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C Exacoustos - One of the best experts on this subject based on the ideXlab platform.

  • three dimensional Hysterosalpingo Contrast Sonography with gel foam methodology and feasibility to obtain 3 dimensional volumes of tubal shape
    Journal of Minimally Invasive Gynecology, 2017
    Co-Authors: C Exacoustos, A Pizzo, Lucia Lazzeri, Adalgisa Pietropolli, Emilio Piccione, E Zupi
    Abstract:

    Abstract Objectives To investigate the feasibility of Hysterosalpingo foam Sonography (HyFoSy) with automated 3-dimensional (3D) software in the evaluation of tubal patency and visualization of the tubal course by obtaining a 3D volume acquisition of tubes. Design Prospective observational study (Canadian Task Force classification III). Setting University hospital. Patients A total of 132 infertile females evaluated between October 2013 and February 2015. Interventions All patients underwent HyFoSy with the new automated 3D coded Contrast imaging (CCI) followed by 2-dimensional (2D) real-time HyFoSy. To evaluate the feasibility of 3D visualization of the tubal course, consecutive volume acquisitions were performed during gel foam Contrast agent injection. Conventional 2D real-time Hysterosalpingo Contrast Sonography (HyCoSy) by detection of gel foam moving through the tubes and around the ovaries was finally performed and considered to indicate the final results of tubal status. Measurements and Main Results All the patients underwent 3D CCI HyFoSy, followed by 2D real-time HyFoSy. After both procedures, we observed 108 patients (81.8%) with bilateral tubal patency, 22 patients (16.6%) with unilateral tubal patency, and 2 patients (1.5%) with bilateral tubal occlusion. The concordance rate for tubal status between the first and second 3D volume acquisitions and the final 2D real-time evaluation was 84.8% and 97.0%, respectively. Conclusions Transvaginal ultrasound HyFoSy with 3D volume reconstruction of the uterus and tubes is an accurate and safe technique that allows complete visualization of tubal shape and patency with high patient compliance.

  • ultrasound examination of tubal patency Hysterosalpingo Contrast Sonography hycosy
    2017
    Co-Authors: C Exacoustos
    Abstract:

    Some degree of tubal pathology, resulting in occlusion of one or both tubes, is found in one of three infertile women so the evaluation of tubal status is one of the initial steps in the diagnostic workup of infertile women.

  • automated three dimensional coded Contrast imaging Hysterosalpingo Contrast Sonography feasibility in office tubal patency testing
    Ultrasound in Obstetrics & Gynecology, 2013
    Co-Authors: C Exacoustos, Me Romanini, A Di Giovanni, B Szabolcs, E Zupi, Danielle E Luciano, V Romeo, D Arduini
    Abstract:

    Objective To evaluate the feasibility of transvaginal Hysterosalpingo-Contrast Sonography (HyCoSy) with new automated three-dimensional coded Contrast imaging (3D-CCI) software in the evaluation of tubal patency and visualization of tubal course. Methods Patients undergoing HyCoSy with automated 3D-CCI software were evaluated prospectively. First, to evaluate the feasibility of 3D visualization of tubal course, we performed consecutive volume acquisitions while injecting SonoVue Contrast agent. We then performed conventional two-dimensional (2D) real-time HyCoSy to confirm tubal patency status by detection of saline and air bubbles moving through the Fallopian tubes and around the ovaries. We also evaluated visualization with CCI of the Contrast agent around the ovaries, side effects and pain during and after the procedure, by visual analog scale (VAS) (ranging from 0 to 10, with 0 corresponding to no pain and 10 corresponding to maximum pain). Results A total of 126 patients (252 tubes) underwent 3D-CCI HyCoSy followed by 2D real-time HyCoSy. According to the final 2D real-time evaluation, bilateral tubal patency was observed in 111 patients, bilateral tubal occlusion in four patients and unilateral tubal patency in 11 patients. The concordance rate for tubal patency status between the first 3D volume acquisition and the final 2D real-time evaluation was 84% and that between the second 3D volume acquisition and the final 2D real-time evaluation was 97%. A pain score >5 on VAS was recorded in 58% of patients during the procedure, but a pain score ≤ 5 was recorded in 85.7% of patients immediately after the procedure. Conclusions HyCoSy with automated 3D-CCI technology retains the advantages of conventional 2D HyCoSy while overcoming the disadvantages. 2D HyCoSy is highly observer-dependent and is only accurate in the hands of experienced investigators; by obtaining a volume of the uterus and tubes, automated 3D volume acquisition permits visualization of the tubes in the coronal view and of the tubal course in 3D space, and should allow less experienced operators to evaluate tubal patency status relatively easily. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.

