Comparison between multidetector computed tomography and hysterosalpingography in assessment of infertile couples

Shaaban, Mohamed M.; Awwad, Ismail M.; Beblawy, Mohamed M. Al; Khalil, Tarek

doi:10.1016/j.mefs.2013.01.013

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…Our results were in accordance with Shaaban et al [10] as they found one out of four false positive cases of bilateral tubal block showed normal laparoscopic results. MDCT-VHSG has been able to detect all cases of tubal occlusion (sensitivity, negative predictive value: 100%), while they reported PPV of 83.3%.…”

Section: Discussionsupporting

confidence: 93%

Utility of 128-multislice CT virtual HSG in assessment of female infertility

Hasan

Mohammad

Shazely

2016

The Egyptian Journal of Radiology and Nuclear Medicine

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a b s t r a c tObjective: The aim of this study to assess the utility of 128-MDCT VHSG in evaluation of different female infertility causes. Patients and methods: Forty eight infertile female patients were included in the study, which was conducted in Radiodiagnosis Department, Zagazig University Hospitals from November 2014 to May 2015. MDCT Hysterosalpingography was performed between days 6 and 12 of the menstrual cycle at least 48 hours after menses. Results: we compared findings of MDCT-VHSG with hysteroscopy or/ and laparoscopy results. We found that MSCT-VHSG more accurate in diagnosis of uterine and ovarian infertility causes, while less accurate in the diagnosis of tubal causes. The sensitivity for detecting uterine and fallopian tubes pathology by MDCT-VHSG was 100% and 100% respectively, while the specificity was 100%, 85.71% respectively. MDCT-VHSG had reported 100% and 92.85% PPV in detecting uterine and fallopian tubes pathology respectively, while the NPV was 100% and 100% respectively. Conclusion: The MDCT-VHSG is a diagnostic modality which permits the evaluation of the different causes of the female infertility, but still limited value in assessment of peritubal adhesions.

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Section: Discussionsupporting

confidence: 93%

Utility of 128-multislice CT virtual HSG in assessment of female infertility

Hasan

Mohammad

Shazely

2016

The Egyptian Journal of Radiology and Nuclear Medicine

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“…CT-VHSG is a valid imaging procedure in the assessment of female reproductive with high diagnostic performance and comparable or even lesser --------------------------------------------------- (11) 3.2 ± 0.15 14.99-15.00 10-20 Con-HSG Laparoscopy 27.7 ± 5.8 34 2013 Shaaban MM et al (12) 3.54 ± 0.6 3.33-3.37 10-20 Con-HSG 29.12 ± 5.5 25 2014 Abdelrahman A et al (13) 3.54 ± 0. -------------------------------------------------- -------------------------------------------------------------------…”

Section: Discussionmentioning

confidence: 99%

Effectiveness and radiation dose of computerized tomography virtual hystrosalpingiography in the evaluation of female infertility: Systematic review and meta-analysis

et al. 2020

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Abstract Objective: To build evidence about the effectiveness of computerized tomography virtual hystrosalpingiography (CT-VHSG) in the evaluation of female infertility and to assess the estimated radiation dose imposed. Methods: A systematic review method was utilized to evaluate relevant diagnostic studies. Electronic database was searched from July to October 2017. Hand search was also conducted when applicable. Study quality was assessed according to standardized criteria. Heterogeneity was assessed using subjective and statistical measures. Meta-analysis was judged appropriate and conducted using Open met-analyst software utilizing the random effect model. Results: Based on the assessment of risk of bias of the eligible studies, five studies were included in the final review. Random effects models showed that CT-VHSG has high diagnostic performance (pooled sensitivity 0.992 and specificity 0.98, with negative and positive likelihood ratios of 14.671 and 0.04 respectively). CT-VHSG had comparatively lesser radiation dose than conventional HSG (poled mean effective dose 4.14 mSV vs 6 mSV respectively). Conclusion: CT-VHSG is a reliable procedure with high diagnostic performance in evaluation of the female reproductive tract. CT-VHSG can be regarded as generally safe imaging diagnostic technique in the infertility workup. In contrary to common belief, CT-VHSG has comparable or lower radiation dose than conventional HSG. Keywords: Female; infertility; tomography; X-ray computed; hysterosalpingography. Continuous...

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“…This resulted in five final attributes: the chance of having a "false negative" test, complication rate, failure rate, subsequent management after a failed procedure and the waiting time for the procedure. A range of possible attribute levels were derived from literature , Darai et al 2001, Shaaban et al 2013, Foroozanfard et al 2013, Kissler et al 2011, Verhoeve et al 2004, Shibahara et al 2007, Stumpf and March 1980, Roest et al 2020 and discussed with the expert focus group. The final list of attributes and their levels are illustrated in TABLE I.…”

Section: Dce Designmentioning

confidence: 99%

Transvaginal hydrolaparoscopy

Kessel

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Transvaginal hydrolaparoscopy is performed to investigate tubal pathology in subfertile women. We studied the findings at THL and subsequent pregnancy rates in a retrospective multicenter cohort study. Between 2000 and 2011 1,033 subfertile women participated in our study. Primary outcome measure was intra-uterine pregnancy, either after natural conception or after treatment with intra-uterine insemination or ovulation induction. We calculated cumulative intra-uterine pregnancy rates using Kaplan-Meier analysis and fecundity rate ratios (FRR). THL showed bilateral patent tubes in 83%, one-sided tubal occlusion in 12.4% and bilateral tubal occlusion in 4.6% of women. Cumulative intrauterine pregnancy rates after 36 months were 52% for women with bilateral patent tubes, 44% for one-sided tubal occlusion (FRR 1.04 (95% CI 0.78-1.39) and 7% for bilateral tubal occlusion (FRR 0.13 (95% CI 0.04-0.43). Endometriosis was diagnosed in 6.4%, adhesions in 9.1%, while 3.9% of women had both. Corresponding FRRs were 0.73 (95% CI 0.49-1.09), 0.68 (95% CI 0.46-1.02), and 0.42 (95% CI 0.20-0.84). In conclusion, women with bilateral tubal occlusion or the combination of endometriosis and adhesions found at THL have significantly reduced chances of natural conception.

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Comparison between multidetector computed tomography and hysterosalpingography in assessment of infertile couples

Cited by 4 publications

References 10 publications

Utility of 128-multislice CT virtual HSG in assessment of female infertility

Utility of 128-multislice CT virtual HSG in assessment of female infertility

Effectiveness and radiation dose of computerized tomography virtual hystrosalpingiography in the evaluation of female infertility: Systematic review and meta-analysis

Transvaginal hydrolaparoscopy

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