Revista chilena de radiología
versión ISSN 0717-9308
CARRASCOSA, Patricia et al. 64-Row multidetector CT virtual hysterosalpingography: Findings in 2500 patients . Rev. chil. radiol. [online]. 2011, vol.17, n.3, pp. 113-117. ISSN 0717-9308. doi: 10.4067/S0717-93082011000300004.
Objective. To depict typical features of virtual hysterosalpingography (VHSG) in infertile patients. Material and methods: 2500 VHSG performed using a 64-row MDCT were evaluated. Results: Cervical abnormalities visualized corresponded to parietal irregularities (21%); thickened folds (9%); polyps (11%); diverticula (5%); cervical strictures (8%), and synechiae (1.5%). At the level of uterine cavity, polyps (44%); submucous myomas (8%); intramural and subserosal fibroids (11%); synechiae (10%); malformations (10%); adenomyosis (4%), and cesarean section scar (3%). Unilateral hydrosalpinx (7%) and bilateral hydrosalpinx (2%). Tubal obstruction was reported in 6% of cases. The average radiation dose was 0.94 mSv. Eighty-four percent of the patients reported mild pain or no postoperative discomfort. Conclusions: The virtual hysterosalpingography allowed a proper assessment of the internal genital organs, providing useful diagnostic information on infertility and other gynecological disorders. It constitutes a virtually painless, low-dose radiation technique, besides being well tolerated by patients.
Palabras clave : Fallopian tubes; Multidetector computed tomography; Uterus; Virtual hysterosalpingography; Virtual studies.