Clinical use of 64-row multislice computed tomography hysterosalpingography in the evaluation of female factor infertility.

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).

DESIGN

Comparative prospective study.

SETTING

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).

PATIENT(S): Twenty-two female patients with a diagnosis of infertility.

INTERVENTION(S): Sixty-four-row MSCT-H and conventional X-ray HSG.

MAIN OUTCOME MEASURE(S): Diagnostic accuracy of MSCT-H for the evaluation of cervical, uterine, and tubal pathology.

RESULT(S): 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.

CONCLUSION(S): Sixty-four-row MSCT-H is a valuable alternative diagnostic technique in the infertility workup algorithm for the evaluation of the female reproductive tract.