title: Multiparametric Sonography of Testicular Hematomas: Features on Grayscale, Color Doppler, and Contrast-Enhanced Sonography and Strain Elastography.
abstract: We investigated the appearances of intratesticular hematomas on multiparametric sonography combining grayscale, color Doppler, and contrast-enhanced sonography and strain elastography. Over a 3-year period, 17 hematomas in 8 patients were analyzed. Blunt trauma (n = 7) and surgery (n = 1) were preceding events. Grayscale sonography showed well-defined oval or round predominantly hypoechoic and heterogeneous, peripherally (n = 13) or centrally (n = 4) located lesions. Three showed contrast enhancement of septations, and 4 showed peripheral lesion rim enhancement. On strain elastography, the mean strain ratio was 1.19 (range, 0.41-2.36), and elasticity score were 3 or lower (n = 13) and 5 (n = 4). Multiparametric sonography shows nonenhancement with contrast and predominantly "soft" elastographic properties and aids in the interpretation of the benign nature of intratesticular hematomas.
authors.affiliation: Department of Radiology, King's College Hospital, King's College London, London, England.
authors.forename: Gibran
authors.initials: G
authors.lastname: Yusuf
authors.affiliation: Department of Radiology, King's College Hospital, King's College London, London, England.
authors.forename: Eleni
authors.initials: E
authors.lastname: Konstantatou
authors.affiliation: Department of Radiology, King's College Hospital, King's College London, London, England.
authors.forename: Maria E
authors.initials: ME
authors.lastname: Sellars
authors.affiliation: Department of Radiology, King's College Hospital, King's College London, London, England.
authors.forename: Dean Y
authors.initials: DY
authors.lastname: Huang
authors.affiliation: Department of Radiology, King's College Hospital, King's College London, London, England. paulsidhu@nhs.net.
authors.forename: Paul S
authors.initials: PS
authors.lastname: Sidhu
mesh_terms: D000328:Adult; D003287:Contrast Media; D054459:Elasticity Imaging Techniques; D006406:Hematoma / Q000000981:diagnostic imaging*; D006801:Humans; D007089:Image Enhancement; D008297:Male; D013733:Testicular Diseases / Q000000981:diagnostic imaging*; D013737:Testis / Q000000981:diagnostic imaging; D018615:Ultrasonography, Doppler, Color; D055815:Young Adult
chemical_list: D003287:Contrast Media
keywords: contrast-enhanced sonography; genitourinary ultrasound; hematoma; strain elastography; testis