A team led by Dr. Javier Vallejos from Diagnóstico Maipú in Buenos Aires reviewed the cases of 14 women between the ages of 31 and 41 who had been diagnosed with infertility. The women underwent transvaginal ultrasound, a virtual CT-hysterosalpingography (HSG) exam, and an MR-HSG exam on the same day to assess follicle counts, endometrial and pelvic cavities, uterine wall pathology, and tubal patency using all three modalities.
MR-HSG visualized more ovarian follicles than ultrasound, the researchers found. The modality comprehensively imaged Fallopian tubes in 65% of the women, and it showed tubal patency in all of the cases. In 45% of patients, MR-HSG showed endoluminal lesions such as polyps and myomas that were corroborated with CT-HSG.
The fact that MR-HSG can evaluate all of these factors makes it a promising option for diagnosing infertility, the group concluded.
