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Clinical use of 64-row multislice computed tomography hysterosalpingography in the evaluation of female factor infertility

2008; Elsevier BV; Volume: 90; Issue: 5 Linguagem: Inglês

10.1016/j.fertnstert.2007.09.033

1556-5653

Patrícia Carrascosa, M. Baronio, Carlos Capuñay, Elba Martín López, Carlos Sueldo, S. Papier,

Ovarian cancer diagnosis and treatment

ObjectiveTo 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).DesignComparative prospective study.SettingOutpatient 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.