OpenLB
Open Library of Bioscience
Advanced Search
Abdominal radiology (New York)
01, 2025;50 (1): 213-223.

Hystero-Salphingography in current clinical practice-old flames, die hard!

Nitin P Ghonge, Sanchita Dube Ghonge
Author Information
  1. Nitin P Ghonge: Department of Radiology, Indraprastha Apollo Hospitals, New Delhi-76, India. drnitinpghonge@gmail.com. ORCID
  2. Sanchita Dube Ghonge: Department of Obstetrics and Gynecology, Apollo Hospital, Noida, India.
PMID: 38913135 DOI: 10.1007/s00261-024-04456-9

Abstract

Hysterosalpingography (HSG) remains a valuable diagnostic tool in current clinical practice, offering crucial insights into endometrial cavity, fallopian tubes and the adjoining part of the pelvic peritoneal cavity. Despite the emergence of alternative imaging and non-imaging options, HSG continues to be widely utilized due to its diagnostic accuracy, cost-effectiveness, and easy accessibility. Due attention to the correct technique and optimal image interpretation will further enhance its diagnostic accuracy and precision in the work-up of patients with fertility problems.

References

  1. Practice Committee of the American Society for Reproductive Medicine (2015) Diagnostic evaluation of the infertile female: A Committee Opinion. Fertil Steril 103(6):e44���e50. [DOI: 10.1016/j.fertnstert.2015.03.019]
  2. Perquin DA, Dorr PJ, de Craen AJ, Helmerhorst FM (2006) Routine use of hysterosalpingography prior to laparoscopy in the fertility workup: A multi-center randomized controlled trial. Hum Reprod 21:1227���1231 [DOI: 10.1093/humrep/dei478]
  3. Chou Phay Lim, Zaid Hasafa, S. Bhattacharya, and A. Maheshwari. Should a hysterosalpingogram be a first-line investigation to diagnose female tubal subfertility in the modern subfertility workup? Human Reproduction, Vol.26, No.5 pp. 967���971, 2011. [DOI: 10.1093/humrep/der046]
  4. Simpson WL, Jr, Beitia LG, Mester J. Hysterosalpingography: A Reemerging Study. RadioGraphics 2006; 26:419���431. [DOI: 10.1148/rg.262055109]
  5. Shimaa Abdalla Ahmed and Hisham Abo-taleb. The validity of HSG in infertility work up. Egyptian Journal of Radiology and Nuclear Medicine (2019) 50:63 [DOI: 10.1186/s43055-019-0064-1]
  6. Krysiewicz S. Infertility in women: diagnostic evaluation with hysterosalpingography and other imaging techniques. AJR 1992;159:253���261. [DOI: 10.2214/ajr.159.2.1632336]
  7. Lindheim SR; Sprague C; Winter TC III. Hysterosalpingography and Sonohysterography: Lessons in Technique. AJR 2006; 186:24���29. [DOI: 10.2214/AJR.05.0836]
  8. Ghonge NP et al; Hystero-Salphingography: An obituary or a new beginning ��� IJRI, May 2008, Vol 18,Issue 2, Pages 175���������77.
  9. Darci J. Wall, Caroline Reinhold, Esma A. Akin, Susan M. Ascher, Olga R. Brook, Mark Dassel, Tara L. Henrichsen, Lee A. Learman, Katherine E. Maturen, Michael N. Patlas, Jessica B. Robbins, Elizabeth A. Sadowski, Carl Saphier, Jennifer W. Uyeda, Phyllis Glanc. ACR Appropriateness Criteria. Female Infertility Expert Panel on Women���s Imaging: J Am Coll Radiol 2020;17:S113-S124.
  10. Maria Grigovich, Vidhi S. Kacharia, Nishat Bharwani, Anne Hemingway, Velja Mijatovic, Shuchi K. Rodgers. Evaluating Fallopian Tube Patency: What the Radiologist Needs to Know. RadioGraphics 2021; 41:1876���1896. [DOI: 10.1148/rg.2021210033]
  11. Rasmussen F, Lindequist S, Larsen C, Justessen F. Therapeutic effect of hysterosalpingography: oil- versus water-soluble contrast media - A randomized prospective study. Radiology 1991; 179:75���78. [DOI: 10.1148/radiology.179.1.1848716]
  12. Dreyer K, Rijswijk JV, Mijatovic V, Goddijn M, Verhoeve H, Rooij IA et al. Oil-Based or Water-Based Contrast for Hysterosalpingography in Infertile Women. N Engl J Med 2017; 376:2043���2052. [DOI: 10.1056/NEJMoa1612337]
