Combining B-mode ultrasound with pulsed wave Doppler for the assessment of tubal patency

Kleinkauf-Houcken, A.; Hüneke, B.; Lindner, Christoph; Braendle, W.

doi:10.1093/humrep/12.11.2457

Cited by 27 publications

(9 citation statements)

References 11 publications

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“…Seven studies had combined Doppler interrogation with gray scale sonography to improve the demonstration of the tube in cases of nonvisualization. [8][9][10][11][12][13][14] We had great expectation that Doppler sonography and in particular power (energy) Doppler technique would be useful to assess the passage of air in the tubes. In practice, power Doppler sonography caused so many artifacts that identifica-tion of the tubes was more difficult.…”

Section: Discussionmentioning

confidence: 99%

Air-contrast sonohysterography as a first step assessment of tubal patency.

Jeanty¹,

Besnard²,

Arnold³

et al. 2000

Journal of Ultrasound in Medicine

310

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We assessed the use of air as a sonographic contrast agent in the investigation of tubal patency by sonohysterography. We examined 115 women assessed for infertility. After saline sonohysterography, small amounts of air were insufflated, and the tubal passage of bubbles was monitored. In five patients (excluded from the results), cervical stenosis prevented the procedure. Ninety‐one tubes (right side) and 86 tubes (left side) were definitively patent; 5 and 7, respectively, were probably patent; and 12 and 16, respectively, were nonvisualized. Nine patients had polyps, 3 had synechiae, and 2 had submucosal fibroids. None of the patients had infectious complications. Air‐sonohysterography and laparoscopy with chromopertubation showed agreement in 79.4%. In 17.2% of patients, the tubes were considered nonvisualized by air‐sonohysterography when they were patent. The sensitivity was 85.7% and specificity 77.2%. In conclusion, air‐sonohysterography is a comfortable, simple, and inexpensive first line of tubal patency investigations yielding high accuracy.

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Section: Discussionmentioning

confidence: 99%

Air-contrast sonohysterography as a first step assessment of tubal patency.

Jeanty¹,

Besnard²,

Arnold³

et al. 2000

Journal of Ultrasound in Medicine

310

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“…Overall, 34 of these 145 cases (62 tubes) were verified using the gold standard laparoscopy and dye test. We defined the segment which was more than 3 cm distal from the uterus as the distal part of the Fallopian tube [20].…”

Section: Resultsmentioning

confidence: 99%

Combined Real-Time Three-Dimensional Hysterosalpingo-Contrast Sonography with B Mode Hysterosalpingo-Contrast Sonography in the Evaluation of Fallopian Tube Patency in Patients Undergoing Infertility Investigations

Sumin

Chen

et al. 2019

BioMed Research International

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Objective. This prospective study aimed to investigate the use of real-time three-dimensional hysterosalpingo-contrast sonography (4D-HyCoSy), using contrast agent SonoVue, with B mode hysterosalpingo-contrast sonography (B mode-HyCoSy), to evaluate tubal patency and the wall of the Fallopian tubes in infertility patients. Method. In total, we recruited 739 women with fertility requirements from the First Affiliated Hospital of Shantou Medical College between January 2017 and July 2018. All cases received 4D-HyCoSy using contrast agent SonoVue, immediately followed by the B mode-HyCoSy. Of these patients, 145 showed pathological findings in the Fallopian tubes during HyCoSy; 34 of these (62 Fallopian tubes) were verified by laparoscopy and the dye test against routine reference standards. Sonographic findings, along with laparoscopic findings and dye test results, were used to compare the two techniques using the Cohen kappa coefficient. We also investigated the duration of examination and pain score. Results. Compared with laparoscopy and the dye test, the tubal occlusion diagnostic accordance rates for 4D-HyCoSy were 88.7% (32+23)/62, with a kappa coefficient of 0.769 and a 76.9% agreement rate. Distal occlusion diagnostic accordance rates for 4D-HyCoSy were 100% (8/8) with a k coefficient of 1.000 and a 100% agreement rate. Conclusions. The use of 4D-HyCoSy, with B mode-HyCoSy, for the diagnosis of tubal patency is safe, feasible, noninvasive, and highly accurate. B mode-HyCoSy allowed us to observe tubal walls in an intuitive manner.

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“…Because of the importance of cost‐effectiveness, diagnostic laparoscopy should be kept as a last step option. Radionuclide HSG, sonohysterography, and various ultrasonographic contrast media have been used as first‐line procedures to evaluate the fallopian tubes 6,7 . The cost‐effectiveness of these approaches is debatable.…”

Section: Introductionmentioning

confidence: 99%

“…Radionuclide HSG, sonohysterography, and various ultrasonographic contrast media have been used as first-line procedures to evaluate the fallopian tubes. 6,7 The cost-effectiveness of these approaches is debatable. Ultrasonography is a non-invasive procedure and provides both anatomical and physiological information for the assessment of a woman's fertility.…”

Section: Introductionmentioning

confidence: 99%