  • can Hysterosalpingo Contrast Sonography replace Hysterosalpingography in confirming tubal blockage after hysteroscopic sterilization and in the evaluation of the uterus and tubes in infertile patients
    American Journal of Obstetrics and Gynecology, 2011
    Co-Authors: Danielle E Luciano, C Exacoustos, Alan D Johns, Anthony A Luciano
    Abstract:

    OBJECTIVE: The objective of the study was to assess the accuracy of Hysterosalpingo-Contrast Sonography (HyCoSy) in establishing tubal patency or blockage and evaluating the uterine cavity by comparing it with hysteroscopy laparoscopy (HLC) or Hysterosalpingography (HSG). STUDY DESIGN: This study was a chart review evaluating infertility patientsandpatientswhohadundergonehysteroscopicsterilization who underwent both HyCoSy and HLC or HyCoSy and HSG at private offices associated with university hospitals. Sensitivity, specificity, positive predictive value, and negative predictive value of HyCoSy were calculated. RESULTS: HyCoSy compared with HLC had a sensitivity of 97% and specificityof82%,andHyCoSycomparedwithHSGwas100%concordant. Uterine cavities evaluated by sonohysterography and hysteroscopy were 100% concordant. CONCLUSION: HyCoSy is accurate in determining tubal patency and evaluating the uterine cavity, suggesting it could supplant HSG not only as the first-line diagnostic test in an infertility workup but also in confirming tubal blockage after hysteroscopic sterilization.

  • automated sonographic tubal patency evaluation with three dimensional coded Contrast imaging cci during Hysterosalpingo Contrast Sonography hycosy
    Ultrasound in Obstetrics & Gynecology, 2009
    Co-Authors: C Exacoustos, A Di Giovanni, B Szabolcs, H Binderreisinger, C Gabardi, D Arduini
    Abstract:

    Evaluation of tubal status is one of the initial steps in the diagnostic work-up of infertile women. Hysterosalpingo- Contrast Sonography (HyCoSy), currently performed as part of the infertility work-up to assess tubal patency by transvaginal ultrasound (TVS) 1 , is based on the introduction of fluid into the uterine cavity and Fallopian tubes. To evaluate the Fallopian tubes, a sonographic enhancing positive-Contrast medium may be used. Air, albumin with micro air bubbles, and galactose with micro air bubbles have been studied. These positive- Contrast agents outline the course of the Fallopian tubes, producingahyperechoicappearance.Themostsimpleand inexpensive positive-Contrast medium is saline solution mixed with air. When this solution is shaken, it generates as uspension of air bubbles that is easily identif ied sonographically when injected into the uterine cavity and Fallopian tubes 2-4 with spillage around the ovaries. However, while two-dimensional (2D) TVS HyCoSy with saline solution mixed with air appears to be an accurate and inexpensive screening tool to assess tubal patency, it is highly observer-dependent and is accurate only in the hands of experienced investigators 2-5 . In addition,

D Arduini - One of the best experts on this subject based on the ideXlab platform.