  13. Mohiyiddeen L, Hardiman A, Fitzgerald C, Hughes E, Mol BWJ, Johnson N, Watson A. Tubal flushing for subfertility. Cochrane Database of Systematic Reviews 2015, Issue 5. Art. No.: CD003718.
  14. S Lindequist, P Justesen, C Larsen, F Rasmussen. Diagnostic quality and complications of hysterosalpingography: oil-versus water-soluble contrast media - A randomized prospective study. Radiology 1991; Apr 179; (1): 69���74. [DOI: 10.1148/radiology.179.1.1848715]
  15. M Y Chen, R J Zagoria, J A Fayez, D J Ott, F L Van Swearingen. Comparison of patient reactions and diagnostic quality for hysterosalpingography using ionic and nonionic contrast media. Acad Radiol 1995;2(2):123���7. [DOI: 10.1016/S1076-6332(05)80146-1]
  16. ACR practice parameters for performance of Hysterosalphingography. Revised 2022 (Resolution 8). ACR Practice Parameter for the Performance of Hysterosalpingography.
  17. A. Sulieman, K. Theodorou, M. Vlychou, T. Topaltzikis, C. Roundas, I. Fezoulidis, C. Kappas, Radiation dose optimisation and risk estimation to patients and staff during hysterosalpingography, Radiation Protection Dosimetry, Volume 128, Issue 2, January 2008, Pages 217���226. [DOI: 10.1093/rpd/ncm324]
  18. R. Chahine, C. Zadeh, F. Abou Zeid, A. Al-Kutoubi. Hysterosalpingography: A step up for dose reduction. Clinical Radiology,Volume 79, Issue 1,2024, Pages e89-e93.
  19. ��beda B, Paraira M, Alert E, Abuin RA. Hysterosalpingography: Spectrum of Normal Variants and Non-pathologic Findings. AJR 2001;177:131���135. [DOI: 10.2214/ajr.177.1.1770131]
  20. Spencer C. Behr, Jesse L. Courtier, Aliya Qayyum. Imaging of M��llerian Duct Anomalies. RadioGraphics 2012; 32:E233���E250.
  21. Zafarani F, Ahmadi F, Shahrzad Gh. Hysterosalpingography in the assessment of congenital cervical anomalies. Int J Fertil Steril. 2017; 11(2): 71���78. [PMID: 28670423]
  22. Winfield AC, Pittaway D, Maxson W, Daniell J, Wentz AC. Apparent cornual occlusion in hysterosalpingography: reversal by glucagon. AJR Am J Roentgenol 1982;139:525���527. [DOI: 10.2214/ajr.139.3.525]
  23. Karasick S1, Goldfarb AF. Peritubal adhesions in infertile women: diagnosis with hysterosalpingography. AJR Am J Roentgenol. 1989;152(4):777���9. [DOI: 10.2214/ajr.152.4.777]
  24. Patricia Swart, Ben W. J. Mol,.t Fulco van der Veen, Marc van Beurden, William K. Redekop, Patrick M. M. Bossuyt, The accuracy of hysterosalpingography in the diagnosis of tubal pathology: A meta-analysis. FERTILITY AND STERILITY Vol. 64, No.3, September 1995.
  25. Ghonge NP, Ghonge Sanchita D. Computed tomography & magnetic resonance imaging in the evaluation of pelvic peritoneal adhesions: What radiologists need to know? Indian Journal of Radiology & Imaging 2014; 24: 149���55. [DOI: 10.4103/0971-3026.134400]
  26. Webpage of US Food and Drug Administration. https://www.fda.gov/medical-devices/essure-permanent-birth-control/fda-activities-related-essure
  27. Sulak, P.J, Letterie, G.S, Coddington, C.C, Hayslip, C.C, Woodward, J.E, and Klein, T.A. Histology of proximal tubal occlusion. Fertil Steril. 1987; 48: 437���440 [DOI: 10.1016/S0015-0282(16)59413-8]
  28. Honore�� GM, Holden AEC, Schenken RS, Pathophysiology and management of proximal tubal blockage Fertility & Sterility. vol. 71, no. 5, 1999.
  29. S. Maheux-Lacroix, A. Boutin, L. Moore, M.-E. Bergeron, E. Bujold, P. Laberge, M. Lemyre, S. Dodin. Hysterosalpingosonography for diagnosing tubal occlusion in sub-fertile women: a systematic review with meta-analysis, Human Reproduction, Volume 29, Issue 5, May 2014, Pages 953���963. [DOI: 10.1093/humrep/deu024]
