{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:00:23Z","timestamp":1790960423085,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,3,4]],"date-time":"2013-03-04T00:00:00Z","timestamp":1362355200000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp; Gyne"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the feasibility of transvaginal hysterosalpingo\u2010contrast sonography (<jats:styled-content style=\"fixed-case\">HyCoSy<\/jats:styled-content>) with new automated three\u2010dimensional coded contrast imaging (<jats:styled-content style=\"fixed-case\">3D\u2010CCI<\/jats:styled-content>) software in the evaluation of tubal patency and visualization of tubal course.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients undergoing <jats:styled-content style=\"fixed-case\">HyCoSy<\/jats:styled-content> with automated <jats:styled-content style=\"fixed-case\">3D\u2010CCI<\/jats:styled-content> software were evaluated prospectively. First, to evaluate the feasibility of <jats:styled-content style=\"fixed-case\">3D<\/jats:styled-content> visualization of tubal course, we performed consecutive volume acquisitions while injecting <jats:styled-content style=\"fixed-case\">SonoVue<\/jats:styled-content> contrast agent. We then performed conventional two\u2010dimensional (<jats:styled-content style=\"fixed-case\">2D<\/jats:styled-content>) real\u2010time <jats:styled-content style=\"fixed-case\">HyCoSy<\/jats:styled-content> to confirm tubal patency status by detection of saline and air bubbles moving through the Fallopian tubes and around the ovaries. We also evaluated visualization with <jats:styled-content style=\"fixed-case\">CCI<\/jats:styled-content> of the contrast agent around the ovaries, side effects and pain during and after the procedure, by visual analog scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>) (ranging from 0 to 10, with 0 corresponding to no pain and 10 corresponding to maximum pain).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 126 patients (252 tubes) underwent <jats:styled-content style=\"fixed-case\">3D\u2010CCI HyCoSy<\/jats:styled-content> followed by <jats:styled-content style=\"fixed-case\">2D<\/jats:styled-content> real\u2010time <jats:styled-content style=\"fixed-case\">HyCoSy<\/jats:styled-content>. According to the final <jats:styled-content style=\"fixed-case\">2D<\/jats:styled-content> real\u2010time evaluation, bilateral tubal patency was observed in 111 patients, bilateral tubal occlusion in four patients and unilateral tubal patency in 11 patients. The concordance rate for tubal patency status between the first <jats:styled-content style=\"fixed-case\">3D<\/jats:styled-content> volume acquisition and the final <jats:styled-content style=\"fixed-case\">2D<\/jats:styled-content> real\u2010time evaluation was 84% and that between the second <jats:styled-content style=\"fixed-case\">3D<\/jats:styled-content> volume acquisition and the final <jats:styled-content style=\"fixed-case\">2D<\/jats:styled-content> real\u2010time evaluation was 97%. A pain score &gt;5 on <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> was recorded in 58% of patients during the procedure, but a pain score \u2264\u20095 was recorded in 85.7% of patients immediately after the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">HyCoSy<\/jats:styled-content> with automated <jats:styled-content style=\"fixed-case\">3D\u2010CCI<\/jats:styled-content> technology retains the advantages of conventional <jats:styled-content style=\"fixed-case\">2D HyCoSy<\/jats:styled-content> while overcoming the disadvantages. <jats:styled-content style=\"fixed-case\">2D HyCoSy<\/jats:styled-content> is highly observer\u2010dependent and is only accurate in the hands of experienced investigators; by obtaining a volume of the uterus and tubes, automated <jats:styled-content style=\"fixed-case\">3D<\/jats:styled-content> volume acquisition permits visualization of the tubes in the coronal view and of the tubal course in <jats:styled-content style=\"fixed-case\">3D<\/jats:styled-content> space, and should allow less experienced operators to evaluate tubal patency status relatively easily. Copyright \u00a9 2012 ISUOG. Published by John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.11200","type":"journal-article","created":{"date-parts":[[2012,5,30]],"date-time":"2012-05-30T16:02:32Z","timestamp":1338393752000},"page":"328-335","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":52,"title":["Automated three\u2010dimensional coded contrast imaging hysterosalpingo\u2010contrast sonography: feasibility in office tubal patency testing"],"prefix":"10.1002","volume":"41","author":[{"given":"C.","family":"Exacoustos","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Universit\u00e0 degli Studi di Roma \u2018Tor Vergata\u2019  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Di Giovanni","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Universit\u00e0 degli Studi di Roma \u2018Tor Vergata\u2019  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Szabolcs","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Universit\u00e0 degli Studi di Roma \u2018Tor Vergata\u2019  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Romeo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Universit\u00e0 degli Studi di Roma \u2018Tor Vergata\u2019  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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