  • automated three dimensional coded Contrast imaging Hysterosalpingo Contrast Sonography feasibility in office tubal patency testing
    Ultrasound in Obstetrics & Gynecology, 2013
    Co-Authors: C Exacoustos, Me Romanini, A Di Giovanni, B Szabolcs, E Zupi, Danielle E Luciano, V Romeo, D Arduini
    Abstract:

    Objective To evaluate the feasibility of transvaginal Hysterosalpingo-Contrast Sonography (HyCoSy) with new automated three-dimensional coded Contrast imaging (3D-CCI) software in the evaluation of tubal patency and visualization of tubal course. Methods Patients undergoing HyCoSy with automated 3D-CCI software were evaluated prospectively. First, to evaluate the feasibility of 3D visualization of tubal course, we performed consecutive volume acquisitions while injecting SonoVue Contrast agent. We then performed conventional two-dimensional (2D) real-time HyCoSy to confirm tubal patency status by detection of saline and air bubbles moving through the Fallopian tubes and around the ovaries. We also evaluated visualization with CCI of the Contrast agent around the ovaries, side effects and pain during and after the procedure, by visual analog scale (VAS) (ranging from 0 to 10, with 0 corresponding to no pain and 10 corresponding to maximum pain). Results A total of 126 patients (252 tubes) underwent 3D-CCI HyCoSy followed by 2D real-time HyCoSy. According to the final 2D real-time evaluation, bilateral tubal patency was observed in 111 patients, bilateral tubal occlusion in four patients and unilateral tubal patency in 11 patients. The concordance rate for tubal patency status between the first 3D volume acquisition and the final 2D real-time evaluation was 84% and that between the second 3D volume acquisition and the final 2D real-time evaluation was 97%. A pain score >5 on VAS was recorded in 58% of patients during the procedure, but a pain score ≤ 5 was recorded in 85.7% of patients immediately after the procedure. Conclusions HyCoSy with automated 3D-CCI technology retains the advantages of conventional 2D HyCoSy while overcoming the disadvantages. 2D HyCoSy is highly observer-dependent and is only accurate in the hands of experienced investigators; by obtaining a volume of the uterus and tubes, automated 3D volume acquisition permits visualization of the tubes in the coronal view and of the tubal course in 3D space, and should allow less experienced operators to evaluate tubal patency status relatively easily. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.

  • automated sonographic tubal patency evaluation with three dimensional coded Contrast imaging cci during Hysterosalpingo Contrast Sonography hycosy
    Ultrasound in Obstetrics & Gynecology, 2009
    Co-Authors: C Exacoustos, A Di Giovanni, B Szabolcs, H Binderreisinger, C Gabardi, D Arduini
    Abstract:

    Evaluation of tubal status is one of the initial steps in the diagnostic work-up of infertile women. Hysterosalpingo- Contrast Sonography (HyCoSy), currently performed as part of the infertility work-up to assess tubal patency by transvaginal ultrasound (TVS) 1 , is based on the introduction of fluid into the uterine cavity and Fallopian tubes. To evaluate the Fallopian tubes, a sonographic enhancing positive-Contrast medium may be used. Air, albumin with micro air bubbles, and galactose with micro air bubbles have been studied. These positive- Contrast agents outline the course of the Fallopian tubes, producingahyperechoicappearance.Themostsimpleand inexpensive positive-Contrast medium is saline solution mixed with air. When this solution is shaken, it generates as uspension of air bubbles that is easily identif ied sonographically when injected into the uterine cavity and Fallopian tubes 2-4 with spillage around the ovaries. However, while two-dimensional (2D) TVS HyCoSy with saline solution mixed with air appears to be an accurate and inexpensive screening tool to assess tubal patency, it is highly observer-dependent and is accurate only in the hands of experienced investigators 2-5 . In addition,

  • p04 28 Hysterosalpingo Contrast Sonography hycosy methodological and clinical experience
    Ultrasound in Obstetrics & Gynecology, 2004
    Co-Authors: Me Romanini, C Exacoustos, B Szabolcs, E Zupi, C Amoroso, A Amadio, D Arduini
    Abstract:

    Conclusions: Hy-Co-Sy is a simple, effective, well tolerated, low risk, outpatient procedure. We think it could be established as an initial screening tool. In those patients where tubal patency is demonstrated, early referral for ovulation induction could be facilitated. The demonstration of uterine, tubal, and endometrial pathology, makes possible a triage to operative hysteroscopy and laparoscopy.

