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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| http://dx.doi.org/10.1016/j.fertnstert.2007.09.033 | DOI Listing |
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