3 research outputs found
Assessment of tubal patency through sono-hysterosalpingography using B-mode and colour Doppler: a comparative study
Get PDFBackground: Tubal factors constitute a major proportion of infertility causes, and include disorders affecting one or more components of the fallopian tube. Demonstration of tubal patency using imaging modalities can help lower the rate of invasive diagnosis and management. Hysterosalpingography provides optimal delineation of fallopian tube anatomy, allowing detection of tubal patency, tubal occlusion, and peri-tubal disease. Sonosalpingography with saline infusion was started as an alternative because of its added benefits of structural and morphological abnormality detection.Methods: Patients referred for primary and secondary infertility were assessed on B-mode ultrasound trans-abdominally, followed by cervical catheterization and trans-vaginal ultrasound. Sterile saline fluid was pushed through the cervix, to use as a contrast medium, and its movement was assessed on B-mode and as a colour Doppler artefact.Results: B-mode, colour Doppler and presence of free-fluid in pouch of Douglas showed presence of tubal patency in 59.6%, 82.7% and 78.8% cases respectively and presence of bilateral and unilateral tubal block in 60.4%, 17.3% and 21.2% respectively. Diagnostic accuracy of B-mode and colour Doppler is 84.6% and 95.2% respectively.Conclusions: Sonosalpingography can be used to pin-point the exact location of the tubal block, due to its real-time imaging benefits. Normal saline infusion can be used effectively. Colour Doppler provides higher sensitivity for evaluation of tubal patency and has higher specificity for tubal block. Used in combination, they improve diagnostic accuracy and efficacy of sonosalpingography
Comparative performance of Cerebral Perfusion Ratio as compared to MCA PI and UA PI in prediction of adverse perinatal outcomes in intra uterine growth restricted fetuses
Get PDFBackground: Intra uterine growth restriction (IUGR) is a common clinical sign seen due to chronic foetal hypoxemia and is considered a major contributor of perinatal morbidity and mortality. The aim of the present study was to determine and compare the sensitivity and specificity of umbilical artery pulsatility index (UA PI), middle cerebral artery (MCA) PI and cerebral perfusion ratio (CPR) in predicting adverse and poor perinatal outcomes in fetuses with IUGR.Methods: The study included 100 pregnant women with post 24 weeks of gestation with clinical history of IUGR. Doppler examination parameters, including waveforms and measurements, of the umbilical artery, middle cerebral artery were recorded. The Cerebral Perfusion Ratio (CPR) was calculated from MCA PI and UA PI and a final comparison of accuracy of Doppler indices was done with perinatal outcome.Results: The sensitivity of the UA PI was higher (49.3%) than that of the MCA PI (43.6%) and the CPR (37.7%). The specificity of the CPR was higher (87.1%) than that of the MCA PI (83.9%) and the UA PI (74.2%).Conclusions: From the findings of the study, it can be concluded that UA PI is the most sensitive and CPR is the most specific parameter in predicting adverse perinatal outcomes in IUGR fetuses. Thus, in addition to pulsatility indices, CPR should be used as a tool for surveillance and included in the routine reporting formats of obstetric Doppler studies
Abstracts of Scientifica 2022
Get PDFThis book contains the abstracts of the papers presented at Scientifica 2022, Organized by the Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India, held on 12–13 March 2022. This conference helps bring researchers together across the globe on one platform to help benefit the young researchers. There were six invited talks from different fields of Physiotherapy and seven panel discussions including over thirty speakers across the globe which made the conference interesting due to the diversity of topics covered during the conference.
Conference Title: Scientifica 2022Conference Date: 12–13 March 2022Conference Location: Sancheti Institute College of PhysiotherapyConference Organizer: Sancheti Institute College of Physiotherapy, Pune, Maharashtra, Indi