  • Hysterosalpingo Contrast Sonography compared with Hysterosalpingography and laparoscopic dye pertubation to evaluate tubal patency
    Journal of The American Association of Gynecologic Laparoscopists, 2003
    Co-Authors: C Exacoustos, E Zupi, C Carusotti, G Lanzi, D Marconi, D Arduini
    Abstract:

    Abstract Study Objective To evaluate the advantages and accuracy of Hysterosalpingo-Contrast Sonography (HyCoSy) in assessing tubal patency compared with Hysterosalpingogram (HSG) and laparoscopic dye pertubation. Design Prospective study (Canadian Task Force classification II-2). Setting Obstetrics and Gynecology Department, University of Rome Tor Vergata. Patients Twenty-three women with at least 1 year of infertility, and 15 women with a history of chronic pelvic pain, suspected endometriosis, or pelvic inflammatory disease (PID), or with sonographic markers of adhesions. Intervention HyCoSy, HSG, and laparoscopic dye pertubation. Measurements and Main Results All patients underwent HyCoSy during the proliferative phase using air with saline as Contrast medium, and HSG within 1 month of HyCoSy. Laparoscopy and dye pertubation were performed only in women with chronic pelvic pain, suspected endometriosis, PID, and sonographic markers of adhesions. In women undergoing all three procedures, HSG and HyCoSy had the same high concordance as laparoscopy, 86.7% and 86.7%, respectively. Three women in the infertility group became pregnant immediately after HyCoSy and dropped out of the study. In one woman, HyCoSy could not be performed because of cervical stenosis. Considering the total number of tubes (67), concordance between HyCoSy and HSG was 89.6%. Conclusion Transvaginal HyCoSy using a combination of air and saline appears to be an inexpensive, fast, and well-tolerated method of determining tubal patency. One of the most important advantages of this technique is, in our opinion, the possibility of obtaining information on tubal status and the uterine cavity at the same time as conventional ultrasound scan is performed.

Hongmei Liu - One of the best experts on this subject based on the ideXlab platform.

  • transvaginal four dimensional Hysterosalpingo Contrast Sonography pain perception and factors influencing pain severity
    Journal of Obstetrics and Gynaecology Research, 2021
    Co-Authors: Ning Zhang, Jiayao Shi, Yu Liu, Meijun Zhou, Hongmei Liu
    Abstract:

    AIM The purpose is to investigate pain perception during transvaginal four-dimensional Hysterosalpingo-Contrast Sonography (TV 4D-HyCoSy) and factors influencing pain severity. METHODS This was a retrospective study included 340 women who underwent TV 4D-HyCoSy examination from January 2016 to October 2017. The factors were recorded, including age, childbearing history, infertility type, history of pelvic inflammation, pelvic surgery, history of uterine manipulation, history of ectopic pregnancy, atropine delivery mode, uterine position, uterine malformation, uterine lesion, fibroid, intrauterine adhesion, polycystic ovary, endometrial implantation cyst, dysmenorrhea score, the degree of patency of fallopian tube and Contrast agents dosage. Pain was evaluated during and after TV 4D-HyCoSy. The time point of peak pain was evaluated and the influencing factors of moderate/severe pain were analyzed. RESULTS The highest pain occurred at Contrast instillation. The independent influencing factors of moderate/severe pain were age (P = 0.021), dysmenorrhea score (P = 0.003) and tubal patency (P < 0.001). Further analysis showed that age affected the pain score when TV 4D-HyCoSy started and the peak pain occurred. Dysmenorrhea score and tubal patency affect the pain score at most time points. CONCLUSION Age, dysmenorrhea score and tubal patency are factors influencing the severity of pain during TV 4D-HyCoSy.

