Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Vascular Surgery
- Bariatric Surgery
- Colon and Rectal Surgery
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Gastroenterological Surgery
- Gynecological Surgery
- Surgical Oncology
Abstract
Citation: Clin Surg. 2021;6(1):3228.Research Article | Open Access
Evaluation of HSG and SIS Diagnostic Value in Comparison to Hysteroscopy to Detect Intrauterine Abnormalities in Infertile Women in Iran
Leila Nazari and Parisa Taherzadeh Boroujeni
Preventative Gynecology Research Center (PGRC), Shahid Beheshti University of Medical Sciences, Iran
Obstetrician Gynecologist Infertility, IVF Center Taleghani Hospital, Tehran, Iran
*Correspondance to: Parisa Taherzadeh Boroujeni
PDF Full Text DOI: 10.25107/2474-1647.3228
Abstract
Objective: Hysteroscopy is the gold standard in evaluation of uterine cavity. However, being invasive and its possible adverse effects have reduced popularity of hysteroscopy and clinicians have always been looking for a valid alternative for hysteroscopy. In the current study, we aimed to compare diagnostic value of saline induced sonography with HSG in diagnosis of intrauterine abnormalities. Material and Method: We performed a retrospective study on 81 infertile women who underwent hysteroscopy, SIS and HSG at Taleghani infertility center during their IVF treatment course. Polyp, fibroids, adhesion and septate uterus were considered as abnormality. We reported agreement percent, kappa, sensitivity, and specificity, area under curve, diagnostic odds ratio, positive predictive value, and negative predictive value for both SIS and HSG. Results: Total agreement between SIS and hysteroscopy was 85.1, while it was 23.4 for HSG. We also observed considerably higher kappa for SIS (80.1%) than HSG (15.5%). Overall sensitivity and specificity of SIS for diagnosis of all type of anomaly including both uterine abnormalities and Acquired uterine pathologies was 90.1% (95% CI = 80.7, 95.9) and 90.0% (95% CI = 55.5, 99.7). Meanwhile overall sensitivity and specificity of hysterosalpingography where hysteroscopy was considered as the gold standard was 54.9 (42.7, 66.8) and 50.0 (18.7, 81.3). Conclusion: SIS is more sensitive tools than HSG for diagnosis of intrauterine abnormalities and could be considered one of the best alternatives of hysteroscopy. It provides more accurate detail diagnostic information with high sensitivity and specificity.
Keywords
Hysterosalpingography; Sonography; Imaging in infertility; Intrauterine
abnormalities
Cite the article
Nazari L, Boroujeni PT. Evaluation of HSG and SIS Diagnostic Value in Comparison to Hysteroscopy to Detect Intrauterine Abnormalities in Infertile Women in Iran. Clin Surg. 2021; 6: 3228..