Improve Hysterosalpingographic Accuracy by Real-time Fluoroscopy
1 other identifier
interventional
263
1 country
1
Brief Summary
As an essential step of the infertile work-up, hysterosalpingogram (HSG) has some advantages including the lack of need for anesthesia, a non-invasive procedure with less cost and relative easy to put into practice. However, it would be failed to detect the extra-tubal and peritoneal pathology and would be also difficult to distinguish the obstruction caused by the spasm of intramural segment. Obviously, imaging quality plays a key role in diagnostic accuracy of the HSG, studies had taken four roentgenograms and combined with the fluoroscopy were reported a higher sensitivity and specificity than those only taken two images in the examination. And hybridized radiography with CT or MRI system may provide the good-quality of the HSG. It is also reported that the sonosalpingography (SSG), which detect the tubal patency in real time, can show pelvic pathologies better than HSG. However, no parallel study was designed to verify the hypothesis that combined the fluoroscopy and taken more images can improving the diagnostic quality of the HSG. The aim of this study is to evaluate whether the accuracy of HSG can be improved by real-time evaluating under the fluoroscopy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2010
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2011
CompletedFirst Submitted
Initial submission to the registry
February 12, 2012
CompletedFirst Posted
Study publicly available on registry
February 23, 2012
CompletedFebruary 23, 2012
February 1, 2012
1.8 years
February 12, 2012
February 22, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
diagnostic sensitivity, specificity, positive predictive value, negative predictive value of HSG in detecting tubal pathologies
The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) of HSG for diagnosis of tubal pathlogies. The pathlogies of tube is classified as the normal HSG, the proximal tubal obstruction, the hydrosalpinx (distal tubal obstruction), and the peritubal adhesions (at least one tube is patent) ,which is confirmed by laparoscopy in six month after HSG.
participants will be followed by laparoscopy in 6 month after HSG
Secondary Outcomes (1)
diagnostic sensitivity, specificity, positive predictive value, negative predictive value of HSG in detecting tubal patency
participants will be followed by laparoscopy in 6 month after HSG
Study Arms (2)
real-time fluoroscopy
EXPERIMENTALevaluating the tubal patency and pathology under fluoroscopy real-timely
respective image
NO INTERVENTIONevaluating the tubal patency and pathology by Two supine and two oblique static images.
Interventions
radiologists evaluating the tubal patency under fluoroscopy real-timely.Findings of fluoroscopy were blind to the investigators when the static radiographs were re-analyzed by the same team of radiologists.
Eligibility Criteria
You may qualify if:
- women seeking for a infertility laparoscopy
You may not qualify if:
- acute low reproductive duct infection
- a known hypersensitivity to iodine
- genital bleeding or malignancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- YiYang Zhulead
Study Sites (1)
Taizhou Hospital of Zhejiang Province
Linhai, Zhejiang, 317000, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Ying-Zi Mao, MD
Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- CARE PROVIDER, INVESTIGATOR
- Purpose
- DIAGNOSTIC
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Center for reproductive medicine
Study Record Dates
First Submitted
February 12, 2012
First Posted
February 23, 2012
Study Start
January 1, 2010
Primary Completion
November 1, 2011
Study Completion
November 1, 2011
Last Updated
February 23, 2012
Record last verified: 2012-02