Objective: To compare the efficiency of hysterosalpingo-contrast-sonography performed with air and saline (Hydro-HyCoSy) with HyCoSy performed with contrast media (SonoVue) and contrast-tuned imaging technology (CnTI-SonoVue-HyCoSy) considering hysterosalpingography (HSG) and laparoscopy (LPS) as reference tests and to evaluate the learning curve of this procedure. Design: Retrospective study. Setting: Reproductive unit of a university hospital. Patient(s): Forty-two infertile female patients. Intervention(s): HyCoSy were performed with a 2.4-mm intrauterine catheter. Patients underwent HSG or LPS as controls. Main Outcome Measure(s): Mean age, sensitivity, specificity, positive and negative predictive value, kappa value, and diagnostic accuracy were evaluated for statistical analysis. Result(s): Sensitivity, specificity, and positive and negative predictive values of Hydro-HyCoSy were 91%, 71%, 55%, and 95%, respectively, while for CnTI-SonoVue-HyCoSy they were 87%, 84%, 69%, and 94%. The diagnostic accuracy of Hydro-HyCoSy and of CnTI-SonoVue-HyCoSy were 77% and 85%, with a Cohen's kappa of 0.52 and 0.66, respectively. CnTI-SonoVue-HyCoSy does not require a learning curve period. Conclusion(s): CnTI-SonoVue-HyCoSy is more accurate than Hydro-HyCoSy for the assessment of fallopian tubes. The very high normal predictive value of Hydro-HyCoSy suggests that this procedure could be performed as a screening examination, whereas CnTI-SonoVue-HyCoSy could be used as a second-step technique.
Two-dimensional HyCoSy with contrast tuned imaging technology and a second-generation contrast media for the assessment of tubal patency in an infertility program / C. Lanzani, V. Savasi, F. Leone, M. Ratti, E. Ferrazzi. - In: FERTILITY AND STERILITY. - ISSN 0015-0282. - 92:3(2009), pp. 1158-1161.
|Titolo:||Two-dimensional HyCoSy with contrast tuned imaging technology and a second-generation contrast media for the assessment of tubal patency in an infertility program.|
LANZANI, CHIARA (Primo)
SAVASI, VALERIA MARIA (Secondo)
RATTI, MARTINA (Penultimo)
FERRAZZI, ENRICO MARIO (Ultimo)
|Parole Chiave:||contrast-tuned technology; HyCoSy; second-generation contrast media; Tubal patency|
|Settore Scientifico Disciplinare:||Settore MED/40 - Ginecologia e Ostetricia|
|Data di pubblicazione:||2009|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.fertnstert.2008.07.1746|
|Appare nelle tipologie:||01 - Articolo su periodico|