Long term safety of fluoroscopically guided selective salpingography and tubal catheterization

Papaioannou, Spyros; Afnan, M; Coomarasamy, Aravinthan; Ola, B.; Hammadieh, Nahed; Temperton, D.H.; McHugo, J.; Sharif, Khaldoun

doi:10.1093/humrep/17.2.370

Cited by 22 publications

(6 citation statements)

References 11 publications

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“…present study; however, no radiographic exposures were involved in the HSG procedures carried out in the study by Papaioannou et al [11]. Moreover, a lifetime fatal cancer risk of 5¥10 -2 Sv -1 , derived for general population [17], was used in the latter study.…”

Section: Discussionmentioning

confidence: 99%

“…This may be attributed to the higher intensifier input dose rate of the fluoroscopic unit used in the study by Gregan et al [10] compared with the input dose rate of the fluoroscopic unit used in the present study. Papaioannou et al [11] used an indirect method to retrospectively estimate the mean radiogenic excess lifetime risks of cancer and hereditary disorders associated with HSG procedures. Reported risks were up to 13 per million and 6 per million procedures for fatal cancer induction and hereditary disorder, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Effective-dose value from HSG was reported in only one study [10]. In a recent study [11] an estimation of risks associated with HSG was reported. Obtained by indirect measurements, previously reported data refer to the specific equipment and technique used; however, there is a remarkable variation in HSG technique used in different laboratories with respect to the amount of fluoroscopic observation and the number of radiographs obtained.…”

Section: Phantom Studymentioning

confidence: 99%

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Radiogenic risks from hysterosalpingography

et al. 2003

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The aim of this study was to determine ovarian dose, effective dose and associated radiogenic risks from hysterosalpingography (HSG), and to provide data for the estimation of radiogenic risks related to HSG studies performed in any laboratory. The fluoroscopy time, number of radiographs taken and entrance surface dose were measured in a series of 78 consecutive patients undergoing HSG as part of their infertility work-up. Organ-dose values per radiograph and per minute of fluoroscopy were separately determined using an anthropomorphic phantom and thermoluminescence dosimetry. The radiogenic risk for deleterious effects on a possible future embryo and the radiogenic risk for cancer induction on the patient undergoing HSG were estimated. The average HSG procedure in our laboratory involves a mean fluoroscopic time of 0.3 min and a mean number of radiographs of 3.2. The dose to female gonads from an average HSG procedure was 2.7 mGy and the patient effective dose was 1.2 mSv. The risk for radiogenic anomalies in a future embryo of the woman undergoing an average HSG procedure and the risk for radiogenic fatal cancer induction in the exposed woman were estimated to be less than 10(-3) of the correspondent nominal risks. Radiation risks from a typical HSG are low, but they may be elevated if fluoroscopic and/or radiographic exposures are prolonged for any reason. Present data allow the estimation of radiogenic risks associated with HSG procedures performed in other laboratories with use of different equipment, screening time and number of radiographs taken.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Phantom Studymentioning

confidence: 99%

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Radiogenic risks from hysterosalpingography

et al. 2003

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“…5 The excess risks of cancer for women due to the radiation exposure during SSTC have been estimated at four to thirteen per million procedures. 65 Hysterosalpingo-contrast sonography endometriosis. This has led to a recommendation by the NICE (UK) that women suspected of having comorbidities (such as endometriosis and pelvic inflammatory disease) should undergo laparoscopy so that pelvic and tubal pathology can both be assessed.…”

Section: Infectionmentioning

confidence: 99%

Tubal evaluation in the investigation of subfertility: A structured comparison of tests

Papaioannou

Bourdrez

Varma

et al. 2004

BJOG

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“…Les risques théoriques (infection, allergie, irradiation et douleurs) de l'hystérosalpingographie et du cathétérisme tubaire [4] sont rares si des précautions ont été prises.…”

Section: Risquesunclassified