Journal article
Hysterosalpingography: a step up for dose reduction
Clinical radiology, Vol.79(1), pp.e89-e93
01/01/2024
DOI: 10.1016/j.crad.2023.10.001
PMID: 37923624
Abstract
To evaluate the efficiency of last image capture in interpreting a hysterosalpingogram (HSG) when compared to conventional spot views; to confirm its validity in showing pathology; to establish its use as the preferred method; and to decrease the radiation dose to the patient.
The study population consisted of women aged ≥18 years. A standard technique was performed including additional five last image capture after each spot view. Every patient had two stacks of images, one with the exposure film and one with the last image capture. The images were interpreted separately (high-dose versus low-dose) and blindly by two radiologists with different levels of training assessing for uterine abnormalities, fallopian tube abnormalities, peritoneal spillage, and incidental findings. Inter-reading variability was calculated using Kohen’s kappa.
Discrepancies between exposure film and last image capture were detected in only a minority of cases for all variables. Except for the presence of strictures, there was at least substantial agreement between the readers and almost perfect agreement regarding peritoneal spillage and fallopian tube patency, both on exposure film and last image capture.
Reduction in radiation dose without compromising the diagnostic efficacy of HSG is mandatory. If the study is of sufficient quality and deemed negative on last image capture, conventional spot view can be avoided. If further detail is required, standard spot views can still be obtained. Using last image capture instead of spot films has the potential to reduce the overall radiation dose by up to 78%.
•Dose reduction in HSG is important given the susceptibility of the irradiated area.•Films can be replaced by last image capture in most patients for dose reduction.•Exposure films can still be performed, if necessary in selected patients.
Details
- Title: Subtitle
- Hysterosalpingography: a step up for dose reduction
- Creators
- R. Chahine - American University of Beirut Medical CenterC. Zadeh - University of Iowa Health CareF. Abou Zeid - American University of Beirut Medical CenterA. Al Kutoubi - American University of Beirut Medical Center
- Resource Type
- Journal article
- Publication Details
- Clinical radiology, Vol.79(1), pp.e89-e93
- DOI
- 10.1016/j.crad.2023.10.001
- PMID
- 37923624
- NLM abbreviation
- Clin Radiol
- ISSN
- 0009-9260
- eISSN
- 1365-229X
- Publisher
- Elsevier Ltd
- Language
- English
- Date published
- 01/01/2024
- Academic Unit
- Radiology
- Record Identifier
- 9984697722902771
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