Hysterosalpingography

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H y s t e r o s alp i n g o g r aph y A b o u t P r e p a r a t i o n s Hysterosalpingography is an x-ray examination of the The hysterosalpingography procedure is best uterus and fallopian tubes that uses a special form of x- performed one week after menstruation but before ray called fluoroscopy and a contrast material. During a ovulation to make certain that you are not pregnant hysterosalpingogram, the uterus and fallopian tubes are during the exam. This procedure should not be filled with a contrast material and the radiologist is able to performed if you have an active inflammatory condition. use fluoroscopy to view and assess their anatomy and You should notify your radiologist if you have a chronic function. pelvic infection or an untreated sexually transmitted disease at the time of the procedure. Hysterosalpingography is primarily used to examine women who have difficulty becoming pregnant by On the night before the procedure, you may be asked allowing the radiologist to evaluate the shape and to take a laxative or an enema to empty your bowels, so structure of the uterus, the openness of the fallopian the uterus and surrounding structures can be seen tubes, and any scarring within the uterine or abdominal clearly. Prior to the procedure, you may be given a mild cavity. sedative or over-the-counter medication to minimize any potential discomfort. The exam is used to investigate repeated miscarriages that result from abnormalities in the uterus and to You should inform your radiologist of any medications determine the presence and severity of the following you are taking and if you have any allergies, especially abnormalities: to barium or iodinated contrast materials. Also inform your doctor about recent illnesses or other medical • Tumor Masses conditions. • Adhesions • Uterine Fibroids You may be asked to wear a gown during the exam. Women should always inform their radiologist if there is Hysterosalpingography is also used to evaluate the any possibility that they are pregnant. openness of the fallopian tubes, and to monitor the effects of tubal surgery, including: ! • Blockage of the fallopian tubes due to infection or scarring • Tubal litigation • The closure of the fallopian tubes in a sterilization procedure and a sterilization reversal • The re-opening of the fallopian tubes following a sterilization or disease-related blockage !.

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Original Article the Imaging Characteristics of Magnetic Resonance Hysterosalpingography in Infertile Women
Int J Clin Exp Med 2020;13(6):3955-3962 www.ijcem.com /ISSN:1940-5901/IJCEM0107779 Original Article The imaging characteristics of magnetic resonance hysterosalpingography in infertile women Jiugen Ruan1, Chunyan Wu2, Changhua Zhu1, Yao Ding1, Qiuping Tan1, Tao Meng3 Departments of 1Radiology, 2Gynaecology, The People’s Hospital of Xinyu City, Xinyu, Jiangxi, China; 3RIMAG Medical Imaging Corporation, Shanghai, China Received January 13, 2020; Accepted April 1, 2020; Epub June 15, 2020; Published June 30, 2020 Abstract: Objective: We aimed to analyze the imaging characteristics of magnetic resonance hysterosalpingography (MR-HSG) in infertile women. Methods: A total of 20 infertile women admitted to our hospital from October 2018 to December 2019 were selected as the subjects of study for retrospective analysis. The MR-HSG examination was performed in all patients to analyze the examination results and imaging characteristics. Results: (1) The comple- tion rate of MR-HSG examination was 100.00% in the 20 patients, of which those with primary infertility accounted for 65.00% and those with secondary infertility accounted for 35.00%. (2) Among the 20 infertile patients, 30.00% had unobstructed fallopian tubes, 40.00% had partial fallopian tube obstruction, 20.00% had full fallopian tube obstruction and 10.00% had hydrosalpinx. (3) Among the 14 patients with abnormal fallopian tubes, 14.29% had bilateral fallopian tube obstruction, 35.71% had partial fallopian tube obstruction on both sides, 7.14% had fallo- pian tubes that were unobstructed on one side and obstructed on the other side, 21.43% had fallopian tubes that were unobstructed on one side and partially obstructed on the other side, 7.14% had fallopian tubes partially ob- structed on one side and obstructed on the other side, and 14.29% had hydrosalpinx.
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Magnetic Resonance Hysterosalpingography in Diagnostic Work-Up of Female Infertility – Comparison with Conventional Hysterosalpingography: a Randomised Study
European Radiology (2019) 29:501–508 https://doi.org/10.1007/s00330-018-5572-2 UROGENITAL Magnetic resonance hysterosalpingography in diagnostic work-up of female infertility – comparison with conventional hysterosalpingography: a randomised study Manuelle Volondat1 & Eric Fontas2 & Jerome Delotte3 & Imene Fatfouta3 & Patrick Chevallier1 & Madleen Chassang1 Received: 17 January 2018 /Revised: 17 May 2018 /Accepted: 28 May 2018 /Published online: 4 July 2018 # European Society of Radiology 2018 Abstract Objective To compare diagnostic accuracy of MR-hysterosalpingography (MR-HSG) and conventional hysterosalpingography (X-HSG) in the evaluation of female infertility. Methods Forty women received prospectively both X-HSG, the gold standard technique, and MR-HSG on the same day but the order in which they were conducted was randomised. A 1.5 Tesla MRI was performed with classical sequences for pelvic analysis and an additional 3D T1-weighted sequence with intra-uterine injection of gadolinium. Two radiologists independently interpreted X-HSG and MR-HSG according to randomisation, blinded to the other results. They both then performed a second interpretation of MR-HSG blinded to the first reading with a minimum time delay of 1 week. Diagnostic performance of MR-HSG for analysis of tubal and intracavity abnormalities was evaluated by calculating sensitivity (Se), specificity (Sp), positive predictive value (PPV) and negative predictive value (NPV). Results Twenty-six patients were included. Diagnostic performance of MR-HSG was: Se: 91.7% (95% CI 61.5–99.8); Sp: 92.9% (95% CI 66.1–99.8) ; PPV: 91.7% (95% CI 61.5–99.8); NPV: 92.9% (95% CI 66.1–99.8).
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Original Article the Water-Soluble Iodinated Contrast Medium Used For
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