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Information Journal Paper

Title

VALUE OF "THREE DIMENSIONAL MULTIDETECTOR CT HYSTEROSALPINGOGRAPHY" IN INFERTILE PATIENTS WITH NON-CONTRIBUTORY HYSTEROSALPINGOGRAPHY: A PROSPECTIVE STUDY

Pages

  323-332

Abstract

 Background: INFERTILITY is a common health problem requiring imaging to delineate the anatomical causes in women. Three dimensional multi-detector computed tomography HYSTEROSALPINGOGRAPHY (3D-MDCT-HSG) offers an easy workup for uterine, tubal and peritoneal factors.Methods: To present the spectrum of uterine, tubal and peritoneal factors on 3DMDCT-HSG and determine its diagnostic accuracy for FEMALE FACTOR INFERTILITY, a prospective study was conducted on 25 infertile women with non-diagnostic HSG from November 2012 to March 2014. Sixty four slice MDCT acquired the scan during pre-ovulatory phase by contrast instillation into uterine cavity. A blinded reviewer interpreted the 3D-MDCT-HSG and results were compared with final diagnosis made on hystero-laproscopy in 22 patients. Diagnostic accuracy of 3D-MDCT-HSG for various factors was expressed as sensitivity, specificity, positive and negative predictive value.Results: MDCT-HSG demonstrated definite findings in 96% of patients having nondiagnostic HSG. In this study, tubal, uterine and peritoneal abnormalities were present in 68.75%, 56% and 32% of cases, respectively.48 tubes in 25 patients were evaluated of which 22 tubes were blocked constituting the commonest finding present in 15 (60%) patients. The sensitivity, specificity, positive predictive value and negative predictive value for uterine factors was 83.33%, 100%, 100% and 96.84%, respectively, for tubal factors 93.55%, 94.68%, 85.29% and 96.83%, respectively and for peritoneal factors 62.5%, 92%, 71.43% and 88.46%, respectively. Mean effective radiation dose was 1.76±0.18mSv in MDCT-HSG.Conclusion: 3D-MDCT-HSG can detect various factors responsible for female INFERTILITY especially tubal and uterine; in cases where HSG fails to clearly delineate the pathology.

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    APA: Copy

    BHATT, SHUCHI, SUMBUL, MURTAZA, RAJPAL, RAJPAL, & RADHAKRISHNAN, GITA. (2017). VALUE OF "THREE DIMENSIONAL MULTIDETECTOR CT HYSTEROSALPINGOGRAPHY" IN INFERTILE PATIENTS WITH NON-CONTRIBUTORY HYSTEROSALPINGOGRAPHY: A PROSPECTIVE STUDY. JOURNAL OF REPRODUCTION AND INFERTILITY, 18(3), 323-332. SID. https://sid.ir/paper/706471/en

    Vancouver: Copy

    BHATT SHUCHI, SUMBUL MURTAZA, RAJPAL RAJPAL, RADHAKRISHNAN GITA. VALUE OF "THREE DIMENSIONAL MULTIDETECTOR CT HYSTEROSALPINGOGRAPHY" IN INFERTILE PATIENTS WITH NON-CONTRIBUTORY HYSTEROSALPINGOGRAPHY: A PROSPECTIVE STUDY. JOURNAL OF REPRODUCTION AND INFERTILITY[Internet]. 2017;18(3):323-332. Available from: https://sid.ir/paper/706471/en

    IEEE: Copy

    SHUCHI BHATT, MURTAZA SUMBUL, RAJPAL RAJPAL, and GITA RADHAKRISHNAN, “VALUE OF "THREE DIMENSIONAL MULTIDETECTOR CT HYSTEROSALPINGOGRAPHY" IN INFERTILE PATIENTS WITH NON-CONTRIBUTORY HYSTEROSALPINGOGRAPHY: A PROSPECTIVE STUDY,” JOURNAL OF REPRODUCTION AND INFERTILITY, vol. 18, no. 3, pp. 323–332, 2017, [Online]. Available: https://sid.ir/paper/706471/en

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