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Hysterosalpingography using Magnetic Resonance Imaging for infertility patients
Leandro Accardo de Mattos1,2, Luísa Jacques Sauer1, Roberto Blasbalg1
1ALTA Excellency Diagnostic/DASA Department of Diagnostic Imaging/DASA, São Paulo Brazil.
JBRA Assisted Reproduction
|April 26, 2021
Summary
Hysterosalpingography-MRI (HSG-MRI) shows promise for evaluating tubal permeability. This method offers excellent image quality, avoids radiation, reduces pain, and allows comprehensive pelvic anatomy analysis for infertility investigations.
Area of Science:
- Radiology
- Reproductive Medicine
- Medical Imaging
Background:
- Tubal permeability assessment is crucial for infertility diagnosis.
- Magnetic Resonance Imaging (MRI) offers advanced visualization capabilities.
- Hysterosalpingography-MRI (HSG-MRI) combines these modalities for enhanced evaluation.
Purpose of the Study:
- To conduct a prospective study and literature review on HSG-MRI for tubal permeability.
- To evaluate the feasibility and effectiveness of HSG-MRI in a clinical setting.
Main Methods:
- Conducted a PubMed search for hysterosalpingography and MRI studies.
- Included English-language, human-based studies.
- Prospective enrollment of 10 patients for HSG-MRI between May 2017 and April 2019.
Main Results:
- Seven original papers were included in the review.
- HSG-MRI procedure averaged 30 minutes with successful cervical catheterization in all cases.
- Direct visualization of uterine tubes with contrast was achieved in 8/9 patients.
Conclusions:
- HSG-MRI demonstrates promise as a diagnostic tool for tubal patency.
- An optimized HSG-MRI protocol yields excellent image quality.
- Advantages include no ionizing radiation, reduced pain, and integrated pelvic anatomy assessment for infertility workup.
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