  30. Amy S. Thurmond, Lindsay S. Machan, Antoine J. Maubon, Jean-Pierre Rouanet, David M. Hovsepian, Arl Van Moore, Ronald J. Zagoria, Kevin W. Dickey, James C. Bass. A Review of Selective Salpingography and Fallopian Tube Catheterization. RadioGraphics 2000; 20:1759���1768 [DOI: 10.1148/radiographics.20.6.g00nv211759]
  31. Anil G, Tay KH, Loh SF, Yong TT, Ong CL, Tan BS. Fluoroscopy-guided, transcervical, selective salpingography and fallopian tube recanalisation. J Obstet Gynaecol. 2011;31(8):746���50. [DOI: 10.3109/01443615.2011.593647]
  32. Yang T, Pandya A, Marcal L, Bude RO, Platt JF, Bedi DG, Elsayes KM. Sonohysterography: Principles, technique and role in diagnosis of endometrial pathology. World J Radiol. 2013;5(3):81���7. [DOI: 10.4329/wjr.v5.i3.81]
  33. Guideline developed in collaboration with the American College of Radiology, American College of Obstetricians and Gynecologists, Society of Radiologists in Ultrasound. AIUM Practice Guideline for the Performance of Sonohysterography. J Ultrasound Med 2015; 34:1.
  34. Sadia Shabir, Naseer A. Choh, Mudasir Nazir, Mujahid Ahmad Mir, Showkat Nazir, Rabia Khursheed and Saika Amreen. Diagnostic role of magnetic resonance hysterosalpingography in the evaluation of female infertility. Egypt J Radiol Nucl Med (2022) 53:248. [DOI: 10.1186/s43055-022-00931-9]
  35. Yun-zhi Li, Jie Qiu, Bin Ma, Tian-gang Li, Bin Yi, Ya-guang Hu, Jun-qiang Lei, Ke-hu Yang. The role of diagnostic magnetic resonance hysterosalpingography in the evaluation of fallopian tubal occlusion of female infertility: A meta-analysis. Clinical Imaging, Volume 72, 2021, Pages 11���18, [DOI: 10.1016/j.clinimag.2020.11.001]
  36. Carrascosa PM, Capu��ay C, Vallejos J, Mart��n L��pez EB, Baronio M, Carrascosa JM. Virtual Hysterosalpingography: A New Multidetector CT Technique for Evaluating the Female Reproductive System. RadioGraphics 2010; 30:643���663 [DOI: 10.1148/rg.303095732]
  37. Hasan DI; Mohammad FF; Shazely S. Utility of 128-multislice CT virtual HSG in assessment of female infertility. The Egyptian Journal of Radiology and Nuclear Medicine 47 (2016) 1743���1752. [DOI: 10.1016/j.ejrnm.2016.06.006]
  38. Infertility Workup for the Women���s Health Specialist: ACOG Committee Opinion Summary, Number 781. Obstet Gynecol 2019;133(6):1294���1295. [DOI: 10.1097/AOG.0000000000003272]
  39. Fertility problems: assessment and treatment. https://www.nice.org.uk/guidance/cg156/chapter/Recommendations-investigation-of-fertility-problemsand-management-strategies . Accessed January 31, 2021.
  40. Patricia Swart, Ben W. J. Mol, Fulco van der Veen, Marc van Beurden, William K. Redekop, Patrick M. M. Bossuyt. The accuracy of hysterosalpingography in the diagnosis of tubal pathology: A meta-analysis. Fertil Steril 1995; 64:486���������91.
  41. Thurmond AS, Machan LS, Maubon AJ, et al. A review of selective salpingography and fallopian tube catheterization. RadioGraphics 2000;20(6):1759���1768. [DOI: 10.1148/radiographics.20.6.g00nv211759]
  42. Sch��ler L, O���Leary D, Barry M, Crosby DA. National Clinical Practice Guideline: Fertility-Investigation and Management in Secondary Care. National Women and Infants Health Programme and The Institute of Obstetricians and Gynaecologists. October 2023.

MeSH Term

Female
Humans
Fallopian Tube Diseases
Hysterosalpingography
Infertility, Female
Practice Patterns, Physicians'
Journal Article Review

Word Cloud

Created with Highcharts 10.0.0diagnosticHSGcurrentclinicalcavityaccuracyHysterosalpingographyremainsvaluabletoolpracticeofferingcrucialinsightsendometrialfallopiantubesadjoiningpartpelvicperitonealDespiteemergencealternativeimagingnon-imagingoptionscontinueswidelyutilizedduecost-effectivenesseasyaccessibilityDueattentioncorrecttechniqueoptimalimageinterpretationwillenhanceprecisionwork-uppatientsfertilityproblemsHystero-Salphingographypractice-oldflamesdiehard!

Similar Articles

Cited By