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Published on: March 3, 2023
Clinical use of 64-row multislice computed tomography hysterosalpingography in the evaluation of female factor
Patricia Carrascosa1, Mariano Baronio, Carlos Capuñay
1Diagnóstico Maipú, Buenos Aires, Argentina. patriciacarrascosa@diagnosticomaipu.com.ar
Objective:
To evaluate the potential clinical value of 64-row multislice computed tomography hysterosalpingography (MSCT-H) in the evaluation of female patients with a diagnosis of infertility and compare it with the use of standard X-ray hysterosalpingography (HSG).
Design:
Comparative prospective study.
Setting:
Outpatient Imaging Diagnostic Centre, Diagnóstico Maipú, Buenos Aires, Argentina, and a university-affiliated fertility institute (Centro de Estudios en Ginecología y Reproducción, Buenos Aires, Argentina).
Patient(S):
Twenty-two female patients with a diagnosis of infertility.
Intervention(S):
Sixty-four-row MSCT-H and conventional X-ray HSG.
Main Outcome Measure(S):
Diagnostic accuracy of MSCT-H for the evaluation of cervical, uterine, and tubal pathology.
Result(S):
We found that 64-row MSCT-H was useful in identifying female reproductive tract abnormalities, showing in the per patient analysis a sensitivity of 100% and a specificity of 85.71%. This new procedure can be performed without a tenaculum, making it well tolerated. Clinical complications did not occur in any of the patients participating in the study.
Conclusion(S):
Sixty-four-row MSCT-H is a valuable alternative diagnostic technique in the infertility workup algorithm for the evaluation of the female reproductive tract.
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