Evaluation of magnetic resonance hysterosalpingography combined with limited pelvic MRI as a one-stop diagnostic approach for female infertility

Bavithra J, Sinddhu M, Kumar MP, Murali N

Pdf Page Numbers :- 120-125

Bavithra J^1,*,Sinddhu M², Praveen Kumar M² and Murali N²

¹Department of Radiology, Government Medical College Hospital, Karur,Tamilnadu 639001, India

²Department of Radiology, Coimbatore Medical College Hospital, Coimbatore, Tamilnadu 641004, India

*Corresponding author: Dr. Bavithra J, Department of Radiology, Government Medical College Hospital, Karur, Tamil Nadu 639001, India. Email: dr.pavithraarun@gmail.com

Received 18 December 2024; Revised 15 March 2025; Accepted 24 March 2025; Published 29 March 2025

Citation: Bavithra J, Sinddhu M, Kumar MP, Murali N. Evaluation of magnetic resonance hysterosalpingography combined with limited pelvic MRI as a one-stop diagnostic approach for female infertility. J Med Sci Res. 2025; 13(2):120-125. DOI: http://dx.doi.org/10.17727/JMSR.2024/13-21

Copyright: © 2025 Bavithra J et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Conventional X-ray Hysterosalpingography (C-HSG) has traditionally served as the primary imaging modality for evaluating tubal patency; however, it poses limitations including exposure to ionizing radiation, patient discomfort, and suboptimal soft tissue differentiation. This study evaluates the diagnostic accuracy of magnetic resonance hysterosalpingography (MR-HSG) in assessing tubal occlusion compared to C-HSG. Thirty patients with primary or secondary infertility underwent both MR-HSG and C-HSG, and findings were statistically analyzed. MR-HSG demonstrated a sensitivity of 98% and specificity of 95%, with no significant difference in diagnostic performance between MR-HSG and C-HSG (p=0.6). Additionally, MR-HSG identified non-tubal causes of infertility, such as endometrial abnormalities and submucosal fibroids, reinforcing its broader clinical utility. These findings suggest that MR-HSG could serve as a first-line imaging modality for infertility assessment, minimising patient discomfort while providing comprehensive pelvic evaluation.

Keywords: magnetic resonance; hysterosalpingography; infertility; tubal blockage; MR-HSG; C-HSG; non-invasive imaging; tubal occlusion