Wassilios Pegios, Presenter: Nothing to Disclose

Thomas Glücker, Abstract Co-Author: Nothing to Disclose

Walter Wiesner, Abstract Co-Author: Nothing to Disclose

Christian De Geyter, Abstract Co-Author: Nothing to Disclose

Johannes Froehlich, Abstract Co-Author: Consultant, Guerbet

Wolfgang Steinbrich, Abstract Co-Author: Nothing to Disclose

To optimize the new method for imaging of the uterine cavity and Fallopian tube patency by dynamic MR-HSG without the procedure of conventional HSG .

37 consecutive infertile women underwent MR imaging in a 1.5 T MR-unit (Avanto, Siemens, Erlangen). For imaging of the true pelvis standard axial and sagittal T2-TSE-FS sequences were acquired. A Balloon catheter (Ch. 5, Rüsch, Kernen, Germany) was placed into the uterine cavity and blocked at its position. Dynamic MR-HSG consisted of injection of 20 ml of gadolinium-polyvidone solution (18.4 mM Dotarem 1:20 with Polyvidon) into the uterine cavity while acquiring five consecutive FLASH-3D T1-weighted MR-seqeunces.

Dynamic MR-HSG allowed good 3D visualization of the uterine cavity and confirmation of bilateral Fallopian tube patency (n=27). In patients who showed a one-sided occlusion of the Fallopian tubes (n=3) catheterisation was performed. In case of double-sided occlusion (n=3) correlation with laparoscopy findings was performed. However, in two of these patients (n=4) the examination was still partially diagnostic, causing dislocation of the catheter.

More information about all organs of the true pelvis and especially of avoidance of exposure to ionizing radiation. In case of succeeding in, at least in a part of patients, achieving the Fallopian tube patency with selective catheterisation and with the passage of contrast medium in MR imaging, not only will it be possible to lower costs, but also to avoid unnecessary operations.

Avoidance of exposure to ionizing radiation,lower costs and avoid unnecessary operations.

Pegios, W, Glücker, T, Wiesner, W, De Geyter, C, Froehlich, J, Steinbrich, W, Dynamic MR-hysterosalpingography (MR-HSG) Replacing Conventional X-ray HSG: First Experience.  Radiological Society of North America 2006 Scientific Assembly and Annual Meeting, November 26 - December 1, 2006 ,Chicago IL. http://archive.rsna.org/2006/4433362.html