PMID- 31234782 OWN - NLM STAT- MEDLINE DCOM- 20200113 LR - 20200309 IS - 1471-2342 (Electronic) IS - 1471-2342 (Linking) VI - 19 IP - 1 DP - 2019 Jun 24 TI - Ethiodized poppyseed oil versus ioversol for image quality and adverse events in hysterosalpingography: a prospective cohort study. PG - 50 LID - 10.1186/s12880-019-0346-0 [doi] LID - 50 AB - BACKGROUND: This study aimed to investigate the image quality and adverse events (AEs) of ethiodized poppyseed oil (EPO) compared with ioversol as contrast agents in hysterosalpingography (HSG). METHODS: Two hundred twenty-eight patients underwent HSG were consecutively recruited in this prospective cohort study, and were accordingly divided into EPO group (N = 165) and ioversol group (N = 63). The quality of image was assessed according to the European Guidelines on quality criteria for diagnostic radiographic images. AEs during, within 2 h and at 1-month post-HSG were recorded. RESULTS: EPO displayed elevated image quality compared with ioversol including the total image quality score (P < 0.001), the cervical canal display score (P < 0.001), shape and outline of uterus score (P < 0.01), cervical mucosa or folds score (P < 0.001), oviduct isthmus score (P < 0.001), ampulla and fimbriae of oviduct score (P < 0.001) and celiac diffuse image score (P < 0.001). Multivariate linear regression displayed that EPO (P < 0.001) was an independent predictive factor for increased total image quality score. AEs were similar between EPO group and ioversol group during and within 2 h post-HSG (all P > 0.05). However, at 1-month post-HSG, the number of patients had unchanged and faded menstrual blood color decreased but the proportion of patients with deepened menstrual color increased in EPO group compared with ioversol group (P = 0.007). In addition, the number of patients had iodine residue in uterine cavity was elevated in EPO group compared with ioversol group (P < 0.001). CONCLUSION: EPO is more efficient in image quality and equally tolerant compared to ioversol as contrast agents in HSG. FAU - Tan, Yiqing AU - Tan Y AUID- ORCID: 0000-0001-8689-3900 AD - Department of Radiology, Wuhan Third Hospital, Tongren Hospital of Wuhan University, 241 Liuyang Road, Wuhan, 430063, Hubei, China. tanyiqing72@163.com. FAU - Zheng, Shilin AU - Zheng S AD - Department of Radiology, Wuhan Third Hospital, Tongren Hospital of Wuhan University, 241 Liuyang Road, Wuhan, 430063, Hubei, China. FAU - Lei, Wenfeng AU - Lei W AD - Department of Radiology, Wuhan Third Hospital, Tongren Hospital of Wuhan University, 241 Liuyang Road, Wuhan, 430063, Hubei, China. FAU - Wang, Fuhua AU - Wang F AD - Department of Radiology, Wuhan Third Hospital, Tongren Hospital of Wuhan University, 241 Liuyang Road, Wuhan, 430063, Hubei, China. FAU - Jiang, Shengpan AU - Jiang S AD - Department of Radiology, Wuhan Third Hospital, Tongren Hospital of Wuhan University, 241 Liuyang Road, Wuhan, 430063, Hubei, China. FAU - Zeng, Ting AU - Zeng T AD - Department of Radiology, Wuhan Third Hospital, Tongren Hospital of Wuhan University, 241 Liuyang Road, Wuhan, 430063, Hubei, China. FAU - Zhou, Bei AU - Zhou B AD - Department of Radiology, Wuhan Third Hospital, Tongren Hospital of Wuhan University, 241 Liuyang Road, Wuhan, 430063, Hubei, China. FAU - Hong, Fan AU - Hong F AD - Department of Radiology, Wuhan Third Hospital, Tongren Hospital of Wuhan University, 241 Liuyang Road, Wuhan, 430063, Hubei, China. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190624 PL - England TA - BMC Med Imaging JT - BMC medical imaging JID - 100968553 RN - 0 (Contrast Media) RN - 0 (Triiodobenzoic Acids) RN - 8008-53-5 (Ethiodized Oil) RN - N3RIB7X24K (ioversol) SB - IM MH - Adult MH - Contrast Media/administration & dosage/adverse effects MH - Ethiodized Oil/*administration & dosage/adverse effects MH - Female MH - Genital Diseases, Female/*diagnostic imaging MH - Humans MH - Hysterosalpingography/methods MH - Infertility, Female/diagnostic imaging MH - Linear Models MH - Middle Aged MH - Prospective Studies MH - Radiographic Image Enhancement/*methods MH - Triiodobenzoic Acids/*administration & dosage/adverse effects MH - Young Adult PMC - PMC6591817 OTO - NOTNLM OT - Adverse events OT - Ethiodized poppyseed oil OT - Hysterosalpingography OT - Image quality OT - Ioversol COIS- The authors declare that they have no competing interests. EDAT- 2019/06/27 06:00 MHDA- 2020/01/14 06:00 PMCR- 2019/06/24 CRDT- 2019/06/26 06:00 PHST- 2018/05/21 00:00 [received] PHST- 2019/05/29 00:00 [accepted] PHST- 2019/06/26 06:00 [entrez] PHST- 2019/06/27 06:00 [pubmed] PHST- 2020/01/14 06:00 [medline] PHST- 2019/06/24 00:00 [pmc-release] AID - 10.1186/s12880-019-0346-0 [pii] AID - 346 [pii] AID - 10.1186/s12880-019-0346-0 [doi] PST - epublish SO - BMC Med Imaging. 2019 Jun 24;19(1):50. doi: 10.1186/s12880-019-0346-0.