ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN

Beyazal, Mehmet; İNECİKLİ, Mehmet Fatih; Eldes, Tugba; EREN, Huseyin; BEYAZAL ÇELİKER, FATMA; KADIOĞLU, Maksude Esra; Aydin, Hasan Riza

doi:10.24938/kutfd.408215

ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN

Mehmet BEYAZAL, (Recep Tayyip Erdogan University, School of Medicine, Department of Radiology)

Hasan Rıza AYDIN, (Sağlık Bilimleri University Trabzon Kanuni SUAM, Urology Clinic)

Maksude Esra KADIOĞLU, (Recep Tayyip Erdogan University, School of Medicine, Department of Radiology)

Fatma BEYAZAL ÇELİKER, (Recep Tayyip Erdogan University, School of Medicine, Department of Radiology)

Mehmet Fatih İNECİKLİ, (Recep Tayyip Erdogan University, School of Medicine, Department of Radiology)

Tuğba ELDEŞ, (Recep Tayyip Erdogan University, School of Medicine, Department of Radiology)

Hüseyin EREN (Recep Tayyip Erdogan University, School of Medicine, Department of Urology)

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi

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Yıl: 2018 Cilt: 20 Sayı: 2 Sayfa Aralığı: 192 - 197 Metin Dili: İngilizce DOI: 10.24938/kutfd.408215 İndeks Tarihi: 29-08-2019

ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN

Öz:

Objective: The aim of this study was to investigate the contribution of quantitative apparent diffusion coefficient (ADC) measurements in the diagnosis of testis torsion. Material and Methods: The study included 28 patients that underwent a magnetic resonance imaging (MRI) scan between January 2013 and June 2017 due to acute scrotal pain. Definitive diagnosis was based on the symptom assessment, treatment, and follow-up of the patients. Based on these parameters, patients were categorized into groups and quantitative ADC values were compared among these groups. Results: Of the patients included in the study, 9 were diagnosed with epididymitis, 9 with orchitis, and 10 with testis torsion. The mean ADC values in the affected testes of testis torsion, epididymitis, and orchitis groups were 0.763 ± 0.154 X 10-3 mm2/s, 1.050 ± 0.850 X 10-3 mm2/s, and 1.105 ± 0.218 X 10-3 mm2/s, respectively. The mean ADC values of the affected testes were significantly lower in the testis torsion group compared to the other groups (p<0.01). In the testis torsion group, the mean ADC value of the affected testes was significantly lower compared to the unaffected testes (0.763 ± 0.154 X 10-3 mm2/s vs 1.053 ± 0.147 X 10-3 mm2/s, p<0.05, respectively). Conclusion: Doppler ultrasound has been used as the first choice in diagnosis of acute scrotal pain due to its being a rapid and convenient imaging modality. Quantitative ADC measurements, can be used as a helpful additional tool for the diagnosis and differential diagnosis of testis torsion from other acute scrotal pain conditions such as epididymitis or orchitis.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Akut Skrotal Ağrıda Difüzyon Ağırlıklı Manyetik Rezonans Görüntülemenin Rolü

Öz:

