Premium
Value of three‐dimensional hysterosalpingo‐contrast sonography with SonoVue in the assessment of tubal patency
Author(s) -
Zhou L.,
Zhang X.,
Chen X.,
Liao L.,
Pan R.,
Zhou N.,
Di N.
Publication year - 2012
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.11085
Subject(s) - medicine , diagnostic accuracy , ultrasonography , radiology , predictive value
Objective To investigate the accuracy of transvaginal three‐dimensional hysterosalpingo‐contrast sonography using SonoVue (3D SonoVue‐HyCoSy) in the assessment of Fallopian tubal patency. Methods We recruited 75 infertile patients undergoing 3D SonoVue‐HyCoSy before standard diagnostic laparoscopy with chromotubation (lap and dye). Tubal patency was assessed by automated 3D coded contrast imaging (3D SonoVue‐HyCoSy), and the findings were compared with the results of lap and dye. Results For detecting tubal patency among the 150 Fallopian tubes assessed, 3D SonoVue‐HyCoSy had a sensitivity of 93.5%, specificity of 86.3%, positive and negative predictive values of 87.8% and 92.6%, respectively, and diagnostic accuracy of 90.0%. The test‐positive rates of 3D SonoVue‐HyCoSy vs lap and dye were not significantly different (82/150 vs 77/150, P > 0.05). Conclusion 3D SonoVue‐HyCoSy should be considered clinically valuable as a practical, non‐invasive, primary investigatory tool for evaluating tubal patency. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.