Automated sonographic tubal patency evaluation with three‐dimensional coded contrast imaging (CCI) during hysterosalpingo‐contrast sonography (HyCoSy)

Exacoustòs, C.; Giovanni, A. Di; Szabolcs, B.; Binder-Reisinger, H.; Gabardi, C.; Arduini, Domenico

doi:10.1002/uog.7442

Cited by 48 publications

(58 citation statements)

References 16 publications

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“…For instance, the tubal structure cannot be observed entirely in any scanning window because of its tortuosity and different visualized images relied on specific occasions. 7 Compared with 2D HyCoSy, 3D HyCoSy requires less time, 36 avoids difficult probe movements and is less dependent on operator skill. 4,7,37 Automated 3D volume acquisition of the entire fallopian tube easily shows the course of the tube and image acquisition also permits storage and later analyses of captures.…”

Section: Subgroup Analyses and Publication Biasmentioning

confidence: 99%

“…4 Compared with these procedures, transvaginal hysterosalpingo contrast sonography (HyCoSy) is a noninvasive, safe and cost-effective method, providing a rapid, easily conducted and reliable diagnosis for tubal patency. [5][6][7] So far, several research have made some attempts to evaluate the accuracy of HyCoSy in tubal patency diagnosis, compared with traditional techniques. A meta-analysis with most two-dimensional (2D) HyCoSy studies showed that HyCoSy was better than hysterosalpingography in diagnosing tubal occlusion and should be in the initial work-up of subfertile couples.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Three- or four-dimensional hysterosalpingo contrast sonography for diagnosing tubal patency in infertile females: a systematic review with meta-analysis

Wang

Qian

2016

BJR

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Section: Subgroup Analyses and Publication Biasmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Three- or four-dimensional hysterosalpingo contrast sonography for diagnosing tubal patency in infertile females: a systematic review with meta-analysis

Wang

Qian

2016

BJR

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“…HyCoSy has continued to develop from utilizing a negative contrast agent, for example, saline solution [10] to a positive contrast agent [11] and from 2-dimensional (2 D) to 4-dimensional (4 D) image [12]. In spite of its several unquestionable benefits, HyCoSy is surely an operator-dependent process.…”

Section: Introductionmentioning

confidence: 99%

Pain and side effects associated with 4-dimensional hysterosalpingo-contrast sonography for evaluating of the fallopian tubes patency

Zhang

et al. 2017

Computer Assisted Surgery

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4-Dimensional hysterosalpingo-contrast sonography (4 D HyCoSy) using SonoVue is regarded as a really good option available for evaluating fallopian tubal patency. This study was designed to assess the pain and adverse effects incurred by women undergoing 4 D HyCoSy. Through evaluating the pelvic pain immediately after 4 D HyCoSy and 30 min after 4 D HyCoSy, the circumstances of the pain relief was also observed. The predictive factors of pain were assessed simultaneously. 827 consecutive women as part of infertility evaluation were included. The pain experienced was then assessed on a 10-cm visual analogue scale (VAS). Each patient was questioned to rate the pain at two different points of time (T1, immediately after 4 D HyCoSy; T2, 30 min after 4 D HyCoSy). 818/827 (98.9%) patients completed the procedure. Pain was experienced by 757/818 (92.5%) of subjects. 30 min after HyCoSy procedure, only 0.5% (4/818) patients feel severe pelvic pain and after 15-30 minutes of rest, these patients were relieved of pain. Age, cycle length, duration of menses, and duration of infertility were not significantly correlated with pain associated with 4 D HyCoSy as assessed by VAS. Women with tubal obstruction experienced a significant increase in 4 D HyCoSy-associated pain. There were significant differences in the degree of pain between different tubal patency (p <0.01). Overall, 4 D HyCoSy, a userfriendly, multidimensional technology, has the advantage of real-time, dynamic, well tolerated, and low serious complications, which make it a good way for evaluating fallopian tubal patency. The technique aids in making choices concerning further procedures for the diagnosis and treatment of infertility. Most of women experience pain associated with the procedure and 30 minute period of observation is useful.

