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Diagnostic performance of contrast-enhanced ultrasound (CEUS) in testicular pathologies: Single-center results.
- Source :
- Clinical Hemorheology & Microcirculation; 2019, Vol. 73 Issue 2, p347-357, 11p
- Publication Year :
- 2019
-
Abstract
- BACKGROUND: Contrast-enhanced ultrasound (CEUS) has been used as an additional imaging technique in order to clarify testicular findings. CEUS is easy and fast to perform, overcomes the limitations of B-mode US. OBJECTIVE: To evaluate the diagnostic performance of contrast-enhanced ultrasound (CEUS) in the assessment of unclear testicular pathologies. METHODS: CEUS examinations of 45 patients with unclear testicular pathologies between 2012 and 2018 were analyzed retrospectively. Examinations were performed using B-mode, colour Doppler (CCDS) and CEUS after injection of contrast agent (SonoVue<superscript>®</superscript>, Bracco) and interpreted by an experienced radiologist (EFSUMB level 3). Reference standard was defined as histopathological report and clinical course. RESULTS: Overall 19 patients presented with a neoplastic lesion, whereas 14 were malignant. Matched to the histopathological report and clinical follow up, CEUS represented a sensitivity of 93% (95% -CI, 69–99), a specificity of 94% (95% -CI, 80–98), a positive predictive value (PPV) of 87% (95% -CI, 62–96) and a negative predictive value (NPV) of 97% (95% -CI, 83–99). CONCLUSION: CEUS is an accurate additional tool to differentiate between testicular alterations when B-mode US and CCDS are uncertain. CEUS may provide additional information and detect early enhancement in small tumor lesions when CCDS comes to its limit. [ABSTRACT FROM AUTHOR]
- Subjects :
- CONTRAST-enhanced ultrasound
PATHOLOGY
SPERMATIC cord torsion
Subjects
Details
- Language :
- English
- ISSN :
- 13860291
- Volume :
- 73
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Clinical Hemorheology & Microcirculation
- Publication Type :
- Academic Journal
- Accession number :
- 140922842
- Full Text :
- https://doi.org/10.3233/CH-190579