Pack of ice: grey scale sign of testicular torsion

Artul, Suheil; Fahoum, Basel; Khoury, Rami; Rahmah, Yousef Abu

doi:10.1136/bcr-2013-202734

Cited by 4 publications

(6 citation statements)

References 3 publications

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“…Grey scale signs such as hypoechogenecity and enlarged testis are not specific, and these two signs alone cannot always differentiate between torsion and orchitis 1 2…”

Section: Descriptionmentioning

confidence: 99%

Inferno: colour Doppler ultrasound sign of orchitis

et al. 2014

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“…Grey scale signs such as hypoechogenecity and enlarged testis are not specific, and these two signs alone cannot always differentiate between torsion and orchitis 1 2…”

Section: Descriptionmentioning

confidence: 99%

Inferno: colour Doppler ultrasound sign of orchitis

et al. 2014

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“…Conversely, up to 60% of torsed ovaries exhibit blood vessels on color Doppler. [ 3 4 ] In case 2, by applying SMI, the full arborization of the ovarian vasculature was demonstrated. This prompted us to seek another cause for the patient's symptoms and made us confident that the ovary was not torsed.…”

Section: Discussionmentioning

confidence: 99%

Superb Microvascular Imaging: Added Value and Novel Applications

Artul

Nseir

Armaly

et al. 2017

Journal of Clinical Imaging Science

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Determining the presence and characteristics of vascular flow is an essential part of sonography interrogation. However, small vessels and low velocities are not always possible to depict with conventional color and power Doppler ultrasound. This can be frustrating, especially when the diagnosis depends mainly on the existence of vascular flow, the sonographic examination will be inconclusive, further imaging examinations will be required and diagnosis delayed. Superb microvascular imaging (SMI) is a novel vascular imaging mode, which provides visualization of low velocity and microvascular flow. SMI uses a clutter suppression algorithm to extract flow signals and depicts this information as a color overlay image or as a monochrome or color map of flow. By using SMI, high frame rates and high-resolution images remain maintained. With SMI, it is possible to visualize small vessels including their branches that, until now, it is possible to demonstrate only using contrast-enhanced ultrasound. Availability of this additional technology on all ultrasound machines may make some of the computed tomography scans unnecessary. In our paper, we describe six patients, aged 16–73 years, in which final diagnosis was achieved only with SMI and where conventional color and power Doppler failed. All these examinations were performed using Aplio 500 Platinum ultrasound unit (Toshiba Medical Systems, Tokyo, Japan).

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“…Lower back strain can be secondary to radiculitis at T10 to L1, causing nerve root irritation and subsequent referred scrotal pain. [ 7 8 9 ]…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, the role of color Flow Doppler and power Doppler US in the diagnosis of acute testicular torsion in questioned clinical cases is well established with a sensitivity and specificity of 96.8% and 97.9%, respectively. [ 2 3 7 8 ]…”

Section: Discussionmentioning

confidence: 99%