Three‐dimensional hysterosalpingocontrast sonography (3D‐HyCoSy) as an outpatient procedure to assess infertile women

Uchida, Nobuhiro; Amemiya, Kenjie; Shouka, K.; Suzuki, Kazutomo; Kiyokawa, K.

doi:10.1046/j.1469-0705.2001.0180s1002.x

Cited by 3 publications

(3 citation statements)

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“…Flow of contrast through the tube is detected by power Doppler providing a tubal cast which can be captured and displayed within a three-dimensional ultrasound volume. Kiyokawa et al 58 recently conducted a formal assessment of the value of three-dimensional saline HyCoSy (3D-HyCoSy) for the assessment of tubal patency in comparison to X-ray hysterosalpingography. They confirmed that the entire tubal length could be clearly seen on threedimensional scan and that the whole procedure is faster and better tolerated than hysterosalpingography.…”

Section: Tubal Patencymentioning

confidence: 99%

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2002

Ultrasound in Obstet & Gyne

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Section: Tubal Patencymentioning

confidence: 99%

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2002

Ultrasound in Obstet & Gyne

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“…Color-coded 3D power Doppler imaging with surface rendering allows the visualization of the flow of contrast throughout the entire length of the tube and free spill of contrast. This technique requires less contrast medium and time and is a reliable method of assessing tubal patency in an office setting 33,34 .…”

Section: Assessment Of Fallopian Tube Patencymentioning

confidence: 99%

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2002

Ultrasound in Obstet & Gyne

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If you have strong views on any matter related to ultrasound, it is highly likely you will receive a summons to write an editorial on the subject for the White Journal. This editorial is my attempt to justify my frequently expressed opinion that ultrasound is not used effectively in most departments of reproductive medicine and proper use of modern technological developments would improve the quality and costeffectiveness of patient care. In order to make my case, I carried out a survey of British reproductive medicine units to determine how they use ultrasound in their practice. This is an international journal and so I apologise that the survey only involved UK units but I hope the results are nevertheless interesting to international readers of the journal. I asked five specific questions (Table 1) to key members of assisted conception and reproductive medicine centers and received replies from 72 out of the 75 in vitro fertilization (IVF) centers in the UK. In only four centers was color Doppler used in clinical practice to assess uterine blood flow. Three other centers had a color Doppler facility on their machine but no one was trained to use it. Fourteen centers carried out hysterosalpingocontrast sonography (HyCoSy) for assessment of tubal patency and 17 were using saline contrast sonohysterography for the assessment of the uterine cavity. Five centers (predominantly within the National Health Service) were carrying out research projects primarily involving ultrasound and six centers were using routine ultrasound guidance for embryo transfers. Thus it seems that unlike fetal medicine units, reproductive medicine departments have not embraced the latest technological advances despite the fact that there have been over 200 peer-reviewed publications in major scientific journals during the past 10 years demonstrating the use of Doppler to elucidate neoangiogenic events in the reproductive system and the physiological changes during endometrial and ovulatory cycles. Sadly therefore, in a country that pioneered gynecological ultrasound and regards itself as developed in terms of patient care, it seems that the use of ultrasound is confined to basic follicle tracking, measurement of endometrial thickness, identification of gross abnormalities within the pelvis and ultrasound-guided egg collection. Extensive use of laparoscopy and hysteroscopy in the investigation of infertile women remains a gold standard practice in most centers, despite recent evidence that with modern equipment the baseline ultrasound scan in most circumstances can provide equally good anatomical and better physiological information less expensively and less invasively. I will briefly outline some of the reasons why I believe reproductive medicine units should invest in high-quality ultrasound equipment and ensure that their personnel are trained to use this equipment effectively. The basic minimum would be a high-resolution machine with sensitive color and spectral Doppler. Threedimensional (3D) equipment, while not essential can provide a...

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“…aber der Kontrastmittelfluss kann auch bei sonst schwer darzustellenden Tuben über die gesamte Länge aufgezeichnet werden und das zeitraubende Aufsuchen und Verfolgen der Tube entfällt, da der Beckenraum mit einem großen Volumenblock vollständig eingescannt wird.Kiyokawa et al[7] verglichen die 3D-HyCoSy mit Kochsalzlösung als Kontrastmedium und unter Verwendung von farbcodierten Dopplersignalen mit der Hysterosalpingographie und beobachteten eine Übereinstimmung beider Verfahren in 84 % der Fälle. Insbesondere beobachteten sie eine deutlich bessere Darstellung des Cavum uteri mit der 3D-HyCoSy.In einer weiteren Studie zur 3D-Doppler-HyCoSy mit Kochsalzlö-sung als Kontrastmittel im Vergleich zur radiologischen Hysterosalpingographie konnte eine Übereinstimmung zwischen beiden Methoden bei 23 von 28 untersuchten Tuben beobachtet werden[8].…”

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