| Scrotal disorders: evaluation of testicular enhancement patterns at dynamic contrast-enhanced subtraction MR imaging. | |
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MedLine Citation:
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PMID: 11012448 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate testicular enhancement patterns in various scrotal disorders at dynamic contrast medium-enhanced subtraction magnetic resonance (MR) imaging. MATERIALS AND METHODS: Forty-two patients with scrotal symptoms (22 testicular diseases, 20 extratesticular scrotal disorders) underwent three-dimensional (3D) fast field-echo or fast spin-echo dynamic subtraction MR imaging after injection of paramagnetic contrast medium. The relative percentages of peak height and mean slope of the testes on the affected side were compared with those on the unaffected side by using time-signal intensity curves. RESULTS: Extratesticular scrotal disorders (time-signal intensity curve mean peak height, 93.1%; mean slope, 89.8%) showed gradual and progressive increase in homogeneous testicular contrast enhancement in all normal testes. Relative percentages of peak height and mean slope of testicular torsion (mean peak height, 17.3%; mean slope, 10.6%), infarction (mean peak height, 30.4%; mean slope, 19.8%), traumatic hemorrhagic necrosis (mean peak height, -3.5%; mean slope, -12.0%), and epidermoid cyst (mean peak height, -6.6%; mean slope, -14.2%) were significantly lower than those of extratesticular scrotal disorders. Acute mumps orchitis (mean peak height, 135.1%; mean slope, 307.5%) and malignant testicular tumor (mean peak height, 178.7%; mean slope, 467.6%) showed higher relative percentages of peak height and mean slope. CONCLUSION: Dynamic contrast-enhanced subtraction MR imaging can provide information about testicular perfusion on the basis of contrast enhancement and can be used to differentiate testicular diseases from scrotal disorders. |
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Authors:
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Y Watanabe; M Dohke; K Ohkubo; T Ishimori; Y Amoh; A Okumura; K Oda; T Hayashi; Y Dodo; Y Arai |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Radiology Volume: 217 ISSN: 0033-8419 ISO Abbreviation: Radiology Publication Date: 2000 Oct |
Date Detail:
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Created Date: 2000-10-17 Completed Date: 2000-10-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0401260 Medline TA: Radiology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 219-27 Citation Subset: AIM; IM |
Affiliation:
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Depts of Radiology, and Urology, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, 710-8602, Japan. yw5904@kchnet.or.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Child Child, Preschool Contrast Media Diagnosis, Differential Gadolinium DTPA / diagnostic use Humans Image Processing, Computer-Assisted Magnetic Resonance Imaging / methods* Male Middle Aged Scrotum* / blood supply Subtraction Technique Testicular Diseases / diagnosis* Testis / blood supply |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media; 80529-93-7/Gadolinium DTPA |
| Comments/Corrections | |
Comment In:
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Radiology. 2000 Oct;217(1):14-5
[PMID:
11012418
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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