Akut Skrotal Ağrıda Difüzyon Ağırlıklı Manyetik Rezonans Görüntülemenin Rolü

Abstract

The aim of this study was to investigate the contribution of quantitative apparent diffusion coefficient (ADC) measurements in the diagnosis of testis torsion. Material and Methods: The study included 28 patients that underwent a magnetic resonance imaging (MRI) scan between January 2013 and June 2017 due to acute scrotal pain. Definitive diagnosis was based on the symptom assessment, treatment, and follow-up of the patients. Based on these parameters, patients were categorized into groups and quantitative ADC values were compared among these groups. Results: Of the patients included in the study, 9 were diagnosed with epididymitis, 9 with orchitis, and 10 with testis torsion. The mean ADC values in the affected testes of testis torsion, epididymitis, and orchitis groups were 0.763 ± 0.154 X 10-3 mm 2 /s, 1.050 ± 0.850 X 10-3 mm 2 /s, and 1.105 ± 0.218 X 10-3 mm 2 /s, respectively. The mean ADC values of the affected testes were significantly lower in the testis torsion group compared to the other groups (p<0.01). In the testis torsion group, the mean ADC value of the affected testes was significantly lower compared to the unaffected testes (0.763 ± 0.154 X 10-3 mm 2 /s vs 1.053 ± 0.147 X 10-3 mm 2 /s, p<0.05, respectively).