  • spontaneous conception outcome in infertile women after four dimensional Hysterosalpingo Contrast Sonography
    BMC Pregnancy and Childbirth, 2020
    Co-Authors: Yu Liu, Ning Zhang, Jiayao Shi, Meijun Zhou, Hongmei Liu
    Abstract:

    Four-dimensional Hysterosalpingo-Contrast Sonography (4D-HyCoSy) is the preferred way for evaluating fallopian tubal patency and it associated with higher rate of spontaneous conception. However, Few studies have evaluated the influencing factors of spontaneous conception in 4D-HyCoSy and suggested ways to choose treatment options after 4D-HyCoSy. The study was to evaluate the correlation between spontaneous conception outcome and the patients’ clinical characteristics as well as tubal patency in infertile women to provide reference on ways to manage the patient after 4D-HyCoSy. This was a retrospective study and analysis of two hundred and eighty three (283) infertile patients who underwent a 4D-HyCoSy between December 2014 and October 2017 in our center. Eligible patients were those whose partners semen parameters were normal when based on World Health Organization (WHO) criteria, and had spontaneous conception without clinical interventions after 4D-HyCoSy. One hundred and sixteen patients (40.9%) conceived spontaneously and the mean conception time was (8.8 ± 0.3) months. Within a year after 4D-HyCoSy, the spontaneous conception rate was highest in type VI(62.5%), followed by type IV (46.2%), type III (44.4%), type V (39.4%), type II (33.9%) and type I (14.8%). With Cox regression analysis, two factors associated with spontaneous conception outcome appeared to increase spontaneous conception rate: patients with type IV or type VI tubes and duration of infertility less than 2 years. The age, type of infertility, multiparas, history of pelvic surgery, history of uterine cavity operation, uterine fibromyomata and polycystic ovary were unrelated to spontaneous conception outcome after 4D-HyCoSy. This study showed that some infertile women could succeed in spontaneous conception after 4D-HyCoSy. Hence, We recommend the usage of 4D-HyCoSy as first line for tubal patency test and infertile patients should be advised to accept 4D-HyCoSy examination as soon as possible. Expectant treatment of about 8–9 months is reported to be feasible for infertile women whose 4D-HyCoSy findings showed one tube patency or poor patency. Alternatively, an immediate clinical intervention is recommended for those with bilateral obstructed tubes .

  • The Influencing Factors of Venous Intravasation During Transvaginal Four-dimensional Hysterosalpingo-Contrast Sonography With SonoVue.
    Ultrasound in medicine & biology, 2019
    Co-Authors: Jiayao Shi, Hongmei Liu, Ying Guan
    Abstract:

    Transvaginal 4-D Hysterosalpingo-Contrast Sonography with SonoVue (TV 4-D HyCoSy) is the preferred imaging method for evaluating tubal patency. However, venous intravasation in 4-D HyCoSy may affect the diagnosis of tubal patency. The objective of this study was to analyze influencing factors of venous intravasation during TV 4-D HyCoSy. This study included 643 infertile patients who underwent TV 4-D HyCoSy. We analyzed the relationship between the incidence of venous intravasation and patients' basic clinical data, endometrial thickness, inspection timing (clean day of menstruation) and tubal patency. A total of 169 (26.28%) patients exhibited intravasation during TV 4-D HyCoSy. The following are risk factors for venous intravation: secondary infertility, type C + C, type B + C and type B + B in bilateral fallopian tubal patency grouping; endometrial thickness ≤5.45 mm; and taking TV 4-D HyCoSy after menstruation ≤6 d. Infertility duration, intrauterine lesions, a history of pelvic inflammatory disease and a history of pelvic surgery were uncorrelated with venous intravasation. To reduce the incidence of venous intravasation, TV 4-D HyCoSy should be performed 7-10 d after menstruation or when endometrial thickness is thicker than 5.45 mm.

