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Acute testicular torsion: comparison of unenhanced and contrast-enhanced power Doppler US, color Doppler US, and radionuclide imaging.

Publication ,  Journal Article
Coley, BD; Frush, DP; Babcock, DS; O'Hara, SM; Lewis, AG; Gelfand, MJ; Bove, KE; Sheldon, CA
Published in: Radiology
May 1996

PURPOSE: To compare the usefulness of conventional color Doppler ultrasound (US), unenhanced and contrast material-enhanced power Doppler US, and radionuclide imaging in a model of acute testicular torsion. MATERIALS AND METHODS: Twenty rabbits underwent unilateral 360 degree testis torsion and contralateral orchiopexy. Gray-scale, color Doppler, and unenhanced and contrast-enhanced power Doppler US were performed 4-6 hours later. The side of torsion was determined, and intratestis flow was graded. Within 2 hours of US, technetium-99m pertechnetate was intravenously administered, the rabbits were killed, and the testes excised for radionuclide imaging. RESULTS: Intratestis perfusion was detected in 85% of torsed testes at US and radionuclide imaging. The side of torsion was correctly diagnosed in 25% of cases with radionuclide imaging and in 60% of cases with US. Power Doppler US demonstrated significantly greater intratestis flow in pexed than in torsed testes. Although the numbers of correct diagnosis with the three US modalities were similar, flow grades within torsed and normal testes were significantly different. CONCLUSION: Perfusion to torsed and normal testes was demonstrated equally well with color Doppler US, power Doppler US, and radionuclide imaging. Doppler US better depicted differences in intratesticular flow between torsed and normal testes.

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Published In

Radiology

DOI

ISSN

0033-8419

Publication Date

May 1996

Volume

199

Issue

2

Start / End Page

441 / 446

Location

United States

Related Subject Headings

  • Ultrasonography, Doppler, Color
  • Time Factors
  • Testis
  • Spermatic Cord Torsion
  • Sodium Pertechnetate Tc 99m
  • Sensitivity and Specificity
  • Regional Blood Flow
  • Radionuclide Imaging
  • Rabbits
  • Polysaccharides
 

Citation

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Coley, B. D., Frush, D. P., Babcock, D. S., O’Hara, S. M., Lewis, A. G., Gelfand, M. J., … Sheldon, C. A. (1996). Acute testicular torsion: comparison of unenhanced and contrast-enhanced power Doppler US, color Doppler US, and radionuclide imaging. Radiology, 199(2), 441–446. https://doi.org/10.1148/radiology.199.2.8668791
Coley, B. D., D. P. Frush, D. S. Babcock, S. M. O’Hara, A. G. Lewis, M. J. Gelfand, K. E. Bove, and C. A. Sheldon. “Acute testicular torsion: comparison of unenhanced and contrast-enhanced power Doppler US, color Doppler US, and radionuclide imaging.Radiology 199, no. 2 (May 1996): 441–46. https://doi.org/10.1148/radiology.199.2.8668791.
Coley BD, Frush DP, Babcock DS, O’Hara SM, Lewis AG, Gelfand MJ, et al. Acute testicular torsion: comparison of unenhanced and contrast-enhanced power Doppler US, color Doppler US, and radionuclide imaging. Radiology. 1996 May;199(2):441–6.
Coley, B. D., et al. “Acute testicular torsion: comparison of unenhanced and contrast-enhanced power Doppler US, color Doppler US, and radionuclide imaging.Radiology, vol. 199, no. 2, May 1996, pp. 441–46. Pubmed, doi:10.1148/radiology.199.2.8668791.
Coley BD, Frush DP, Babcock DS, O’Hara SM, Lewis AG, Gelfand MJ, Bove KE, Sheldon CA. Acute testicular torsion: comparison of unenhanced and contrast-enhanced power Doppler US, color Doppler US, and radionuclide imaging. Radiology. 1996 May;199(2):441–446.
Journal cover image

Published In

Radiology

DOI

ISSN

0033-8419

Publication Date

May 1996

Volume

199

Issue

2

Start / End Page

441 / 446

Location

United States

Related Subject Headings

  • Ultrasonography, Doppler, Color
  • Time Factors
  • Testis
  • Spermatic Cord Torsion
  • Sodium Pertechnetate Tc 99m
  • Sensitivity and Specificity
  • Regional Blood Flow
  • Radionuclide Imaging
  • Rabbits
  • Polysaccharides