HEAPHY 1 & 2 DIAGNOSTIC Kathy MATHESON Sat 31 st 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 medium This 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 Online CME- Institute for advanced medical education,Saline Infusion Sonohysterography, 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