Evaluation of magnetic resonance hysterosalpingography combined with limited pelvic MRI as a one-stop diagnostic approach for female infertility
Conventional X-ray Hysterosalpingography (C-HSG) has traditionally served as the primary imaging modality for evaluating tubal patency; however, it poses limitations including exposure to ionizing radiation, patient discomfort, and suboptimal soft tissue differentiation. This study evaluates the dia...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
KIMS Foundation and Research Center
2025-06-01
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| Series: | Journal of Medical and Scientific Research |
| Subjects: | |
| Online Access: | https://jmsronline.com/archive-article/hysterosalpingography-pelvic-MRI-diagnostic-female-infertility |
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| Summary: | Conventional X-ray Hysterosalpingography (C-HSG) has traditionally served as the primary imaging modality for evaluating tubal patency; however, it poses limitations including exposure to ionizing radiation, patient discomfort, and suboptimal soft tissue differentiation. This study evaluates the diagnostic accuracy of magnetic resonance hysterosalpingography (MR-HSG) in assessing tubal occlusion compared to C-HSG. Thirty patients with primary or secondary infertility underwent both MR-HSG and C-HSG, and findings were statistically analyzed. MR-HSG demonstrated a sensitivity of 98% and specificity of 95%, with no significant difference in diagnostic performance between MR-HSG and C-HSG (p=0.6). Additionally, MR-HSG identified non-tubal causes of infertility, such as endometrial abnormalities and submucosal fibroids, reinforcing its broader clinical utility. These findings suggest that MR-HSG could serve as a first-line imaging modality for infertility assessment, minimising patient discomfort while providing comprehensive pelvic evaluation.
Keywords: magnetic resonance; hysterosalpingography; infertility; tubal blockage; MR-HSG; C-HSG; non-invasive imaging; tubal occlusion |
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| ISSN: | 2321-1326 2394-112X |