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


METHODS
Comparative prospective study.


METHODS
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).


METHODS
Twenty-two female patients with a diagnosis of infertility.


METHODS
Sixty-four-row MSCT-H and conventional X-ray HSG.


METHODS
Diagnostic accuracy of MSCT-H for the evaluation of cervical, uterine, and tubal pathology.


RESULTS
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.


CONCLUSIONS
Sixty-four-row MSCT-H is a valuable alternative diagnostic technique in the infertility workup algorithm for the evaluation of the female reproductive tract.
Carrascosa
Patricia
P
Diagnóstico Maipú, Buenos Aires, Argentina. patriciacarrascosa@diagnosticomaipu.com.ar
Baronio
Mariano
M
Capuñay
Carlos
C
López
Elba Martín
EM
Sueldo
Carlos
C
Papier
Sergio
S
D000328:Adult; D000465:Algorithms; D001118:Argentina; D002584:Cervix Uteri / Q000000981:diagnostic imaging; D005187:Fallopian Tubes / Q000473:pathology; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000379:methods*; D007247:Infertility, Female / Q000000981:diagnostic imaging*; D010865:Pilot Projects; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011829:Radiation Dosage; D011857:Radiographic Image Interpretation, Computer-Assisted; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed; D014584:User-Computer Interface; D014599:Uterus / Q000473:pathology