Document Detail


Power Doppler US of the normal prepubertal testis: does it live up to its promises?
MedLine Citation:
PMID:  9122398     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To assess whether power Doppler ultrasound (US) improves the detection of flow in normal prepubertal testes. MATERIALS AND METHODS: Seventy-two normal testes of 38 prepubertal boys (age range, 2 weeks to 12.5 years) were scanned with color and power Doppler US (7-MHz transducer). The two modalities were compared subjectively to determine which one was more sensitive for detection of flow. Only reproducible intratesticular flow signals were considered positive; capsular flow was disregarded. RESULTS: Power Doppler US depicted flow in 50 testes (69%), while color Doppler US depicted flow in 47 testes (65%, not statistically significant). Power and color Doppler US combined depicted flow in 57 testes (79%), which was significant when compared with color Doppler US alone (P = .002). Detection of flow was subjectively easier with power Doppler US in 10 of 72 testes, while it was easier with color Doppler US in 14 of 72 testes. Motion artifacts were greater with power Doppler US. CONCLUSION: Power Doppler US was equally sensitive as conventional color Doppler US in the detection of flow in normal prepubertal testes. Combining both modalities improved detection of flow in 14% of cases and may be useful in excluding torsion in children. For a positive preoperative diagnosis of torsion in children, radionuclide scintigraphy remains the imaging modality of choice.
Authors:
T Albrecht; K Lotzof; H K Hussain; D Shedden; D O Cosgrove; R de Bruyn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  203     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-04-22     Completed Date:  1997-04-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  227-31     Citation Subset:  AIM; IM    
Affiliation:
Department of Imaging, Hammersmith Hospital, Royal Postgraduate Medical School, London, England.
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MeSH Terms
Descriptor/Qualifier:
Artifacts
Blood Flow Velocity
Child
Child, Preschool
Humans
Infant
Infant, Newborn
Male
Prospective Studies
Puberty
Reference Values
Reproducibility of Results
Spermatic Cord Torsion / ultrasonography
Testis / blood supply,  ultrasonography*
Ultrasonography, Doppler*
Ultrasonography, Doppler, Color

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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