Role of 3.0 Tesla magnetic resonance hysterosalpingography in the diagnostic work-up of female infertility

Cipolla, Valentina; Guerrieri, Daniele; Pietrangeli, Daniela; Santucci, Domiziana; Argirò, Renato; Felice, Carlo de

doi:10.1177/0284185115617351

Cited by 18 publications

(22 citation statements)

References 29 publications

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“…The study was completed in all 40 patients with good patient compliance as against the previous studies conducted by Sadowski et al and Winter et al in which it was abandoned in 1/17 and 4/37 patients, respectively. [57] In our study, 60% of the patients had bilateral patencies and 40% had bilateral blocks which is similar to the study by Cipolla et al [8] in which 65% patients had patent tubes and 35% patients had either unilateral or bilateral blocks.…”

Section: Discussionsupporting

confidence: 90%

“…Our results are also supported by the study conducted by Unterwerger et al [6] in which 8 out of the 10 cases showed concordant results in both MR HSG and cHSG. Cipolla et al [8] in 2016 did a study with 116 patients on 3T using time-resolved 3D sequence. The results showed patencies in 65%, unilateral blocks in 25%, and bilateral blocks in 9.8% patients and suggested MR with HSG as a one-stop investigation tool for infertility imaging.…”

Section: Discussionmentioning

confidence: 99%

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Conventional and magnetic resonance hysterosalpingography in assessing tubal patency—A comparative study

Jagannathan

Hithaya

2019

Indian Journal of Radiology and Imaging

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Context: Tubal factors, one of the leading causes of female infertility, have been conventionally evaluated by hysterosalpingography (HSG). The role of magnetic resonance imaging (MRI) in assessing female infertility is gaining importance because of its inherent efficiency in detecting structural abnormalities. Magnetic resonance hysterosalpingography (MR HSG) is less invasive and avoids exposure of ovaries to ionizing radiation. Its utility is extrapolated to visualize fallopian tubes. Aims: To assess the diagnostic accuracies of dynamic MR HSG and conventional HSG (cHSG) in identifying tubal patency in women with infertility using diagnostic laparoscopy (DL) as gold standard. Materials and Methods: A prospective study of 40 patients was conducted over a period of 6 months. The patients were subjected to MR HSG followed by cHSG during the preovulatory period. If tubes were blocked, the patients were subjected to DL in the next menstrual cycle. If the tubes were patent and there was failure of conception, they were subjected to DL in the interval of 3 months. Results: Twenty-four patients had bilateral tubal spill which was confirmed using cHSG and DL. One patient had discordant MR HSG and cHSG results and six patients had discordant MR HSG and DL results. No statistical difference was observed between MR HSG and cHSG. Conclusion: Pelvic MRI is an inevitable tool in infertility evaluation. MR HSG can be used in addition as it avoids exposure of the reproductive organs to radiation and has the same efficacy as cHSG.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Conventional and magnetic resonance hysterosalpingography in assessing tubal patency—A comparative study

Jagannathan

Hithaya

2019

Indian Journal of Radiology and Imaging

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“…In existing studies, satisfactory visualization of the fallopian tubes could not be acquired by MR-HSG. Most studies take approximately the same scan technique, while the proportion and type of MR-HSG contrast agent varies greatly (2, 5–7, 10–12). Gd-DTPA and iohexol are commonly used contrast agents.…”

Section: Discussionmentioning

confidence: 99%

“…Magnetic resonance HSG (MR-HSG) has the potential to be a first-line choice for assessing female infertility by using a relatively non-invasive approach. Aside from the possibility of evaluating tubal patency, it provides additional information about pelvic pathologies with high resolution (2,5,6). However, there are two limitations of existing MR-HSG studies.…”

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confidence: 99%

Comparison between magnetic resonance hysterosalpingography and conventional hysterosalpingography: direct visualization of the fallopian tubes using a novel MRI contrast agent mixture

et al. 2019

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Background Magnetic resonance hysterosalpingography (MR-HSG) is a promising technique in the work-up of female infertility. Few existing MR-HSG studies focus on the comparison between MR-HSG with gold standard examination. Purpose To compare the diagnostic value of MR-HSG with conventional HSG in patients receiving both exams in one day. Material and Methods This study included 33 infertile women who completed pelvic MR scanning, HSG, and MR-HSG in that order. A traditional HSG contrast agent (iohexol) and a magnetic resonance imaging (MRI) contrast agent (1 mL gadopentetate dimeglumine (Gd-DTPA) blended with 100 mL iohexol) were used to achieve image enhancement. Inter-observer and inter-modality agreements of HSG and MR-HSG exams were assessed. The results were calculated by using the kappa test. Three radiologists who were blinded to the clinical data independently reviewed the MR images. Extratubal abnormalities were analyzed. Results A total of 62 fallopian tubes of 33 women were included in the study. MR-HSG imaging findings to depict tubal patency were similar to these of HSG (AUC 0.911, sensitivity 0.821, specificity 1.000, positive predictive values 1.000, and negative predictive values 0.872). Pairwise inter-observer agreement among three observers and inter-modality agreement of the diagnosis were excellent (mean kappa 0.863 and 0.835, respectively). In addition, 29 extratubal abnormalities in 21 patients were found on pelvic MR scanning. Conclusion MR-HSG and HSG demonstrated similar results in assessing tubal patency. Because it offers the comprehensive assessment of female pelvic structures, and avoids ionizing radiation, MR-HSG may be used as an alternative imaging technique for evaluation of female infertility.

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“…Currently, two imaging modalities can accomplish these requirements: virtual HSG performed with the use of computerized tomography (CT-VHSG) and with the use of magnetic resonance imaging (MR-VHSG). Although the cost of HSG is less than CT-VHSG or MR-VHSG, these minimal invasive imaging modalities allow a complete evaluation of the gynecologic system (cervix, uterus, and fallopian tubes) in a single examination (7)(8)(9)(10)(11)(12)(13). They require state-of-the-art technology to achieve insightful information that allows a comprehensive assessment of the female reproductive organs.…”

mentioning

confidence: 99%

Two-dimensional and three-dimensional imaging of uterus and fallopian tubes in female infertility

Carrascosa

Capuñay

Vallejos

et al. 2016

Fertility and Sterility

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Role of 3.0 Tesla magnetic resonance hysterosalpingography in the diagnostic work-up of female infertility

Cited by 18 publications

References 29 publications

Conventional and magnetic resonance hysterosalpingography in assessing tubal patency—A comparative study

Conventional and magnetic resonance hysterosalpingography in assessing tubal patency—A comparative study

Comparison between magnetic resonance hysterosalpingography and conventional hysterosalpingography: direct visualization of the fallopian tubes using a novel MRI contrast agent mixture

Two-dimensional and three-dimensional imaging of uterus and fallopian tubes in female infertility

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