Possibilities of Magnetic Resonance Hysterosalpingography for Infertility in Women of Early Reproductive Age
https://doi.org/10.18705/2311-4495-2019-6-5-
Abstract
Purpose. The possibility of painless MR-hysterosalpingography (MP-GSH) in assessing the patency of fallopian tubes as alternative to traditional x-ray hysterosalpingography and laparoscopy. Materials and methods. The study included 93 infertile women. Written informed consent had been obtained from all patients to perform both MR-HSG. MRI scan allowed to assess the shape of the uterus, the fallopian tubes and their patency, the degree of penetration of contrast into the abdominal cavity. Results. 63 women showed passable fallopian tubes, not expanded ones. 14 women had not passible fallopian tubes in intramural departments from both sides, not expanded. In 7 cases — one of the fallopian tubes was not passable, not expanded. In 3 cases the uterine tubes are deformed on the background of adhesions, not expanded and fallopian tubes are not patent. In 6 cases women showed expanded and wriggled one or two fallopian tubes and partial diffluence of radiopaque over the abdomen to the places far from the ampoule. Flask-like expanded fallopian tubes remain forming «valve» hydrosalpinx. Conclusion. MR-hysterosalpingography a less painful, radiation-safe technique of MRI, the use of which allows to reliably determine the patency of fallopian tubes.
About the Authors
O. V. SergienyaSergienya Olga V., Radiologist of the MRI Department
A. S. Lepekhina
Russian Federation
Lepekhina Anna S., First-Year Resident
A. Y. Efimtsev
Efimtsev Alexander Yu., PhD, Leading Researcher, Research Laboratory of Radiation Visualization
V. A. Fokin
Fokin Vladimir A., Dr. Sc., Professor, Head of the Department of Radiology
T. M. Zubareva
Zubareva Tatyana M., Head of the Department of Reproductive Gynecology, Obstetrician-Gynecologis
I. E. Zazerskaya
Zazerskaya Irina E., Dr. Sc., Head of the Department of Obstetrics and Gynecology
G. E. Trufanov
Trufanov Gennady E., Dr. Sc., Professor, Head of the Department of Radiology and Medical Imaging
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Review
For citations:
Sergienya O.V., Lepekhina A.S., Efimtsev A.Y., Fokin V.A., Zubareva T.M., Zazerskaya I.E., Trufanov G.E. Possibilities of Magnetic Resonance Hysterosalpingography for Infertility in Women of Early Reproductive Age. Translational Medicine. 2019;6(5):24-30. (In Russ.) https://doi.org/10.18705/2311-4495-2019-6-5-