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“…Compared with diagnostic hysteroscopy, saline contrast HSG is a noninvasive procedure with similar accuracy in the diagnosis of focal endometrial pathology [5]. Three-dimensional (3D) hysterosalpingo-contrast sonography (HyCoSy) that associates second-generation agents, such as SonoVue, with new software (Coded contrast imaging; GE Healthcare, Zipf, Austria) allows detailed assessment of the uterine cavity and fallopian tube patency [6].We propose a virtual hysteroscopy from 3D saline and 3D HyCoSy scan data to generate a virtual reality as a new noninvasive procedure for assessing the uterine cavity in uterine congenital anomaly and endometrial pathology cases as well as the fallopian tube patency.A 25-year-old woman with pain in the lower abdomen-type colic that increased in intensity in the last menstrual period was examined. Her menarche was at 14 years of age, and with regular menstrual periods.…”

mentioning

confidence: 99%

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confidence: 99%

Virtual hysteroscopy: a new non invasive approach for the assessment of uterine cavity

et al. 2017

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Endometrial pathology occurs in 40% of premenopausal women, with abnormal bleeding, uterine fibroids (30%), and polyps (30%) being the most common findings [1]. The assessment of endometrial cavity can be performed by ultrasonography, contrasted hysterosalgingography (HSG), and diagnostic hysteroscopy (HCT) [2]. Diagnostic hysteroscopy is considered the gold standard for assessing endometrial pathologies and congenital uterine anomalies [3]; however, it is an invasive and uncomfortable procedure [4]. Compared with diagnostic hysteroscopy, saline contrast HSG is a noninvasive procedure with similar accuracy in the diagnosis of focal endometrial pathology [5]. Three-dimensional (3D) hysterosalpingo-contrast sonography (HyCoSy) that associates second-generation agents, such as SonoVue, with new software (Coded contrast imaging; GE Healthcare, Zipf, Austria) allows detailed assessment of the uterine cavity and fallopian tube patency [6].We propose a virtual hysteroscopy from 3D saline and 3D HyCoSy scan data to generate a virtual reality as a new noninvasive procedure for assessing the uterine cavity in uterine congenital anomaly and endometrial pathology cases as well as the fallopian tube patency.A 25-year-old woman with pain in the lower abdomen-type colic that increased in intensity in the last menstrual period was examined. Her menarche was at 14 years of age, and with regular menstrual periods. She had to two previous pregnancies with one term labor and one miscarriage without curettage. A 3D HyCoSy was performed with a Voluson E6 apparatus (GE, Healthcare, Milwaukee, WI, USA) equipped with an endovaginal probe (RIC 5-9D). Initially, a specific catheter for HSG (5-Fr) with a silicone balloon (1.5 mL) (Cook Medical, Spencer, IN, USA) was introduced into the cervical canal and inflated with 3-mL distilled water. In sequence, the protocol-coded contrast imaging mode was activated, AbstractEndometrial pathology is frequent in premenopausal women and the diagnostic hysteroscopy is considered the gold standard for assessing endometrial cavity and congenital uterine anomalies. However it is an invasive and uncomfortable procedure. Saline contrast hysterosalgingography and hysterosalpingo-contrast sonography allow detailed assessment of the uterine cavity. We propose a virtual hysteroscopy from three-dimensional saline and three-dimensional hysterosalpingo-contrast sonography scan data to generate a virtual reality as a new noninvasive procedure for assessing the uterine cavity in uterine congenital anomaly and endometrial pathology cases as well

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Automated sonographic tubal patency evaluation with three‐dimensional coded contrast imaging (CCI) during hysterosalpingo‐contrast sonography (HyCoSy)

Cited by 48 publications

References 16 publications

Three- or four-dimensional hysterosalpingo contrast sonography for diagnosing tubal patency in infertile females: a systematic review with meta-analysis

Three- or four-dimensional hysterosalpingo contrast sonography for diagnosing tubal patency in infertile females: a systematic review with meta-analysis

Pain and side effects associated with 4-dimensional hysterosalpingo-contrast sonography for evaluating of the fallopian tubes patency

Virtual hysteroscopy: a new non invasive approach for the assessment of uterine cavity

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