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Role of contrast enhanced ultrasound in acute scrotal diseases.
Eur Radiol. 2011 Sep; 21(9):1831-40.ER

Abstract

OBJECTIVE

To evaluate the efficacy of contrast-enhanced ultrasound (CEUS) in patients with acute scrotal pain not defined at ultrasound (US) with colour Doppler .

METHODS

CEUS was carried out in 50 patients with acute scrotal pain or scrotal trauma showing testicular lesion of undefined nature at US. The accuracy of US and CEUS findings versus definitive diagnosis (surgery or follow-up) was calculated.

RESULTS

Twenty-three patients had a final diagnosis of testicular tumour, three abscess, eight focal infarction, seven trauma, three testicular torsion, one haematoma. Five patients were negative. Thirty-five patients were operated (23 testicular tumours, six trauma, three testicular torsion, one abscess, one focal infarction, and one haematoma) and 15 underwent medical treatment or were discharged. US provided a definitive diagnosis in 34/50 as compared to the 48/50 patients diagnosed at CEUS. Sensitivity and specificity were 76% and 45% for US and 96% and 100% for CEUS respectively.

CONCLUSIONS

CEUS was more accurate in the final diagnosis compared to US, potentially reducing the need for further imaging. In particular CEUS can be proposed in emergency in cases where US diagnosis remains inconclusive, namely in infarction, and trauma, when testicular torsion cannot be ruled out, and in identifying testicular mass.

Authors+Show Affiliations

Department of Diagnostic Imaging-Emergency Radiology Unit, University Hospital of Parma, Via Gramsci 14, 43100 Parma, Italy. mvalentino@ao.pr.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21633826

Citation

Valentino, Massimo, et al. "Role of Contrast Enhanced Ultrasound in Acute Scrotal Diseases." European Radiology, vol. 21, no. 9, 2011, pp. 1831-40.
Valentino M, Bertolotto M, Derchi L, et al. Role of contrast enhanced ultrasound in acute scrotal diseases. Eur Radiol. 2011;21(9):1831-40.
Valentino, M., Bertolotto, M., Derchi, L., Bertaccini, A., Pavlica, P., Martorana, G., & Barozzi, L. (2011). Role of contrast enhanced ultrasound in acute scrotal diseases. European Radiology, 21(9), 1831-40. https://doi.org/10.1007/s00330-010-2039-5
Valentino M, et al. Role of Contrast Enhanced Ultrasound in Acute Scrotal Diseases. Eur Radiol. 2011;21(9):1831-40. PubMed PMID: 21633826.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Role of contrast enhanced ultrasound in acute scrotal diseases. AU - Valentino,Massimo, AU - Bertolotto,Michele, AU - Derchi,Lorenzo, AU - Bertaccini,Alessandro, AU - Pavlica,Pietro, AU - Martorana,Giuseppe, AU - Barozzi,Libero, Y1 - 2011/06/02/ PY - 2010/06/25/received PY - 2010/10/28/accepted PY - 2010/10/21/revised PY - 2011/6/3/entrez PY - 2011/6/3/pubmed PY - 2011/12/28/medline SP - 1831 EP - 40 JF - European radiology JO - Eur Radiol VL - 21 IS - 9 N2 - OBJECTIVE: To evaluate the efficacy of contrast-enhanced ultrasound (CEUS) in patients with acute scrotal pain not defined at ultrasound (US) with colour Doppler . METHODS: CEUS was carried out in 50 patients with acute scrotal pain or scrotal trauma showing testicular lesion of undefined nature at US. The accuracy of US and CEUS findings versus definitive diagnosis (surgery or follow-up) was calculated. RESULTS: Twenty-three patients had a final diagnosis of testicular tumour, three abscess, eight focal infarction, seven trauma, three testicular torsion, one haematoma. Five patients were negative. Thirty-five patients were operated (23 testicular tumours, six trauma, three testicular torsion, one abscess, one focal infarction, and one haematoma) and 15 underwent medical treatment or were discharged. US provided a definitive diagnosis in 34/50 as compared to the 48/50 patients diagnosed at CEUS. Sensitivity and specificity were 76% and 45% for US and 96% and 100% for CEUS respectively. CONCLUSIONS: CEUS was more accurate in the final diagnosis compared to US, potentially reducing the need for further imaging. In particular CEUS can be proposed in emergency in cases where US diagnosis remains inconclusive, namely in infarction, and trauma, when testicular torsion cannot be ruled out, and in identifying testicular mass. SN - 1432-1084 UR - https://www.unboundmedicine.com/medline/citation/21633826/Role_of_contrast_enhanced_ultrasound_in_acute_scrotal_diseases_ L2 - https://dx.doi.org/10.1007/s00330-010-2039-5 DB - PRIME DP - Unbound Medicine ER -