| The relative merits of Doppler sonography in the evaluation of patients with clinically and scintigraphically suspected testicular torsion. | |
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MedLine Citation:
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PMID: 14740502 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Since the early 1970s testicular scintigraphy has been used to diagnose the cause of acute scrotal pain. The advent of Doppler sonography further enhances diagnosis by providing simultaneous real-time scrotal imaging with superimposed testicular blood flow information. OBJECTIVES: To assess the diagnostic value of Doppler sonography in patients with acute scrotal pain and scintigraphic findings suggestive of testicular torsion. METHODS: Seventy-five patients with acute scrotal pain underwent testicular scintigraphy and Doppler sonography. All patients who had scintigraphic findings suggestive of testicular torsion were included in the study and their files were retrospectively reviewed. RESULTS: Twenty-seven patients had scintigraphic findings suggestive of testicular torsion. Radionuclide scintigraphy accurately detected all cases of testicular torsion. However, abscess, hematoma, hydrocele and other conditions simulated testicular torsion on scintigraphy, lowering the test specificity. These pathologies were clarified by Doppler sonography that was 95% specific and 86% sensitive for testicular torsion. CONCLUSIONS: Doppler sonography should be used as the first-line modality in the evaluation of patients with suspected testicular torsion. Scintigraphy should be performed only in certain settings of equivocal sonographic findings to prevent false negative sonographic diagnosis. |
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Authors:
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Nir Hod; Zeev Maizlin; Simon Strauss; Tifha Horne |
Publication Detail:
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Type: Journal Article; Validation Studies |
Journal Detail:
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Title: The Israel Medical Association journal : IMAJ Volume: 6 ISSN: 1565-1088 ISO Abbreviation: Isr. Med. Assoc. J. Publication Date: 2004 Jan |
Date Detail:
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Created Date: 2004-01-26 Completed Date: 2004-02-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100930740 Medline TA: Isr Med Assoc J Country: Israel |
Other Details:
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Languages: eng Pagination: 13-5 Citation Subset: IM |
Affiliation:
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Department of Nuclear Medicine, Assaf Harofeh Medical Center, Zerifin, Israel. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adolescent Adult Artifacts Blood Flow Velocity Child Child, Preschool Diagnosis, Differential Diagnostic Errors Humans Infant Male Mass Screening / methods, standards Middle Aged Radiopharmaceuticals / diagnostic use Retrospective Studies Sensitivity and Specificity Sodium Pertechnetate Tc 99m / diagnostic use Spermatic Cord Torsion / physiopathology, radionuclide imaging, surgery, ultrasonography* Time Factors Ultrasonography, Doppler / methods, standards* |
| Chemical | |
Reg. No./Substance:
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0/Radiopharmaceuticals; 23288-60-0/Sodium Pertechnetate Tc 99m |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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