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Published in:

01-04-2018 | Invited article

Multiparametric US for scrotal diseases

Authors: Michele Bertolotto, Matilda Muça, Francesca Currò, Stefano Bucci, Laurence Rocher, Maria Assunta Cova

Published in: Abdominal Radiology | Issue 4/2018

Abstract

Multiparametric US is increasingly recognized as a valuable problem-solving technique in scrotal pathologies. Compared to conventional Doppler modes, contrast-enhanced ultrasonography (CEUS) has higher sensitivity in assessing the presence or absence of flows, and to improve differentiation between poorly vascularized tumors and non-neoplastic, avascular lesions. Characterization of benign and malignant complex cysts is improved. In trauma patients, CEUS can help evaluating the viability of testicular parenchyma. In patients with severe epididymo-orchitis, it allows unequivocal assessment of post-inflammatory ischemic changes and abscess formation. CEUS does not add significantly to conventional Doppler modes in spermatic cord torsion. Attempt of differentiating benign and malignant tumors remains a research tool. In the clinical practice, elastography has a limited role for tumor characterization. The majority of malignant tumors are stiff at elastography, but they may display soft areas, or appear globally soft. A quantitative evaluation of testicular stiffness is feasible using shear-wave elastography. Potential clinical applications for elastographic modes could include work-up of infertile patients.

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Title: Multiparametric US for scrotal diseases
Authors: Michele Bertolotto
Matilda Muça
Francesca Currò
Stefano Bucci
Laurence Rocher
Maria Assunta Cova
Publication date: 01-04-2018
Publisher: Springer US
Published in: Abdominal Radiology / Issue 4/2018
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-018-1510-7

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