  • Intravasation Affects the Diagnostic Image Quality of Transvaginal 4-Dimensional Hysterosalpingo-Contrast Sonography With SonoVue.
    Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2018
    Co-Authors: Ran Xiong, Hongmei Liu, Jiayao Shi, Ning Zhang, Yu Liu
    Abstract:

    OBJECTIVES We aim to retrospectively analyze the diagnostic image quality of transvaginal 4-dimensional Hysterosalpingo-Contrast Sonography from infertile patients and determine the significant influencing factors. METHODS A total of 445 patients visiting infertility clinics were included in the study, of which 167 were primary infertile and 278 were secondary infertile. The factors were recorded, including age; examination time; infertility type; history of pelvic inflammatory disease, pelvic surgery, intrauterine surgery, and ectopic pregnancy; endometrial thickness; uterine position; ovarian position; 2-dimensional image quality; intravasation quantity, position, and time; balloon volume; and the dosage of Contrast agent or the sterile saline solution. All the factors were compared among different diagnostic image quality groups. The method of rank logistic regression analysis was adopted to analyze the risk factors affecting the diagnostic image quality. RESULTS Among the 445 infertile patients, 124 (27.9%) patients had intravasation occur during transvaginal 4-dimensional Hysterosalpingo-Contrast Sonography. The diagnostic image quality between the 2 sonographers was consistent (Cronbach's alpha, 0.993). Different intravasation quantities, positions, and times; increased of balloon volume; and history of pelvic surgery were substantial risk factors for the diagnostic image quality. The diagnostic image quality diminished with the increase of intravasation. In the patient with cornual intravasation, the diagnostic image quality was substantially worse than that with non-cornual intravasation. Moreover, early onset of intravasation seriously affected the diagnostic image quality. CONCLUSIONS In conclusion, intravasation affected the diagnostic image quality, especially early cornual massive intravasation.

  • comparison of assessment methods for fallopian tubal patency and peritubal adhesion between transvaginal 4 dimensional Hysterosalpingo Contrast Sonography and laparoscopic chromopertubation
    Journal of Ultrasound in Medicine, 2017
    Co-Authors: Qiuxiang Liu, Linghong Kong, Juan Luo, Hongmei Liu
    Abstract:

    Objectives The purpose of this study was to compare transvaginal 4-dimensional Hysterosalpingo-Contrast Sonography with laparoscopic chromopertubation and evaluate the former's clinical value in assessing fallopian tubal patency and peritubal adhesion. Methods Fifty-six patients visiting infertility clinics were included in the study and underwent surgery by their own choice in 1 month. In total, 112 fallopian tubes were assessed. Twenty-five were primarily infertile, and the rest were secondarily infertile. Laparoscopic chromopertubation was taken as the reference standard. Results In a comparison of fallopian tubal patency between transvaginal Hysterosalpingo-Contrast Sonography and laparoscopic chromopertubation, the sensitivity, specify, positive predictive value, and negative predictive value of Hysterosalpingo-Contrast Sonography for diagnosing blocked fallopian tubes were 88.4%, 85.2%, 90.5%, and 82.1% respectively. In a comparison of spray at the fimbrial end between the no–peritubal adhesion and peritubal adhesion groups, the spray score at the fimbrial end in the no–peritubal adhesion group was significantly lower than that in the peritubal adhesion group. In a comparison of periovarian diffusion between the no–peritubal adhesion and peritubal adhesion groups, the periovarian diffusion score in the no–peritubal adhesion group was significantly lower than that in the peritubal adhesion group. In a comparison of periovarian diffusion between the patent-tube and blocked groups confirmed by chromopertubation, the periovarian diffusion score in the patent group was significantly lower than that in the blocked group. Conclusions Transvaginal Hysterosalpingo-Contrast Sonography is a method with high sensitivity and specificity for screening fallopian tubal patency and peritubal adhesion.

Me Romanini - One of the best experts on this subject based on the ideXlab platform.

