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HEAPHY 1 & 2
DIAGNOSTIC
Kathy MATHESON
Sat 31st Aug 2013
Session 2 / Talk 5
11:54 – 12:10
ABSTRACT
I have been trained to perform hysterosalpingogram procedures which
include sonohysterograms. My role is to cannulate the patients for the
sonohysterograms, and to perform the entire procedure of HSG with
Radiologist supervision. I will briefly outline my training process, including
competency and show slides of interesting pathology and demonstrate how
these tests are being used i.e. fertility infertility and to demonstrate
endometrial pathology
ROLE DEVELOPMENT A PERSONAL EXPERIENCE
COMPARITIVE CASE STUDY HSG VS SIS
Kathy Matheson 2103
OVERVIEW
• Introduction
• My journey through role development
• HSG vs SIS
• Comparative case study
• Conclusion
ROLE EXTENSION
• Increased demand for HSG study
• Decrease in radiogists experienced In HSG studies
• Increased demand for female practitioners
• Rostering issues
Where do we start?
• How do we go about training • Will the governing bodies allow this role
extension?• Support of referrers • Practical experience
Nerves before first canulation
COMPETENCY RAISES QUESTIONS
• Professional Indemnity
• Supervision Accountability
• Continuing education and training monitoring of performance
WHAT'S IS MY NEW EXPERTISE?
• Hysterosalpingogram
• Saline infused sonohysterography
Hysterosalpingography Definition Is the radiographic demonstration of female reproductive tract with contrast mediumThis study best demonstrates the uterine cavity and the patency of the fallopian tubes
SALINE INFUSED SONOHYSTEROGRAPY
Normal anteverted uterus pre saline injection
Cross section of a cannulised cervix
Cannula in Uterus
Cervical os
Saline filled syringe
Ultrasound probe
Polyp outlined by saline above
Doppler showing feeding vessels
Advantages and
Disadvantages
CASE STUDY COMPARISON
Sagitalview uterus saline in endomertrium
Abnormal case Study
Normal Hsg
CONCLUSION
REFERENCES
• Parsons A.K,Saline Infusion Sonohysterography Medica Mundi 45-2 July 2001
• Bigongiani Lawerence,American Collage of Radiology, Guideline For The Performance Of Hysterosalpingography , Revised 2011
• William L Simpson,JR,NB.laurag.beitia,MD.Jolinda Mester,MD, Hysterosalpingography a Reemerging study, Education exert Radiographics 2006
• Patricia M.Carrascosa,MD PHD.Carlos Capunay,MD. Javier Vallejos,Md.Elba Beatriz Martin Lopez,MD.Mariano Baronio,MD.Forge Manuel Carrascosa,MD. Virtual Hysterosalpingography A New Multidetector CT Technique For Evaluating The Female Reproductive System.Education exibits radiographics 2010
• Ofer Benjaminov 1,2 and Mostafa Atri 1, Sonography of the Anormal Fallopian Tube,AIR September 2004,vol.183 no.3737-742
• Online CME- Institute for advanced medical education,Saline Infusion Sonohysterography,http:/iame.com/online/saline/content.php8/8/12
• ASCCP-The society for the lower genital tract disease since 1964,Hysterology of the normal Cervix 26/6/12
• Lizzie Notely-Sonographer,Reflect Radiology, Saline Images
• Hannah Matheson-Technical Help