Optimized imaging techniques for testicular masses: fast and with high accuracy

Sönmez, Güner; Sivrioğlu, Ali Kemal; Velioglu, Murat; İncedayı, Mehmet; Soydan, Hasan; Kara, Kemal; Ateş, Ferhat; Sağlam, Muzaffer

doi:10.1007/s00508-012-0233-y

Cited by 10 publications

(10 citation statements)

References 18 publications

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“…The literature search found a total of 1106 articles (tumors, n = 584; acute scrotum, n = 193; undescended testes, n = 178; and infertility, n = 151). Ultimately, 83 articles were deemed relevant and used as the literature basis of this review (tumors, n = 50; acute scrotum, n = 6; undescended testes, n = 7; and infertility, n = 20) 6–9,13,24–33,35,43,48–110 . The flow chart of the selection process is shown in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

“…Scrotal mpMRI is highly recommended for the characterization of intratesticular lesions, in cases of equivocal US findings 24 . MRI is highly sensitive in the characterization of benign intratesticular lesions, by depicting the presence of fluid, fat, fibrous tissue, blood products, myxoid, and granulation tissue 6–9,11,12,14,24–30,33–37,42,48,50–53,56 . The overall accuracy of MRI in the characterization of benign testicular diseases has been reported 87.5%, and the NPV 100% 48 .…”

Section: Resultsmentioning

confidence: 99%

“…DWI by assessing the microscopic diffusion movements of water molecules in testicular tissue, greatly improves the diagnostic efficiency of MRI in the detection and characterization of intratesticular lesions 50,51,55–57,63,72 . Testicular malignancies often present with restricted diffusion and a lower apparent diffusion coefficient (ADC) value, when compared to normal testis and benign intratesticular lesions (Figure 4).…”

Section: Resultsmentioning

confidence: 99%

“…24 MRI is highly sensitive in the characterization of benign intratesticular lesions, by depicting the presence of fluid, fat, fibrous tissue, blood products, myxoid, and granulation tissue . [6][7][8][9]11,12,14,[24][25][26][27][28][29][30][33][34][35][36][37]42,48,[50][51][52][53]56 The overall accuracy of MRI in the characterization of benign testicular diseases has been reported 87.5%, and the NPV 100%. 48 The absence of contrast enhancement represents a highly sensitive sign in characterizing the benign nature of intratesticular lesions.…”

Section: Intratesticular Lesionsmentioning

confidence: 99%

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When to ask for an MRI of the scrotum

et al. 2021

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Background: Multiparametric MRI (mpMRI) of the scrotum has been established as a useful second-line diagnostic tool for the investigation of scrotal diseases. Recently, recommendations on clinical indications for scrotal MRI were issued by the Scrotal and Penile Imaging Working Group of the European Society of Urogenital Radiology. Objective: To update current research on when to ask for an MRI of the scrotum. Methods: PubMed database was searched for original articles and reviews published during 2010-2021.Results: Eighty-three articles fulfilled the search criteria. Scrotal MRI is mainly recommended after inconclusive US findings or inconsistent with the clinical examination and should be asked in the following cases: differentiation between intratesticular and paratesticular lesions (in rare cases of uncertain US findings), characterization of paratesticular and intratesticular lesions (when US findings are indeterminate), discrimination between germ cell and sex cord-stromal testicular tumors, local staging of testicular malignancies (in patients planned for testis-sparing surgery), differentiation between seminomas and non-seminomatous tumors (when immediate chemotherapy is planned and orchiectomy is delayed), assessment of acute scrotum and scrotal trauma (rarely needed, in cases of non-diagnostic US findings) and detection and localization of undescended testes (in cases of inconlusive US findings). Although preliminary data show promising results in the evaluation of male infertility, no established role for mpMRI still exists. Conclusion:Multiparametric MRI of the scrotum, by assessing morphologic and functional data represents a valuable problem-solving tool, helping to improve our understanding on the nature of scrotal pathology and the process of spermatogenesis. The technique may improve patient care and reduce the number of unnecessary surgical procedures.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Intratesticular Lesionsmentioning

confidence: 99%

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When to ask for an MRI of the scrotum

et al. 2021

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“…We performed studies to determine the value of DWI to using the value of apparent diffusion coefficient (ADC) in thyroid nodules and masses of breasts and testicular (2-5). In these studies, DWI provided a significant contribution to the diagnosis.…”

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confidence: 99%