title: Clinical use of 64-row multislice computed tomography hysterosalpingography in the evaluation of female factor infertility.
abstract: 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.
authors.affiliation: Diagnóstico Maipú, Buenos Aires, Argentina. patriciacarrascosa@diagnosticomaipu.com.ar
authors.forename: Patricia
authors.initials: P
authors.lastname: Carrascosa
authors.forename: Mariano
authors.initials: M
authors.lastname: Baronio
authors.forename: Carlos
authors.initials: C
authors.lastname: Capuñay
authors.forename: Elba Martín
authors.initials: EM
authors.lastname: López
authors.forename: Carlos
authors.initials: C
authors.lastname: Sueldo
authors.forename: Sergio
authors.initials: S
authors.lastname: Papier
mesh_terms: 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