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HEAPHY 1 & 2 DIAGNOSTIC Kathy MATHESON

Sat 31 st Aug 2013 Session 2 / Talk 5 11:54 – 12:10. HEAPHY 1 & 2 DIAGNOSTIC Kathy MATHESON. ABSTRACT

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HEAPHY 1 & 2 DIAGNOSTIC Kathy MATHESON

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  1. Sat 31stAug 2013 Session 2 / Talk 5 11:54 – 12:10 HEAPHY 1 & 2 DIAGNOSTIC Kathy MATHESON 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

  2. Role Development A personal experience Comparitive case study HSG VS SIS Kathy Matheson 2103

  3. Overview • Introduction • My journey through role development • HSG vs SIS • Comparative case study • Conclusion

  4. Role Extension • Increased demand for HSG study • Decrease in radiogists experienced In HSG studies • Increased demand for female practitioners • Rostering issues

  5. Where do we start? • How do we go about training • Will the governing bodies allow this role extension? • Support of referrers • Practical experience

  6. Nerves before first canulation

  7. Competency raises Questions • Professional Indemnity • Supervision Accountability • Continuing education and trainingmonitoring of performance

  8. What's is my new expertise? • Hysterosalpingogram • Saline infused sonohysterography

  9. 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

  10. Saline Infused Sonohysterograpy

  11. Normal anteverted uterus pre saline injection

  12. Cannula in Uterus Cervical os Ultrasound probe Saline filled syringe Cross section of a cannulised cervix

  13. Doppler showing feeding vessels Polyp outlined by saline above

  14. Advantages and • Disadvantages

  15. CASE STUDY COMPARISON

  16. Sagitalview uterus saline in endomertrium

  17. Abnormal case Study Normal Hsg

  18. Conclusion

  19. References • Parsons A.K,Saline Infusion Sonohysterography Medica Mundi 45-2 July 2001 • BigongianiLawerence,American Collage of Radiology, Guideline For The Performance Of Hysterosalpingography , Revised 2011 • William L Simpson,JR,NB.laurag.beitia,MD.JolindaMester,MD, Hysterosalpingography a Reemerging study, Education exert Radiographics 2006 • Patricia M.Carrascosa,MDPHD.CarlosCapunay,MD. Javier Vallejos,Md.Elba Beatriz Martin Lopez,MD.MarianoBaronio,MD.Forge Manuel Carrascosa,MD. Virtual Hysterosalpingography A New Multidetector CT Technique For Evaluating The Female Reproductive System.Educationexibitsradiographics 2010 • OferBenjaminov 1,2 and MostafaAtri 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

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