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Current Urology Reports

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01-11-2019 | Infertility | New Imaging Techniques (S Rais-Bahrami and K Porter, Section Editors)

Advanced Imaging in Female Infertility

Authors: Carolyn F. Dishuck, Jordan D. Perchik, Kristin K. Porter, Deidre D. Gunn

Published in: Current Urology Reports | Issue 11/2019

Abstract

Purpose of Review

This review highlights the role of imaging in the diagnosis and management of reproductive disorders. The additional information that imaging studies can contribute to reproductive medicine is emphasized, including the role of pelvic ultrasonography (US, including sonohysterography and contrast-enhanced hysterosalpingosonography), hysterosalpingography (HSG), and magnetic resonance imaging (MRI) of the female reproductive tract. In addition, the implications of congenital causes of infertility on the urinary tract in females are reviewed.

Recent Findings Summary

While the evaluation of infertility in women is initially focused on the assessment of ovulation via serum hormone levels, imaging plays a role in evaluating other causes of infertility. Recent research in this field focuses on the establishment of a comprehensive single imaging study for the assessment of female reproductive disorders. Two proposed methods are MR hysterosalpingography and Fertiliscan, a combination of high-quality 3D ultrasound and assessment of tubal patency with hysterosalpingo-foam-sonography, though more research is needed to determine the risks and benefits of each method, as well as their reliability.

Zegers-Hochschild F, Adamson GD, de Mouzon J, Ishihara O, Mansour R, Nygren K, et al. International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology, 2009. Fertil Steril. 2009;92(5):1520–4. https://doi.org/10.1016/j.fertnstert.2009.09.009.CrossRef

•• Infertility Workup for the Women’s Health Specialist: ACOG Committee Opinion, Number 781 (2019). Obstet Gynecol 133 (6):e377-e384. https://doi.org/10.1097/AOG.0000000000003271 Current recommendations of the American College of Obstetricians and Gynecologists (ACOG) and the American Society for Reproductive Medicine (ASRM) for the workup of infertility, including the role of imaging.

Vander Borght M, Wyns C. Fertility and infertility: definition and epidemiology. Clin Biochem. 2018;62:2–10. https://doi.org/10.1016/j.clinbiochem.2018.03.012.CrossRefPubMed

Mathews TJ, Hamilton BE. Mean age of mothers is on the rise: United States, 2000-2014. NCHS Data Brief. 2016;(232):1–8.

Mittal PK, Little B, Harri PA, Miller FH, Alexander LF, Kalb B, et al. Role of imaging in the evaluation of male infertility. RadioGraphics. 2017;37(3):837–54. https://doi.org/10.1148/rg.2017160125.CrossRef

Vickramarajah S, Stewart V, van Ree K, Hemingway AP, Crofton ME, Bharwani N. Subfertility: what the radiologist needs to know. RadioGraphics. 2017;37(5):1587–602. https://doi.org/10.1148/rg.2017170053.CrossRefPubMed

Gnoth C, Godehardt E, Frank-Herrmann P, Friol K, Tigges J, Freundl G. Definition and prevalence of subfertility and infertility. Hum Reprod. 2005;20(5):1144–7. https://doi.org/10.1093/humrep/deh870.CrossRefPubMed

Practice Committee of the American Society for Reproductive M. Diagnostic evaluation of the infertile female: a committee opinion. Fertil Steril. 2015;103(6):e44–50. https://doi.org/10.1016/j.fertnstert.2015.03.019.CrossRef

Practice Committee of the American Society for Reproductive Medicine. Electronic address Aao, Practice Committee of the American Society for Reproductive M. Uterine septum: a guideline. Fertil Steril. 2016;106(3):530–40. https://doi.org/10.1016/j.fertnstert.2016.05.014.CrossRef

10.

Ludwin A, Pityński K, Ludwin I, Banas T, Knafel A. Two- and three-dimensional ultrasonography and sonohysterography versus hysteroscopy with laparoscopy in the differential diagnosis of septate, bicornuate, and arcuate uteri. J Minim Invasive Gynecol. 2013;20(1):90–9. https://doi.org/10.1016/j.jmig.2012.09.011.CrossRef

11.

Pleş L, Alexandrescu C, Ionescu CA, Arvătescu CA, Vladareanu S, Moga MA. Three-dimensional scan of the uterine cavity of infertile women before assisted reproductive technology use. Medicine (Baltimore). 2018;97(41):e12764–4. https://doi.org/10.1097/MD.0000000000012764.CrossRef

12.

