Hysterosalpingo-Foam Sonography for the Diagnosis of Tubal Occlusion: A Systematic Review and Meta-analysis

Yaakov Melcer*, Nataly Zilberman Sharon, Maya Nimrodi, Marina Pekar-Zlotin, Itai Gat, Ron Maymon

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

This systematic review and meta-analysis evaluated the diagnostic accuracy of hysterosalpingo-foam sonography in suspected cases of tubal occlusion. The combined sensitivity and specificity estimates were 0.99 (95% confidence interval [CI], 0.89–0.99) and 0.91 (95% CI, 0.53–0.98), respectively, with positive and negative likelihood ratios of 11.5 (95% CI, 1.5–87.5) and 0.006 (95% CI, 0.0003–0.12), respectively. The diagnostic odds ratio was 1931.008 (95% CI, 69.7–53,460.8). These findings confirm hysterosalpingo-foam sonography as a highly accurate test for the diagnosis of tubal occlusion and show that it is on a par with standard tests.

Original languageEnglish
Pages (from-to)2031-2037
Number of pages7
JournalJournal of Ultrasound in Medicine
Volume40
Issue number10
DOIs
StatePublished - Oct 2021

Keywords

  • accuracy
  • fallopian tube
  • hysterosalpingo-foam sonography
  • tubal occlusion; tubal patency
  • ultrasound

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