Combining B-mode ultrasound with pulsed wave Doppler for the assessment of tubal patency

Human Reproduction
A Kleinkauf-HouckenW Braendle

Abstract

This study was conducted to determine whether the additional use of pulsed wave Doppler improves the diagnostic capacity in assessing tubal patency by hysterosalpingo contrast sonography (HyCoSy). A total of 210 women with a history of infertility were included in this study. HyCoSy was performed after intrauterine injection of Echovist 200. For the assessment of tubal patency B-mode scanning and pulsed wave Doppler ultrasound were performed in the proximal and distal tubal segments. With the combined sonographic procedure 297 tubes (74%) were rated patent, 35 (8%) incompletely obstructed and 70 (18%) completely obstructed. A total of 252 tubes were additionally examined by laparoscopy for reference purposes. Concordant results for both methods were found in 92% of tubes, nine had been rated false negative and 10 tubes appeared to have been rated false positive. The combined sonographic specificity was found to be 85% with a sensitivity of 95%. Peritubal adhesions detected by laparoscopy were found to be the reason for false positive sonographic results in 60% of cases. In conclusion, the combined B-mode and pulsed wave Doppler examination appears to be a non-invasive and low-cost test for the assessment of tubal patency, which...Continue Reading

Citations

May 5, 2004·Best Practice & Research. Clinical Obstetrics & Gynaecology·Erling EkerhovdSeth Granberg
Sep 15, 2000·European Journal of Obstetrics, Gynecology, and Reproductive Biology·K HaugeS Granberg
Feb 15, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·F P BoudghèneJ M Bigot
Mar 3, 2007·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Sanja Kupesic, Branko M Plavsic
Mar 15, 2011·The Journal of Obstetrics and Gynaecology Research·Berfu DemirAli Haberal
Apr 30, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Isela M RobertshawSteven R Lindheim

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