en
1726-7536
1735-8507
69
2139
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gregorian
2017
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online
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fulltext
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29062797
Value of "Three Dimensional Multidetector CT Hysterosalpingography" in Infertile Patients with Non-Contributory Hysterosalpingography: A Prospective Study
<p>Background: Infertility is a common health problem requiring imaging to delineate the anatomical causes in women. Three dimensional multi-detector computed tomography hysterosalpingography (3D-MDCT-HSG) offers an easy workup for uterine, tubal and peritoneal factors.<br />
Methods: To present the spectrum of uterine, tubal and peritoneal factors on 3D- MDCT-HSG and determine its diagnostic accuracy for female factor infertility, a prospective study was conducted on 25 infertile women with non-diagnostic HSG from November 2012 to March 2014. Sixty four slice MDCT acquired the scan during pre-ovulatory phase by contrast instillation into uterine cavity. A blinded reviewer interpreted the 3D-MDCT-HSG and results were compared with final diagnosis made on hystero-laproscopy in 22 patients. Diagnostic accuracy of 3D-MDCT-HSG for various factors was expressed as sensitivity, specificity, positive and negative predictive value.<br />
Results: MDCT-HSG demonstrated definite findings in 96% of patients having non-diagnostic HSG. In this study, tubal, uterine and peritoneal abnormalities were present in 68.75%, 56% and 32% of cases, respectively. 48 tubes in 25 patients were evaluated of which 22 tubes were blocked constituting the commonest finding present in 15 (60%) patients. The sensitivity, specificity, positive predictive value and negative predictive value for uterine factors was 83.33% ,100%, 100% and 96.84%, respectively, for tubal factors 93.55%, 94.68%, 85.29% and 96.83%, respectively and for peritoneal factors 62.5%, 92%, 71.43% and 88.46%, respectively. Mean effective radiation dose was 1.76±0.18 <em>mSv</em> in MDCT-HSG.<br />
Conclusion: 3D-MDCT-HSG can detect various factors responsible for female infertility especially tubal and uterine; in cases where HSG fails to clearly delineate the pathology.</p>
Female factor, Hystero-laparoscopy, Hysterosalpangiography, Infertility, Multidetector CT
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https://www.jri.ir/article/707
https://www.jri.ir/documents/fullpaper/en/707.pdf
ShuchiBhattGuru Teg Bahadur Hospital, New Delhi, Indiadrshuchi@hotmail.com1701
MurtazaSumbulGuru Teg Bahadur Hospital, New Delhi, India1702
RajpalRajpalGuru Teg Bahadur Hospital, New Delhi, India1703
GitaRadhakrishnanDepartment of Obstetrics and Gynaecology, University College of Medical Sciences, Delhi University, New Delhi, India1704