  • automated three dimensional coded Contrast imaging Hysterosalpingo Contrast Sonography feasibility in office tubal patency testing
    Ultrasound in Obstetrics & Gynecology, 2013
    Co-Authors: C Exacoustos, Me Romanini, A Di Giovanni, B Szabolcs, E Zupi, Danielle E Luciano, V Romeo, D Arduini
    Abstract:

    Objective To evaluate the feasibility of transvaginal Hysterosalpingo-Contrast Sonography (HyCoSy) with new automated three-dimensional coded Contrast imaging (3D-CCI) software in the evaluation of tubal patency and visualization of tubal course. Methods Patients undergoing HyCoSy with automated 3D-CCI software were evaluated prospectively. First, to evaluate the feasibility of 3D visualization of tubal course, we performed consecutive volume acquisitions while injecting SonoVue Contrast agent. We then performed conventional two-dimensional (2D) real-time HyCoSy to confirm tubal patency status by detection of saline and air bubbles moving through the Fallopian tubes and around the ovaries. We also evaluated visualization with CCI of the Contrast agent around the ovaries, side effects and pain during and after the procedure, by visual analog scale (VAS) (ranging from 0 to 10, with 0 corresponding to no pain and 10 corresponding to maximum pain). Results A total of 126 patients (252 tubes) underwent 3D-CCI HyCoSy followed by 2D real-time HyCoSy. According to the final 2D real-time evaluation, bilateral tubal patency was observed in 111 patients, bilateral tubal occlusion in four patients and unilateral tubal patency in 11 patients. The concordance rate for tubal patency status between the first 3D volume acquisition and the final 2D real-time evaluation was 84% and that between the second 3D volume acquisition and the final 2D real-time evaluation was 97%. A pain score >5 on VAS was recorded in 58% of patients during the procedure, but a pain score ≤ 5 was recorded in 85.7% of patients immediately after the procedure. Conclusions HyCoSy with automated 3D-CCI technology retains the advantages of conventional 2D HyCoSy while overcoming the disadvantages. 2D HyCoSy is highly observer-dependent and is only accurate in the hands of experienced investigators; by obtaining a volume of the uterus and tubes, automated 3D volume acquisition permits visualization of the tubes in the coronal view and of the tubal course in 3D space, and should allow less experienced operators to evaluate tubal patency status relatively easily. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.

  • Automated three-dimensional coded Contrast imaging Hysterosalpingo-Contrast Sonography: Feasibility in office tubal patency testing
    2013
    Co-Authors: Exacoustos C, Di Giovanni A, Szabolcs B, Me Romanini, Luciano D, Zupi E, Arduini D
    Abstract:

    To evaluate the feasibility of transvaginal Hysterosalpingo-Contrast Sonography (HyCoSy) with new automated three-dimensional coded Contrast imaging (3D-CCI) software in the evaluation of tubal patency and visualization of tubal course

  • Contrast-Tuned Imaging and Second-Generation Contrast Agent SonoVue: A New Ultrasound Approach to Evaluation of Tubal Patency
    2009
    Co-Authors: Exacoustos C, Di Giovanni A, Szabolcs B, Me Romanini, Zupi E, Amoroso C, Arduini D
    Abstract:

    To determine whether transvaginal Hysterosalpingo-Contrast Sonography (HyCoSy) with a new dedicated Contrast-enhanced ultrasound technique, can contribute to accurate diagnosis of tubal occlusion

  • p04 28 Hysterosalpingo Contrast Sonography hycosy methodological and clinical experience
    Ultrasound in Obstetrics & Gynecology, 2004
    Co-Authors: Me Romanini, C Exacoustos, B Szabolcs, E Zupi, C Amoroso, A Amadio, D Arduini
    Abstract:

    Conclusions: Hy-Co-Sy is a simple, effective, well tolerated, low risk, outpatient procedure. We think it could be established as an initial screening tool. In those patients where tubal patency is demonstrated, early referral for ovulation induction could be facilitated. The demonstration of uterine, tubal, and endometrial pathology, makes possible a triage to operative hysteroscopy and laparoscopy.

