2 research outputs found
Utility of 128-multislice CT virtual HSG in assessment of female infertility
No full textAbstractObjectiveThe aim of this study to assess the utility of 128-MDCT VHSG in evaluation of different female infertility causes.Patients and methodsForty eight infertile female patients were included in the study, which was conducted in Radiodiagnosis Department, Zagazig University Hospitals from November 2014 to May 2015. MDCT Hysterosalpingography was performed between days 6 and 12 of the menstrual cycle at least 48hours after menses.Resultswe compared findings of MDCT-VHSG with hysteroscopy or/ and laparoscopy results. We found that MSCT-VHSG more accurate in diagnosis of uterine and ovarian infertility causes, while less accurate in the diagnosis of tubal causes. The sensitivity for detecting uterine and fallopian tubes pathology by MDCT-VHSG was 100% and 100% respectively, while the specificity was 100%, 85.71% respectively. MDCT-VHSG had reported 100% and 92.85% PPV in detecting uterine and fallopian tubes pathology respectively, while the NPV was 100% and 100% respectively.ConclusionThe MDCT-VHSG is a diagnostic modality which permits the evaluation of the different causes of the female infertility, but still limited value in assessment of peritubal adhesions
Apparent diffusion coefficient value in evaluating types, stages and histologic grading of cancer cervix
No full textAbstractAimTo determine whether the apparent diffusion coefficient (ADC) measurements calculated values were significantly different between cervical tumors with different histological characteristics (type, degree of differentiation, and stage of malignancy).Patients and methodsMRI and DWI scans performed in 26 pathologically proved cancer cervix patients. ADC values of different pathological types of cervical cancer were compared. Student’s t test was used for statistical analysis.ResultsThere were 18 squamous cell carcinoma and 8 adenocarcinomas showed with biopsy results. Early stage (FIGO-Ib–IIa, n=7), (FIGO-IIb–IIIb–IVa, n=19). The mean ADC values for squamous cell carcinoma (n=18), and adenocarcinoma (n=8) were 0.88×10−3, and 0.91×10−3mm2/s, respectively. Statistical analysis showed significant difference in ADC value between both tumor types (P<0.05). There was also significant difference between the mean ADC values of the tumor grade I and the other grades (II, III) (p<0.05). The mean ADC values in early stage cervical cancer (0.83±0.05×10−3mm2/s) were significantly lower than the mean ADC values in late stage disease (0.98±0.06×10−3mm2/s) (p<0.05).ConclusionADC value measurements can provide useful information in diagnosis of cervical cancer as well as in preoperative assessment of the tumor stage
