Human Reproduction Archives
Human Reproduction Archives
Research Article Infertility

Virtual hysterosalpingography using computed tomography, the first experiments in Brazil

Guilherme Galante Heuser, Sandra Leontina Graube, Tássia Machado Medeiros, Henrique Galante Heuser, Rodrigo Dessuy Haag, Camila Bohrer Bolsson, Eliane Roseli Winkelmann

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evaluation of tubal patency and uterine morphological alterations, which was carried out for the first time in Brazil, and our experience in this area. The techniques advantages, benefits and disadvantages compared to the traditional method are illustrated in this manuscript. Methods: 185 patients were submitted to virtual hysterosalpingography using computed tomography by a physicians indication and the results of these tests were compiled and described. Results: The advantages of virtual hysterosalpingography over X-ray hysterosalpingography are: (a) the variety of technological features offered by multi-detector tomography, (b) the injection pump and the workstations with software that allow post-processing of high-fidelity clinical images, and (c) not pinching the uterine cervix. Conclusions: Virtual hysterosalpingography is a viable alternative for the evaluation of tubal and uterine infertility factors.


hysterosalpingography; virtual hysterosalpingography; conjugal infertility.


1. Kaproth-Joslin K, Dogra V. Imaging of female infertility: a pictorial guide to the hysterosalpingography, ultrasonography, and magnetic resonance imaging findings of the congenital and acquired causes of female infertility. Radiol Clin North Am. 2013;51(6):967-81. PMid:24210439.

2. Carrascosa P, Capuñay C, Mariano B, López EM, Jorge C, Borghi M, et al. Virtual hysteroscopy by multidetector computed tomography. Abdom Imaging. 2008;33(4):381-7. PMid:17619924.

3. Carrascosa PM, Capuñay C, Vallejos J, Martín López EB, Baronio M, Carrascosa JM. Virtual hysterosalpingography: a new multidetector CT technique for evaluating the female reproductive system. Radiographics. 2010;30(3):643-661. PMid:20462986.

4. Pérez JA, Maurer MN, Abreu M, Pitrez LH, Pellanda RC, Maurer SAC, et al. Prevalência de alterações uterinas e tubárias na histerossalpingografia em mulheres inférteis: estudo de 48 casos. Radiol Bras. 2001;34(2):79-81.

5. Carrascosa P, Capuñay C, Vallejos J, Carpio J, Baronio M, Papier S. Two-dimensional and three-dimensional imaging of uterus and fallopian tubes in female infertility. Fertil Steril. 2016;105(6):1403-1420.e7. PMid:27140290.

6. Lindheim SR, Sprague C, Winter TC 3rd. Hysterosalpingography and sonohysterography: lessons in technique. AJR Am J Roentgenol. 2006;186(1):24-9. PMid:16357372.

7. Carrascosa P, Baronio M, Capuñay C, López EM, Sueldo C, Papier S. Clinical use of 64-row multislice computed tomography hysterosalpingography in the evaluation of female factor infertility. Fertil Steril. 2008;90(5):1953-8. PMid:18222438.

8. Liberty G, Gal M, Halevy-Shalem T, Michaelson-Cohen R, Galoyan N, Hyman J, et al. Creme de lidocaína-prilocaína (EMLA) como analgesia para histerosalpingografia: estudo prospectivo, randomizado, controlado, duplamente cego. Hum Reprod. 2007;22(5):1335-9. PMid:17234675.

9. Carrascosa P, Baronio M, Capuñay C, López EM, Vallejos J, Borghi M, et al. Multidetector computed tomography virtual hysterosalpingography in the investigation of the uterus and fallopian tubes. Eur J Radiol. 2008;67(3):531-5. PMid:17870273.

10. Carrascosa P, Capuñay C, Baronio M, Martín López E, Vallejos J, Borghi M, et al. 64-Row multidetector CT virtual hysterosalpingography. Abdom Imaging. 2009;34(1):121-33. PMid:18709407.

11. Belt MM, Rodenko G, Taylor K, Maguire C, Bello S. Use of gadolinium for hysterosalpingography in iodine allergic women: a case-control study. Fertil Steril. 2008;90(3):835-8. PMid:18371957.

12. Noorhasan D, Heard MJ. Gadolinium radiologic contrast is a useful alternative for hysterosalpingography in patients with iodine allergy. Fertil Steril. 2005;84(6):1744.e5. PMid:16359979.

13. Carrascosa P, Capuñay C, Vallejos J, Baronio M, Carrascosa J. Virtual hysterosalpingography: experience with over 1000 consecutive patients. Abdom Imaging. 2011;36(1):1-14. PMid:20458478.

14. Celik O, Karakas HM, Hascalik S, Tagluk ME. Virtual hysterosalpingography and hysteroscopy: assessment of uterine cavity and fallopian tubes using 64-detector computed tomography data sets. Fertil Steril. 2010;93(7):2383-4. PMid:19559413.

15. Akaeda T, Isaka K, Nakaji T, Kakizaki D, Abe K. Clinical application of virtual hysteroscopy by CO(2)-multidetector-row computed tomography to submucosal myomas. J Minim Invasive Gynecol. 2005;12(3):261-6. PMid:15922985.

16. Carrascosa P, Sueldo C, Capuñay C, Baronio M, Papier S. Virtual hysterosalpingography in the diagnosis of bicornuate versus septate uterus. Fertil Steril. 2011;96(5):1190-2. PMid:21944930.

17. Weininger M, Barraza JM, Kemper CA, Kalafut JF, Costello P, Schoepf UJ. Cardiothoracic CT angiography: current contrast medium delivery strategies. AJR Am J Roentgenol. 2011;196(3):W260-72. PMid:21343473.

18. Bae KT. Intravenous contrast medium administration and scan timing at CT: considerations and approaches. Radiology. 2010;256(1):32-61. PMid:20574084.

19. Kitagawa K, George RT, Arbab-Zadeh A, Lima JA, Lardo AC. Characterization and correction of beam-hardening artifacts during dynamic volume CT assessment of myocardial perfusion. Radiology. 2010;256(1):111-8. PMid:20574089.

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