AIUM Practice Guideline for the Performance of Scrotal Ultrasound Examinations

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doi:10.7863/ultra.34.8.15.13.0006

Cited by 14 publications

(2 citation statements)

References 20 publications

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“…Each testis was evaluated in its entirety. All the examinations were performed according to the AIUM Practice Guideline for the Performance of Scrotal Ultrasound Examinations ( 20 ).…”

Section: Methodsmentioning

confidence: 99%

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The diagnostic value of ultrasound in pediatric testicular torsion with preserved flow

et al. 2022

Front. Pediatr.

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BackgroundTesticular torsion is the reduction of blood flow to the testis after spermatic cord torsion. For patients, the diagnosis of testicular torsion is controversial and complicated by the fact that ultrasound blood flow signals are not significantly reduced in comparison to the unaffected, healthy, testis, despite persistent symptoms on the affected side. Our study aims to investigate the diagnostic characteristics of high-resolution ultrasonography (US) in pediatric testicular torsion with the preserved flow to increase diagnostic accuracy.MethodsSeven pediatric patients aged 49 days to 15 years old, with the preserved blood flow, but surgically diagnosed as testicular torsion, from October 2017 to August 2019, were retrospectively included in the study. The imaging manifestations of high-frequency ultrasonography were evaluated.ResultsAll cases had preserved testicular blood flow, but the surgical findings showed various degrees of twist, from 90 to 540 degrees. Preoperative ultrasound showed spermatic cord distortion in all cases, and testicular long axis tilting in four cases (4/7 = 57.1%).ConclusionIn some testicular torsion cases, Color Doppler may show normal or increased blood flow signals in the testis. We should further observe the morphology and position of the testes and epididymides, the echo of the testicular parenchyma, and, especially evaluate the “whirlpool sign” in the spermatic cord, to avoid missing testicular torsion with blood flow signals.

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“…Each testis was evaluated in its entirety. All the examinations were performed according to the AIUM Practice Guideline for the Performance of Scrotal Ultrasound Examinations ( 20 ).…”

Section: Methodsmentioning

confidence: 99%

“…A comparison of the testes was accomplished with a side-by-side transverse image. Color Doppler sonography included at least 1 side-by-side image comparing both testes ( 20 ). Torsion of the spermatic cord was diagnosed by ultrasound whenever a degree of torsion larger or equal to one-quarter twist (90 degrees) was observed ( 19 , 21 ).…”

Section: Methodsmentioning

confidence: 99%