obstetrics and gynecology. This examination is characterized by subjectivity of assessment and low repeatability. In scientific studies intended to evaluate the results of the procedure based on the initial assessment, it is necessary to find an objective scale based on ultrasonography. We selected five ultrasound parameters, measured with a transvaginal transducer, that are equivalent to the individual BS axes (dilatation assessed in three-dimensional ultrasound (DL), angle of progression (AoP), vagino-cervical angle (VCA), strain elastography using the E-Cervix module, and cervical length (CL)). All selected parameters were characterized by good to excellent repeatability (intraclass correlation coefficient (ICC) = 0.878–0.994) and reproducibility (ICC = 0.826–0.996). Each of the selected parameters significantly correlated with its corresponding BS axis. The highest value of the correlation coefficient was achieved with CL (−0.75) and DL (0.71). Other parameters were characterized by an average to high correlation (AoP and station = 0.69, hardness ratio and consistency = −0.33, position and VCA = −0.38). The best correlation with the sum of the BS points was exhibited by AoP (0.52) and CL (−0.61). The selected ultrasound parameters analogous to the BS axes were characterized by high repeatability and significant correlation with the axes of the original clinical BS. Further research into the predictive properties of a multivariate model based on these parameters is needed.https://www.mdpi.com/2077-0383/12/13/4492induction of laborelastographybishop score |
| spellingShingle | Jakub Mlodawski Marta Mlodawska Justyna Plusajska Karolina Detka Katarzyna Bialek Grzegorz Swiercz Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score Parameters Journal of Clinical Medicine induction of labor elastography bishop score |
| title | Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score Parameters |
| title_full | Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score Parameters |
| title_fullStr | Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score Parameters |
| title_full_unstemmed | Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score Parameters |
| title_short | Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score Parameters |
| title_sort | repeatability and reproducibility of potential ultrasonographic bishop score parameters |
| topic | induction of labor elastography bishop score |
| url | https://www.mdpi.com/2077-0383/12/13/4492 |
| work_keys_str_mv | AT jakubmlodawski repeatabilityandreproducibilityofpotentialultrasonographicbishopscoreparameters AT martamlodawska repeatabilityandreproducibilityofpotentialultrasonographicbishopscoreparameters AT justynaplusajska repeatabilityandreproducibilityofpotentialultrasonographicbishopscoreparameters AT karolinadetka repeatabilityandreproducibilityofpotentialultrasonographicbishopscoreparameters AT katarzynabialek repeatabilityandreproducibilityofpotentialultrasonographicbishopscoreparameters AT grzegorzswiercz repeatabilityandreproducibilityofpotentialultrasonographicbishopscoreparameters |