ArticleBMC medical imaging2022
Using contrast-enhanced ultrasonography to assess the degree of acute testicular torsion: a case series.
Article in BMC medical imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Computed Tomographic Features of Intra-Abdominal Testicular Torsion in Cryptorchid Dogs.Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association · 2026Article
- Contrast-enhanced ultrasound (CEUS) in urgent and emergent pediatric conditions: a comprehensive review.Emergency radiology · 2026Review
- Application of contrast-enhanced ultrasonography in evaluating acute testicular lesions: a retrospective analysis.International journal of emergency medicine · 2025Article
- Pediatric gonadal torsion in radiology: A comprehensive literature and pictorial review using surgically proven cases.European journal of radiology open · 2025Review
- Contrast-enhanced ultrasound findings in testicular torsion and non-testicular torsion.Journal of medical ultrasonics (2001) · 2024Article
- Contrast-enhanced ultrasonographic findings in torsion of the appendix testis or epididymis in children: a case series.Journal of medical ultrasonics (2001) · 2024Article
- Visualizing the early-stage testicular torsion by dual-modal photoacoustic and ultrasound imaging.Photoacoustics · 2023Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are two types of testicular torsion: complete and incomplete. The degree and duration of symptoms of this condition are critical for treatment decision-making, as the consequences for untimely diagnosis and management can be serious. The preoperative assessment of the degree of acute testicular torsion using ultrasonography is particularly important for determining the appropriate intervention. The purpose of this study was to compare the effectiveness of high-frequency versus contrast-enhanced ultrasonography in determining the degree of acute testicular torsion.
methodsFifteen patients with clinically diagnosed acute testicular torsion underwent both high-frequency and contrast-enhanced ultrasonography. We compared the characteristics of the ultrasonographic images of the testicular parenchyma in both the afflicted and contralateral (healthy) testes to determine the reliability of contrast-enhanced ultrasonography in assessing the degree of acute testicular torsion.
resultsThe high-frequency ultrasound and contrast-enhanced ultrasound diagnosis of 4 complete testicular torsion and 11 incomplete testicular torsion were correct before operation. However, 5 patients with incomplete testicular torsion were misdiagnosed as complete testicular torsion because no blood flow was detected by high frequency ultrasound. Finally, low speed blood flow was detected by contrast-enhanced ultrasound and the diagnosis was corrected. The accuracy of diagnosing incomplete testicular torsion was 100% using contrast-enhanced ultrasonography and 66.7% using high-frequency ultrasonography; the difference between the two methods was statistically significant (χ
conclusionContrast-enhanced ultrasonography can diagnose testicular torsion with high accuracy and can detect low-velocity blood flow and show microcirculatory blood perfusion in the testicular parenchyma. This can avoid misdiagnosing incomplete testicular torsion as complete, thus averting unnecessary orchiectomy.
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