Diagnostic Value of Hysterosalpingography in the Detection of Intrauterine Abnormalities: A Comparison with Hysteroscopy

Dalfó, Anna Roma; Úbeda, B.; Ubeda, Alicia; Monzón, Montse; Rotger, Ramón; Ramos, Rafael Cotes; Palacio, A del

doi:10.2214/ajr.183.5.1831405

Cited by 84 publications

(27 citation statements)

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“…[46] The prevalence of Asherman's syndrome, related to secondary amenorrhea following abortion and curettage, was reported to be 1.5-43%. [5224748] Endometrial synechie/notch associated filling defects and asymmetrical disturbance of pressure are facilitating factors for venous intravasation. [332.…”

Section: Discussionmentioning

confidence: 99%

“…[12] HSG can identify many lesions, including hyperplasia, polyps, fibroids, scarre-synechiae, and Mullerian anomalies. [345] Fallopian occlusion due to infection, scarring, ectopic pregnancy, diverticula, tubal ligation, closure devices, and reopening interventions can be evaluated by HSG. [678] Peritoneal spillage provides insight concerning peritoneal adhesions, uterine contour, and endometriosis.…”

Section: Introductionmentioning

confidence: 99%

“…[910] HSG is easy, safe, useful, and cost-effective with excellent diagnostic and therapeutic outcomes. [5] However, a few complications, including radiation exposure, vasovagal attack, uterine injury, vaginal bleeding, infection, hypersensitivity, and intravasation might be observed during or after the procedure. [211] Hysteroscopy like HSG is a useful screening test for the evaluation of infertility through analysis of the uterine cavity.…”

Section: Introductionmentioning

confidence: 99%

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Venous Intravasation as a Complication and Potential Pitfall During Hysterosalpingography: Re-Emerging Study with a Novel Classification

Duşak

Soydinç

Önder

et al. 2013

Journal of Clinical Imaging Science

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Objectives:Presently, hysterosalpingography (HSG) is used as a means to evaluate women with infertility and repetitive pregnancy loss. Venous intravasation is a complication and potential pitfall during HSG and analogous procedures including hysteroscopy. The aim of our study was to assess the venous intravasation and to obtain critical information for more secure and more accurate procedures. In particular, the primary goal of the present study was to compare HSG without and with intravasation to identify differences seen on HSG and to assess the predisposing factors of intravasation. The secondary goal was to describe clinical- and imaging-based novel classification of intravasation.Materials and Methods:This study included a patient cohort of 569 patients who underwent HSG between 2008 and 2011 at our center in the absence (control group) or presence (study group) of intravasation. Intravasation classified from level 0 (no intravasation) to level 3 (severe intravasation) was compared with preprocedural (demographic and clinical) and procedural (HSG) data. Data were analyzed using Statistical Package for Social Sciences (SPSS) statistical software.Results:Of the 569 patients undergoing HSG, 528 showed no intravasation and 41 (7.2%) patients showed intravasation when associated with preprocedural (leukocytes, menometrorrhagia, secondary infertility, ectopic pregnancy, abortus, polycystic ovaries, endometriosis, and interventions) and procedural (pain, scheduling, endometrial-uterine nature, and spillage) parameters. Moreover, intravasation was lower in women with smooth endometrium, triangular uterus, and homogeneous peritoneal spillage. No association was found between age, tubal patency, increased pressure, and intravasation.Conclusions:Using a novel classification method, intravasation can be observed in women during HSG and associates with preprocedural and procedural predisposing factors in subsumed conditions. This classification method will be useful for improving the efficiency and accuracy of HSG and related procedures by minimization of severe complications caused by intravasation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Venous Intravasation as a Complication and Potential Pitfall During Hysterosalpingography: Re-Emerging Study with a Novel Classification

Duşak

Soydinç

Önder

et al. 2013

Journal of Clinical Imaging Science

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“…Hysterosalpingography (HSG) using contrast dye has a sensitivity of 75 to 81%, specificity of 80%, and positive predictive value of 50% compared with hysteroscopy for diagnosis of IUAs [9, 10]. The high false-positive rate (up to 39%) [11] limits its use, and it does not detect endometrial fibrosis [4] or the nature and extent of IUAs [12], and therefore, use should be confined to that of a screening test.…”

Section: Introductionmentioning

confidence: 99%

AAGL practice report: practice guidelines on intrauterine adhesions developed in collaboration with the European Society of Gynaecological Endoscopy (ESGE)

Surgery

2017

Gynecol Surg

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“…The common indication for the use of HSG in Nigeria is infertility. Other indications include, but are not limited to, the evaluation of: pelvic pain, irregular vaginal bleeding, congenital abnormalities or anatomic variants (4). Other alternative procedures to HSG are laparoscopy, sonohysterosalpingogram and hysteroscopy.…”

Section: Introductionmentioning

confidence: 99%

Nnamdi Norbert Jibirigerian Hospitals

Jibiri¹,

Akintunde²,

Dambele³

et al. 2016

Mirt

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Objective:The practice of regular dose measurement helps to ascertain the level of occupational dose delivered to the staff involved in diagnostic procedures. This study was carried out to evaluate the dose exposed to the hands of radiologists and a radiologic technologist carrying out HSG and radionuclide bone scan examinations in several hospitals in Nigeria.Methods:Radiation doses exposed to the hands of radiologists and a technician carrying out hysterosalpingography (HSG) and bone scan procedures were measured using calibrated thermo-luminescent dosimeters. Five radiologists and a radiologic technologist were included in the study for dose measurement.Results:The study indicates that each radiologist carried out approximately 2 examinations per week with the mean dose ranging between 0.49-0.62 mSv per week, resulting in an annual dose of 191 mSv. Similarly, the occupational dose delivered to both the left and right hands of a radiologic technologist administering 99mTc-methylene diphosphonate (MDP) without cannula and with cannula were 10.68 (720.2) and 13.82 (556.4) mSv per week (and per annum), respectively. It was determined that the left hand of the personnel received higher doses than their right hand.Conclusion:The estimated annual dose during HSG is far below the annual dose limit for deterministic effects, however, it is greater than 10% of the applicable annual dose limit. Hence, routine monitoring is required to ensure adequate protection of the personnel. The total annual dose received during the bone scan exceeds the annual dose limit for both hands, and the dose to either left or right hand is greater than the dose limit of 500 mSv/yr. The radiologists monitored are not expected to incur any deterministic effects during HSG examinations, however, accumulated doses arising from the scattered radiation to the eyes, legs, and neck could be substantial and might lead to certain effects. More staff are required to administer 99mTc-MDP in Nigerian institutions to prevent excessive doses to personnel.

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Diagnostic Value of Hysterosalpingography in the Detection of Intrauterine Abnormalities: A Comparison with Hysteroscopy

Cited by 84 publications

References 11 publications

Venous Intravasation as a Complication and Potential Pitfall During Hysterosalpingography: Re-Emerging Study with a Novel Classification

Venous Intravasation as a Complication and Potential Pitfall During Hysterosalpingography: Re-Emerging Study with a Novel Classification

AAGL practice report: practice guidelines on intrauterine adhesions developed in collaboration with the European Society of Gynaecological Endoscopy (ESGE)

Nnamdi Norbert Jibirigerian Hospitals

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