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Paper Information

Journal:   JOURNAL OF REPRODUCTION AND INFERTILITY   2017 , Volume 18 , Number 3; Page(s) 323 To 332.
 
Paper: 

VALUE OF "THREE DIMENSIONAL MULTIDETECTOR CT HYSTEROSALPINGOGRAPHY" IN INFERTILE PATIENTS WITH NON-CONTRIBUTORY HYSTEROSALPINGOGRAPHY: A PROSPECTIVE STUDY

 
 
Author(s):  BHATT SHUCHI*, SUMBUL MURTAZA, RAJPAL RAJPAL, RADHAKRISHNAN GITA
 
* SHUCHI BHATT, DEPARTMENT OF RADIO-DIAGNOSIS, UNIVERSITY COLLEGE OF MEDICAL SCIENCES, GURU TEG BAHADUR HOSPITAL, NEW DELHI-95, INDIA
 
Abstract: 

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.
Methods: To present the spectrum of uterine, tubal and peritoneal factors on 3DMDCT-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.
Results: MDCT-HSG demonstrated definite findings in 96% of patients having nondiagnostic 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±0.18mSv in MDCT-HSG.
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.

 
Keyword(s): FEMALE FACTOR, HYSTERO-LAPAROSCOPY, HYSTEROSALPINGOGRAPHY, INFERTILITY, MULTIDETECTOR CT
 
 
References: 
 
Click to Cite.
APA: Copy

BHATT, S., & SUMBUL, M., & RAJPAL, R., & RADHAKRISHNAN, G. (2017). VALUE OF "THREE DIMENSIONAL MULTIDETECTOR CT HYSTEROSALPINGOGRAPHY" IN INFERTILE PATIENTS WITH NON-CONTRIBUTORY HYSTEROSALPINGOGRAPHY: A PROSPECTIVE STUDY. JOURNAL OF REPRODUCTION AND INFERTILITY, 18(3), 323-332. https://www.sid.ir/en/journal/ViewPaper.aspx?id=568517



Vancouver: Copy

BHATT SHUCHI, SUMBUL MURTAZA, RAJPAL RAJPAL, RADHAKRISHNAN GITA. VALUE OF "THREE DIMENSIONAL MULTIDETECTOR CT HYSTEROSALPINGOGRAPHY" IN INFERTILE PATIENTS WITH NON-CONTRIBUTORY HYSTEROSALPINGOGRAPHY: A PROSPECTIVE STUDY. JOURNAL OF REPRODUCTION AND INFERTILITY. 2017 [cited 2021May11];18(3):323-332. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=568517



IEEE: Copy

BHATT, S., SUMBUL, M., RAJPAL, R., RADHAKRISHNAN, G., 2017. VALUE OF "THREE DIMENSIONAL MULTIDETECTOR CT HYSTEROSALPINGOGRAPHY" IN INFERTILE PATIENTS WITH NON-CONTRIBUTORY HYSTEROSALPINGOGRAPHY: A PROSPECTIVE STUDY. JOURNAL OF REPRODUCTION AND INFERTILITY, [online] 18(3), pp.323-332. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=568517.



 
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