A prospective comparative study to assess the accuracy of MRI versus HSG in tubouterine causes of female infertility

Objective: To evaluate the role of magnetic resonance imaging versus hysterosalpingography during investigating infertile women due to uterotubal causes of infertility Setting: kasr EL-Aini Hospital Materials and methods: All infertile women were subjected to both hysterosalpingography and MRI. Laparoscopy was performed to confirm different findings, being considered the gold standard for diagnosis. Results: MRI was superior to HSG in diagnosing uterine anomalies (accuracy 100% vs. 96%), but failed to diagnose any case of intrauterine adhesions or peritubal adhesions. Conclusion: In infertile women with suspected uterine anomalies, magnetic resonance imaging is the study of choice because of its high accuracy and detailed elaboration of uterovaginal anatomy. Laparoscopy and hysteroscopy are reserved for women in whom interventional therapy is likely to be undertaken.