American College of O, Gynecologists’ Committee on Gynecologic P. Technology assessment no. 12: sonohysterography. Obstet Gynecol. 2016;128(2):e38–42. https://doi.org/10.1097/AOG.0000000000001588.CrossRef

13.

Dijkman AB, Mol BWJ, van der Veen F, Bossuyt PMM, Hogerzeil HV. Can hysterosalpingocontrast-sonography replace hysterosalpingography in the assessment of tubal subfertility? Eur J Radiol. 2000;35(1):44–8. https://doi.org/10.1016/S0720-048X(99)00127-8.CrossRefPubMed

14.

• Levaillant J-M, Pasquier M, Massin N. A novel concept for female infertility exploration: the Fertiliscan©, a dedicated all-in-one 3D ultrasound exploration. J Gynecol Obstet Hum Reprod. 2019;48(5):363–7. https://doi.org/10.1016/j.jogoh.2019.01.008 Introduces an innovative comprehensive examination for evaluating female infertility with a combination of high quality 3D ultrasound and assessment of tubal patency with hysterosalpingo-foam-sonography. CrossRef

15.

• Exacoustos C, Pizzo A, Lazzeri L, Pietropolli A, Piccione E, Zupi E. Three-dimensional hysterosalpingo contrast sonography with gel foam: methodology and feasibility to obtain 3-dimensional volumes of tubal shape. J Minim Invasive Gynecol. 2017;24(5):827–32. https://doi.org/10.1016/j.jmig.2017.04.007 Demonstrates that the novel hysterosalpingo-foam-sonography is a well-tolerated method for the evaluation of tubal course and patency. CrossRefPubMed

16.

Fukunaga T, Fujii S, Inoue C, Mukuda N, Murakami A, Tanabe Y, et al. The spectrum of imaging appearances of Müllerian duct anomalies: focus on MR imaging. Jpn J Radiol. 2017;35(12):697–706. https://doi.org/10.1007/s11604-017-0681-4.CrossRef

17.

• Volondat M, Fontas E, Delotte J, Fatfouta I, Chevallier P, Chassang M. Magnetic resonance hysterosalpingography in diagnostic work-up of female infertility – comparison with conventional hysterosalpingography: a randomised study. EurRadiol. 2019;29(2):501–8. https://doi.org/10.1007/s00330-018-5572-2 Compares the diagnostic accuracy of MR-HSG with conventional radiographic HSG demonstrating comparable performance and reduced patient discomfort. CrossRef

18.

Tran-Harding K, Nair RT, Dawkins A, Ayoob A, Owen J, Deraney S, et al. Endometriosis revisited: an imaging review of the usual and unusual manifestations with pathological correlation. Clin Imaging. 2018;52:163–71. https://doi.org/10.1016/j.clinimag.2018.07.017.CrossRef

19.

Bazot M, Daraï E. Diagnosis of deep endometriosis: clinical examination, ultrasonography, magnetic resonance imaging, and other techniques. Fertil Steril. 2017;108(6):886–94. https://doi.org/10.1016/j.fertnstert.2017.10.026.CrossRefPubMed

20.

Steinkeler JA, Woodfield CA, Lazarus E, Hillstrom MM. Female infertility: a systematic approach to radiologic imaging and diagnosis. RadioGraphics. 2009;29(5):1353–70. https://doi.org/10.1148/rg.295095047.CrossRefPubMed

21.

Ramanathan S, Kumar D, Khanna M, Al Heidous M, Sheikh A, Virmani V, et al. Multi-modality imaging review of congenital abnormalities of kidney and upper urinary tract. World J Radiol. 2016;8(2):132–41. https://doi.org/10.4329/wjr.v8.i2.132.CrossRef

Title: Advanced Imaging in Female Infertility
Authors: Carolyn F. Dishuck
Jordan D. Perchik
Kristin K. Porter
Deidre D. Gunn
Publication date: 01-11-2019
Publisher: Springer US
Keywords: Infertility
Magnetic Resonance Imaging
Magnetic Resonance Imaging
Hysterosalpingography
Infertility
Published in: Current Urology Reports / Issue 11/2019
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI: https://doi.org/10.1007/s11934-019-0942-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Advanced Imaging in Female Infertility

Abstract

Purpose of Review

Recent Findings Summary

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose of Review

Recent Findings Summary

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