Danielle E Luciano - One of the best experts on this subject based on the ideXlab platform.

  • automated three dimensional coded Contrast imaging Hysterosalpingo Contrast Sonography feasibility in office tubal patency testing
    Ultrasound in Obstetrics & Gynecology, 2013
    Co-Authors: C Exacoustos, Me Romanini, A Di Giovanni, B Szabolcs, E Zupi, Danielle E Luciano, V Romeo, D Arduini
    Abstract:

    Objective To evaluate the feasibility of transvaginal Hysterosalpingo-Contrast Sonography (HyCoSy) with new automated three-dimensional coded Contrast imaging (3D-CCI) software in the evaluation of tubal patency and visualization of tubal course. Methods Patients undergoing HyCoSy with automated 3D-CCI software were evaluated prospectively. First, to evaluate the feasibility of 3D visualization of tubal course, we performed consecutive volume acquisitions while injecting SonoVue Contrast agent. We then performed conventional two-dimensional (2D) real-time HyCoSy to confirm tubal patency status by detection of saline and air bubbles moving through the Fallopian tubes and around the ovaries. We also evaluated visualization with CCI of the Contrast agent around the ovaries, side effects and pain during and after the procedure, by visual analog scale (VAS) (ranging from 0 to 10, with 0 corresponding to no pain and 10 corresponding to maximum pain). Results A total of 126 patients (252 tubes) underwent 3D-CCI HyCoSy followed by 2D real-time HyCoSy. According to the final 2D real-time evaluation, bilateral tubal patency was observed in 111 patients, bilateral tubal occlusion in four patients and unilateral tubal patency in 11 patients. The concordance rate for tubal patency status between the first 3D volume acquisition and the final 2D real-time evaluation was 84% and that between the second 3D volume acquisition and the final 2D real-time evaluation was 97%. A pain score >5 on VAS was recorded in 58% of patients during the procedure, but a pain score ≤ 5 was recorded in 85.7% of patients immediately after the procedure. Conclusions HyCoSy with automated 3D-CCI technology retains the advantages of conventional 2D HyCoSy while overcoming the disadvantages. 2D HyCoSy is highly observer-dependent and is only accurate in the hands of experienced investigators; by obtaining a volume of the uterus and tubes, automated 3D volume acquisition permits visualization of the tubes in the coronal view and of the tubal course in 3D space, and should allow less experienced operators to evaluate tubal patency status relatively easily. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.

  • can Hysterosalpingo Contrast Sonography replace Hysterosalpingography in confirming tubal blockage after hysteroscopic sterilization and in the evaluation of the uterus and tubes in infertile patients
    American Journal of Obstetrics and Gynecology, 2011
    Co-Authors: Danielle E Luciano, C Exacoustos, Alan D Johns, Anthony A Luciano
    Abstract:

    OBJECTIVE: The objective of the study was to assess the accuracy of Hysterosalpingo-Contrast Sonography (HyCoSy) in establishing tubal patency or blockage and evaluating the uterine cavity by comparing it with hysteroscopy laparoscopy (HLC) or Hysterosalpingography (HSG). STUDY DESIGN: This study was a chart review evaluating infertility patientsandpatientswhohadundergonehysteroscopicsterilization who underwent both HyCoSy and HLC or HyCoSy and HSG at private offices associated with university hospitals. Sensitivity, specificity, positive predictive value, and negative predictive value of HyCoSy were calculated. RESULTS: HyCoSy compared with HLC had a sensitivity of 97% and specificityof82%,andHyCoSycomparedwithHSGwas100%concordant. Uterine cavities evaluated by sonohysterography and hysteroscopy were 100% concordant. CONCLUSION: HyCoSy is accurate in determining tubal patency and evaluating the uterine cavity, suggesting it could supplant HSG not only as the first-line diagnostic test in an infertility workup but also in confirming tubal blockage after hysteroscopic sterilization.