A Nine-Year Survey of Fallopian Tube Dysfunction in Human Infertility

Arronet, George H.; Eduljee, S.Y.; O'Brien, John R.

doi:10.1016/s0015-0282(16)37205-3

Cited by 32 publications

(10 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The accuracies of the combination method we obtained were superior to the accuracies in these reports. Attention should be paid to the fact that the prediction of the probability of live birth cannot reach 1.00 because there are clinical disincentives to accomplish live birth that the AI classifiers cannot detect, such as uterine factors (eg, uterine myomas, intrauterine adhesions, and endometrial polyps); endometriosis; ovarian function; oviduct obstruction; immune disorders, maternal diseases such as diabetes mellitus, and chronic endometritis; and the uterine microbiota).…”

Section: Discussionmentioning

confidence: 99%

Feasibility of predicting live birth by combining conventional embryo evaluation with artificial intelligence applied to a blastocyst image in patients classified by age

Miyagi

Habara

Hirata

et al. 2019

Reprod Medicine & Biology

View full text Add to dashboard Cite

Purpose To identify the multivariate logistic regression in a combination (combination method) involving artificial intelligence (AI) classifiers in images of blastocysts along with a conventional embryo evaluation (CEE) to predict the probability of accomplishing a live birth in patients classified by maternal age. Methods Retrospectively, a total of 5691 blastocysts were enrolled. Images captured 115 hours or 139 hours if not yet sufficiently large after insemination were classified according to age as follows: <35, 35‐37, 38‐39, 40‐41, and ≥42 years old. The classifiers for each category were created by using convolutional neural networks associated with deep learning. Next, the feasibility of a method combining AI with multivariate logistic model functions by CEE was investigated. Results The values of the area under the curve (AUC) and the accuracies to predict live birth achieved by the CEE/AI/combination methods were 0.651/0.634/0.655, 0.697/0.688/0.723, 0.771/0.728/0.791, 0.788/0.743/0.806 and 0.820/0.837/0.888, and 0.631/0.647/0.616, 0.687/0.675/0.671, 0.725/0.697/0.732, 0.714/0.776/0.801, and 0.910/0.866/0.784 for age categories of <35, 35‐37, 38‐39, 40‐41, and ≥42 years old, respectively. Conclusions Though there were mostly no significant differences regarding the AUC and the sensitivity plus specificity in all age categories, the combination method seemed to be the best.

show abstract

Section: Discussionmentioning

confidence: 99%

Feasibility of predicting live birth by combining conventional embryo evaluation with artificial intelligence applied to a blastocyst image in patients classified by age

Miyagi

Habara

Hirata

et al. 2019

Reprod Medicine & Biology

View full text Add to dashboard Cite

show abstract

“…When chronic in¯ammation is diagnosed in the resected portion of the tube, the results of segmental resection with tubal reanastomosis are poor, with reported rates of 13% to 24%. 15,16 A minimally invasive technique for the diagnosis of chronic in¯ammation is highly desirable. Table 1 shows studies in which transcervical tubal cannulation was performed hysteroscopically under laparoscopic guidance.…”

Section: Discussionmentioning

confidence: 99%

Hysteroscopic fallopian tube recanalization using a flexible guide cannula and hydrophilic guide wire

et al. 2000

View full text Add to dashboard Cite

Objective To evaluate an innovative and simple procedure of hysteroscopic recanalization of cornual occlusion using a diagnostic hysteroscopic sheath, a Labotect flexible guide cannula and a Terumo hydrophilic guide wire, which were all used under laparoscopic guidance. Design In this prospective study, 17 patients with primary or secondary infertility with proven bilateral cornual blockage were scheduled for a recanalization procedure, between June 1995 and October 1998. Setting University-based teaching hospital and the principal author's private clinic. Subjects and methods We combined hysteroscopic cannulation of the proximal fallopian tube using a Labotect cannula with laparoscopic guidance in 17 patients with proximal tubal obstruction which had been diagnosed by hysterosalpingography and confirmed at laparoscopy. This procedure, in addition to being minimally invasive, also accomplishes the objective of causing minimal trauma to the fallopian tube by virtue of the dual hysteroscopic and laparoscopic guidance. Main outcome measures Successful on-table atraumatic recanalization of blocked fallopian tubes, documented by laparoscopic chromopertubation. Results Hysteroscopic cannulation could be attempted in 30 tubal ostia and was successfully accomplished in 15 cases. The instances in which we could not cannulate the tubal ostia (two patients) were not failures of cannulation but failures to visualize the internal tubal ostia because of thick endometrium. Four of our patients have conceived following this procedure and have delivered at term. Conclusion Hysteroscopic cannulation of the fallopian tube is a safe diagnostic procedure that can be used to identify those patients with true proximal occlusion, and may also serve as a therapeutic procedure in some of these patients. We recommend the use of a depot gonadotrophinreleasing agonist, such as triptorelin, 10±15 days before attempting this procedure, for easy visualization and access to the internal tubal ostia. The relative simplicity of the procedure means a shorter learning curve for clinicians in training and other beginners, and the results can be consistently reproduced as shown by the 15 successful cases in this study.

show abstract

“…Furthermore, pathologic findings consistent with infection have been demonstrated in tubal segments removed during infertility surgery from asymptomatic pa-tients. 23,36,37 To treat such possible silent infection and thereby prevent detrimental febrile morbidity, a 10-day course of broad-spectrum antibiotics is recommended, to begin on the day prior to surgery. Doxycycline, 100 mg twice daily, is routinely used.…”

Section: Antibioticsmentioning

confidence: 99%

Preoperative and Postoperative Management of the Patient Undergoing Infertility Surgery

Defazio¹,

Speroff²

1984

Semin Reprod Med

View full text Add to dashboard Cite

A Nine-Year Survey of Fallopian Tube Dysfunction in Human Infertility

Cited by 32 publications

References 15 publications

Feasibility of predicting live birth by combining conventional embryo evaluation with artificial intelligence applied to a blastocyst image in patients classified by age

Feasibility of predicting live birth by combining conventional embryo evaluation with artificial intelligence applied to a blastocyst image in patients classified by age

Hysteroscopic fallopian tube recanalization using a flexible guide cannula and hydrophilic guide wire

Preoperative and Postoperative Management of the Patient Undergoing Infertility Surgery

Contact Info

Product

Resources

About