Hysertosalpinography
Where is the CR centered for radiographic projections taken during an HSG using a 10x12 image receptor?
2 inches superior to the symphysis pubis
Arches over the bilateral ovaries
Ampulla
What terms are an aspect of the uterine tube?
Ampulla, Isthmus, and Infundibulum
The most common indications for HSG is __________. The procedure is performed to diagnose any _________ or _______defects.
Assessment of female infertility, functional or structural
The distal aspect of the uterus extending to the vagina is the____
Cervix
What is The distal cylindrical portion that projects into the vagina
Cervix
The largest division of the uterus is the ____.
Corpus
What is the larger central component of the uterine tissue?
Corpus
In addition of Infertility Assessment, what are two other clinical indications for HSG?
Demonstrate intrauterine pathology, Evaluation of uterine tubes after a tubal ligation or reconstructive surgery
Three common types of lesions that can be demonstrated during a hysterosalpingogram
Endometrial Polyps, Uterine Fibroids, Intrauterine adhesions
The three layers of tissue that form the uterus (from the innermost to the outermost layer):
Endometrium, Myometrium, Serosa
The rounded, superior portion of the uterus is called the
Fundus
The uterus is subdivided into
Fundus, Corpus, Isthmus, Cervic
List the four divisions of the uterus
Fundus, Corpus, Isthmus, Cervix
The most common pathologic indication for the Hysterosalpingogram (HSG) is
Infertility assessment
_____ is the most distal end contains finger-like extensions termed ______.
Infundibulum, Fimbriae
A tenaculum is an
Instrument with an instrument with a hooked clamp for gathering and holding tissues and structures in place
The narrow, constricted segment, often described as the lower uterine segment that joins the cervix at the ____ is called the ______.
Internal Os, Isthmus
The proximal portion of the tube communicates with the uterine cavity
Interstitial Segment
What is the constricted portion of the tube
Isthmus
In addition to the supine postion, what two other positions may be imaged to adequately visualize pertinent anatomy for an HSG?
LPO, RPO
In the past, ______ contrast media that allowed for maximal visualization of uterine structures was used. However, it has a ......
Oil-based, Very slow absorption rate and persists in the body cavities for an extended time.
What terms is used to describe the "Degree of openness" of the uterine tube?
Patency
How is the patient positioned for an HSG?
Patient lies supine on the table in the lithotomy position
Evaluation Criteria
Pelvic ring seen on AP, Cannula or balloon catheter seen within cervix, Opacified uterine cavity and uterine tubes, Contrast media is seen within the peritoneum if one or both uterine tubes are patent, R or L marker seen
_________ is a contraindication for HSG.
Pregnancy
The uterus is situated between the ____ posteriorly and the ___ anteriorly.
Rectosigmoid Colon, Bladder
To help facilitate the flow of contrast media into the uterine cavity, which position is the patient placed into following the injection of the contrast media?
Slight Trendelenburg
What device may be need to aid the insertion and fixation of the cannula or catheter during the hysterosapingogram?
Tenaculum
TF: Fertilization of the ovum occurs in the uterine tube.
True
TF: The distal portion of the uterine tube opens into the peritoneal cavity.
True
The female reproductive organs are located within the...
True Pelvis
This radiographic procedure best demonstrates the _______ and _______ of the uterine tubes
Uterine cavity, Patency (degree of openness)
What is the central organ of the female pelvis. It is a pear-shaped, hollow, muscular organ that is bordered posteriorly by the rectosigmoid colon and anteriorly by the urinary bladder?
Uterus
The hysterosalpingogram is a radiographic study of the ____ and the ___.
Uterus, Uterine (Fallopian) tubes
Anatomic considerations for HSG include the principal organs of the female reproductive system:
Vagina, Uterus, Uterine Tubes, and Ovaries
__________ contrast media is preferred because.....
Water-soluble iodinated, Absorbed easily by the patient, does not leave a residue within the reproductive tract
The contrast medium preferred by most radiologists for a hysterosalpingogram is
Water-soluble, iodinated