Leandro Accardo de Mattos, Luísa Jacques Sauer, Roberto Blasbalg, Carlos Aberto Petta, Ricardo Mendes Pereira, Luiz Fernando Pina de Carvalho
JBRA Assist. Reprod. 2021; 25 (3):403-411
Received July 02, 2020
Accepted January 04, 2021
Abstract
Objective:Some studies have shown that it is possible to evaluate tubal permeability through MRI. Our aim is to perform a prospective study and a comprehensive review in the literature regarding HSG-MRI. Methods: we carried out a PUBMED search using the following keywords: hysterosalpingogram, hysterosalpingography, magnetic resonance imaging and MRI. As inclusion criteria, we included only articles published in English and exams that were carried out on humans. We also conducted a prospective inclusion of patients who had visited a human reproduction clinic between May/2017 and April/2019 for laboratory image diagnoses where HSG-MRI exams were conducted. Results: Following the inclusion and exclusion criteria, we included seven original articles. Review articles and those written in a language other than English, were excluded. Between the period of May/2017 and April/2019, ten patients were selected for our study. The average exam length was 30 minutes. In all cases, cervical catheterization was possible. There were no major complications. We highlight that in 8/9 of patients, it was possible to directly visualize uterine tubes with contrast (excluding one patient with bilateral tubal ligation). Conclusion: Our initial experience with HSG-MRI shows promise. We demonstrated an optimized protocol for conducting an HSG-MRI (with excellent image quality) HSG-MRI had some advantages, suck as not use ionized radiation, less pain and to be able to analyze pelvic anatomy. Patients who have been recommended to have a pelvic MRI as part of a more detailed investigation into infertility can also benefit from undergoing a simultaneous HSG using MRI.