title: Contrast enhanced harmonic ultrasonography for the evaluation of acute scrotal pathology. A pictorial essay.
abstract: Conventional ultrasonographic evaluation (grey scale and Doppler) represents the first line investigation in the acute pathology of the scrotum. Its diagnosis value in acute scrotal pathology is undoubted in regard with hypervascular lesions, but in the evaluation of isoechoic and hypo/avascular lesions i.v. contrast-enhanced harmonic ultrasonography (CEUS) is recommended in establishing a firm and certain diagnosis. Besides these, CEUS has an important role in the evaluation of the remaining viable testicular tissue in cases of testicular trauma, thus guiding a limited excision surgery. This paper aims to discuss the added diagnosis value of CEUS and to illustrate this through various ultrasonographic images suggestive for acute scrotum pathology.
authors.affiliation: Ultrasonography Laboratory, Imaging and Radiology Department, "Octavian Fodor" Gastroenterology and Hepatology Regional Institute, Cluj Napoca România. rbadea@umfcluj.ro.
authors.forename: Radu
authors.initials: R
authors.lastname: Badea
authors.affiliation: Clinical Institute for Urology and Renal Transplantation, Cluj Napoca România.
authors.forename: Ciprian
authors.initials: C
authors.lastname: Lucan
authors.affiliation: Clinical Institute for Urology and Renal Transplantation, Cluj Napoca România.
authors.forename: Mihai
authors.initials: M
authors.lastname: Suciu
authors.affiliation: Ultrasonography Laboratory, Imaging and Radiology Department, "Octavian Fodor" Gastroenterology and Hepatology Regional Institute, Cluj Napoca România.
authors.forename: Tudor
authors.initials: T
authors.lastname: Vasile
authors.affiliation: Radiology and Imaging Department, Emergency County Hospital, "Iuliu Hațieganu" University of Medicine and Pharmacy, Cluj Napoca România.
authors.forename: Mirela
authors.initials: M
authors.lastname: Gersak
mesh_terms: D000208:Acute Disease; D003287:Contrast Media; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D007090:Image Interpretation, Computer-Assisted / Q000379:methods; D008297:Male; D015203:Reproducibility of Results; D012611:Scrotum / Q000000981:diagnostic imaging* / Q000293:injuries*; D012680:Sensitivity and Specificity; D013086:Spermatic Cord Torsion / Q000000981:diagnostic imaging*; D013733:Testicular Diseases / Q000000981:diagnostic imaging*; D014463:Ultrasonography / Q000379:methods*
chemical_list: D003287:Contrast Media