Elastography in the Urological Practice: Urinary and Male Genital Tract, Prostate Excluded—Review

Simon, Vasile; Dudea, Sorin M; Crişan, Nicolae; Stanca, V.D.; Dudea-Simon, Marina; Andraș, Iulia; Mihaly, Zoltan Attila; Coman, Ioan

doi:10.3390/diagnostics12071727

Cited by 5 publications

(6 citation statements)

References 100 publications

(121 reference statements)

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“…The search for literature “review” articles on the use of elastography as a diagnostic tool for PD resulted in only two articles [ 37 , 48 ]. Both reviews discussed the same studies that implemented the elastography method in PD patients, which we also found in our search and have already discussed in the present article.…”

Section: Discussionmentioning

confidence: 99%

“…The authors published a case report of a patient suffering from PD with penile curvature who underwent ultrasound strain elastography [ 48 ]. The case described involved a 42-year-old male who had been experiencing penile curvature and ED for one year.…”

Section: Relevant Sectionsmentioning

confidence: 99%

“…Elastography is mainly used for soft tissue pathologies, such as tissues of the liver, breast, prostate, thyroid, pancreas, nerves, tendons, and muscles. More recently, elastography has also been proposed for the study of PD [ 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ]. Commercial elastography equipment was initially introduced in 2003 and has seen significant advancements over the past two decades.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound Elastography as a Diagnostic Tool for Peyronie’s Disease: A State-of-the-Art Review

Paulis,

De Giorgio,

Paulis

2024

Diagnostics

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Elastography is a noninvasive method that utilizes ultrasound imaging to assess the elasticity and stiffness of soft tissue. Peyronie’s disease (PD) is a chronic inflammatory condition that affects the male penis, causing the formation of fibrous plaques. This alters the penis’s elasticity and can lead to changes in its shape. Ultrasound elastography (UE) is an important advancement in the diagnosis of PD. It not only identifies plaques, but it also measures their rigidity, providing crucial information to monitor changes during and after treatment. We conducted a narrative review of the scientific literature to identify articles that discuss the use of elastography in the diagnostic study of PD. The purpose of this study was to describe the “state of the art” in the diagnostic use of ultrasound in combination with elastography to highlight any benefits in the diagnosis of PD. We found 12 relevant articles after searching PubMed, Embase, and Google Scholar using the keywords “ultrasound elastography” and “Peyronie’s disease”, including eight clinical studies, two case reports, and two review articles. The results of our review indicate that UE is a useful technique for identifying Peyronie-related plaques, particularly when they are not detectable using a standard ultrasound or physical examination. It is also helpful in monitoring improvements during and after conservative treatments. More research is required to confirm the effectiveness of ultrasound elastography in diagnosing Peyronie’s disease and to determine whether it is better than traditional ultrasound.

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Section: Discussionmentioning

confidence: 99%

Section: Relevant Sectionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ultrasound Elastography as a Diagnostic Tool for Peyronie’s Disease: A State-of-the-Art Review

Paulis,

De Giorgio,

Paulis

2024

Diagnostics

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“…In human medicine, testicular stiffness has been investigated by elastography in both physiological ( 10 ) and pathological testes ( 11–18 ). Elastography has been applied for the evaluation of undescended testes, infertility, testicular torsion, tumors, microlithiasis, varicocele and segmental testicular infarction ( 18 ), and has shown efficacy in the diagnosis of varicocele ( 19 ) and in discriminating focal non-neoplastic lesions from neoplasms, and benign from malignant testicular tumors ( 20 ). This technique also showed to be useful in predicting the postoperative improvement in some sperm parameters in patients subjected to varicelectomy ( 21 ).…”

Section: Introductionmentioning

confidence: 99%

Assessment of testicular stiffness in fertile dogs with shear wave elastography techniques: a pilot study

Zappone,

Iannelli,

Sinagra

et al. 2024

Front. Vet. Sci.

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Ultrasound of the testes is important in the evaluation of breeding dogs, and recently advanced techniques such as Shear Wave Elastography (SWE) have been developed. This study focused on evaluation of normal testicular stiffness in healthy and fertile male dogs, employing both qualitative (2D-SWE) and quantitative (pSWE, 2D-SWE) techniques. Nineteen dogs of various medium-large breeds aged 3.39 ± 2.15 years, and with a history of successful reproduction were included after clinical, B-mode and Doppler ultrasound of testes and prostate, and semen macro and microscopic evaluations. pSWE involved square regions of interest (ROIs) placed at six different points in the testicular parenchyma, while 2D-SWE depicted stiffness with a color scale ranging from blue (soft) to red (stiff), allowing a subsequent quantification of stiffness by the application of 4 round ROIs. The results showed a mean Shear Wave Speed (SWS) of 2.15 ± 0.39 m/s using pSWE, with lower values above the mediastinum compared to below, and in the center of the testis compared to the cranial and caudal poles. 2D-SWE demonstrated a uniform blue pattern in the parenchyma, and a mean SWS of 1.65 ± 0.15 m/s. No significant differences were found between left and right testes, above and below the mediastinum, or among breeds. No correlations were observed between mean SWS and body condition score, age, testicular and prostatic volume. Weight was positively correlated with mean SWS only by 2D-SWE. By performing semen analysis and enrolling only healthy and fertile adult dogs, we ensured both structural and functional integrity of the testes. This pilot study represents a valuable baseline data for testicular stiffness by both pSWE and 2D-SWE with a Mindray US machine in medium-large sized healthy and fertile dogs, pointing out the potential role of SWE in the non-invasive fertility assessment and management of breeding dogs.

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“…In the testis, elastography has been used in the assessment of different pathologic entities of the testis including undescended testis, testicular torsion and infarction, testicular microlithiasis, tumors, infertility and varicocele [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Testicular Evaluation Using Shear Wave Elastography (SWE) in Patients with Varicocele

Baleato-Gonzalez,

Osorio-Vazquez,

Flores-Ríos

et al. 2023

J. Imaging

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Purpose: To assess the possible influence of the presence of varicocele on the quantification of testicular stiffness. Methods: Ultrasound with shear wave elastography (SWE) was performed on 48 consecutive patients (96 testicles) referred following urology consultation for different reasons. A total of 94 testes were studied and distributed in three groups: testes with varicocele (group A, n = 19), contralateral normal testes (group B; n = 13) and control group (group C, n = 62). Age, testicular volume and testicular parenchymal tissue stiffness values of the three groups were compared using the Kruskal–Wallis test. Results: The mean age of the patients was 42.1 ± 11.1 years. The main reason for consultation was infertility (64.6%). The mean SWE value was 4 ± 0.4 kPa (kilopascal) in group A, 4 ± 0.5 kPa in group B and 4.2 ± 0.7 kPa in group C or control. The testicular volume was 15.8 ± 3.8 mL in group A, 16 ± 4.3 mL in group B and 16.4 ± 5.9 mL in group C. No statistically significant differences were found between the three groups in terms of age, testicular volume and tissue stiffness values. Conclusion: Tissue stiffness values were higher in our control group (healthy testicles) than in patients with varicocele.

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Elastography in the Urological Practice: Urinary and Male Genital Tract, Prostate Excluded—Review

Cited by 5 publications

References 100 publications

Ultrasound Elastography as a Diagnostic Tool for Peyronie’s Disease: A State-of-the-Art Review

Ultrasound Elastography as a Diagnostic Tool for Peyronie’s Disease: A State-of-the-Art Review

Assessment of testicular stiffness in fertile dogs with shear wave elastography techniques: a pilot study

Testicular Evaluation Using Shear Wave Elastography (SWE) in Patients with Varicocele

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