Amaç: Bu çalışmanın amacıtestis torsiyonunun tanısında kantitatif görünür difüzyon katsayısı (GDK) ölçümlerinin katkısını araştırmaktır. Gereç ve Yöntemler: Ocak 2013 ile Haziran 2017 tarihleri arasında akut skrotum kliniği nedeniyle ile manyetik rezonans görüntüleme yapılan 28 hasta (ortalama yaş: 37.7 ± 21.4) çalışmaya dahil edildi. Hastaların tanı, tedavi ve takiplerine dayanarak nihai tanısı belirlendi ve gruplara ayrıldı. Bu grupların difüzyon ağırlıklı görüntüleri ve GDK değerleri karşılaştırıldı. Bulgular: Çalışmaya dahil edilen hastaların 9’u epidimit, 9’u orşit, 10’u testis torsiyonu idi. Testis torsiyonu olan 10 hastanın 5’ine orşiektomi, 5’ine orşiopeksi uygulandı. Geri kalan 18 hastanın 9’u epididimit, 9’ü orşit tanısı ile medikal olarak tedavi edildi. Testis torsiyonu, epididimit ve orşit gruplarının etkilenmiş testislerinin ortalama GDK değerleri sırası ile 0.763 ± 0.154x10-3 mm2/s, 1.050 ± 0.850x10-3 mm2/s ve 1.105 ± 0.218x10-3 mm2/s ölçüldü. Etkilenmiş testislerde testis torsiyonu grubunun ortalama GDK değerleri diğer gruplardan anlamlı olarak daha düşük bulundu (p<0.01). Ancak epididimit ve orşit arasında anlamlı farklılık saptanmadı (p>0.05). Ayrıca testis torsiyonu grubunda etkilenmiş ve etkilenmemiş testislerin ortalama GDK değerleri sırası ile 0.763 ± 0.154 X 10-3 mm2/s, 1.053 ± 0.147x10-3 mm2/s ölçüldü ve etkilenmiş tarafta ortalama GDK değerleri etkilenmemiş taraftaki testislerden anlamlı olarak düşük bulundu (p <0.05). Sonuç: Doppler ultrason hızlı olması ve kolay uygulanabilirliği nedeni ile akut skrotal ağrının tanısında ilk tercih olarak kullanılmaktadır. Ancak kantitatif GDK ölçümleri testis torsiyonu tanısında ve epididimit ile orşit gibi diğer akut skrotal ağrıların ayırıcı tanısında yardımcı ek bir araç olarak kullanılabilir.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Beyazal M, Aydin H, KADIOĞLU M, BEYAZAL ÇELİKER F, İNECİKLİ M, Eldes T, EREN H (2018). ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN. , 192 - 197. 10.24938/kutfd.408215
Chicago	Beyazal Mehmet,Aydin Hasan Riza,KADIOĞLU Maksude Esra,BEYAZAL ÇELİKER FATMA,İNECİKLİ Mehmet Fatih,Eldes Tugba,EREN Huseyin ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN. (2018): 192 - 197. 10.24938/kutfd.408215
MLA	Beyazal Mehmet,Aydin Hasan Riza,KADIOĞLU Maksude Esra,BEYAZAL ÇELİKER FATMA,İNECİKLİ Mehmet Fatih,Eldes Tugba,EREN Huseyin ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN. , 2018, ss.192 - 197. 10.24938/kutfd.408215
AMA	Beyazal M,Aydin H,KADIOĞLU M,BEYAZAL ÇELİKER F,İNECİKLİ M,Eldes T,EREN H ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN. . 2018; 192 - 197. 10.24938/kutfd.408215
Vancouver	Beyazal M,Aydin H,KADIOĞLU M,BEYAZAL ÇELİKER F,İNECİKLİ M,Eldes T,EREN H ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN. . 2018; 192 - 197. 10.24938/kutfd.408215
IEEE	Beyazal M,Aydin H,KADIOĞLU M,BEYAZAL ÇELİKER F,İNECİKLİ M,Eldes T,EREN H "ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN." , ss.192 - 197, 2018. 10.24938/kutfd.408215
ISNAD	Beyazal, Mehmet vd. "ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN". (2018), 192-197. https://doi.org/10.24938/kutfd.408215

APA	Beyazal M, Aydin H, KADIOĞLU M, BEYAZAL ÇELİKER F, İNECİKLİ M, Eldes T, EREN H (2018). ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 20(2), 192 - 197. 10.24938/kutfd.408215
Chicago	Beyazal Mehmet,Aydin Hasan Riza,KADIOĞLU Maksude Esra,BEYAZAL ÇELİKER FATMA,İNECİKLİ Mehmet Fatih,Eldes Tugba,EREN Huseyin ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 20, no.2 (2018): 192 - 197. 10.24938/kutfd.408215
MLA	Beyazal Mehmet,Aydin Hasan Riza,KADIOĞLU Maksude Esra,BEYAZAL ÇELİKER FATMA,İNECİKLİ Mehmet Fatih,Eldes Tugba,EREN Huseyin ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, vol.20, no.2, 2018, ss.192 - 197. 10.24938/kutfd.408215
AMA	Beyazal M,Aydin H,KADIOĞLU M,BEYAZAL ÇELİKER F,İNECİKLİ M,Eldes T,EREN H ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2018; 20(2): 192 - 197. 10.24938/kutfd.408215
Vancouver	Beyazal M,Aydin H,KADIOĞLU M,BEYAZAL ÇELİKER F,İNECİKLİ M,Eldes T,EREN H ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2018; 20(2): 192 - 197. 10.24938/kutfd.408215
IEEE	Beyazal M,Aydin H,KADIOĞLU M,BEYAZAL ÇELİKER F,İNECİKLİ M,Eldes T,EREN H "ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN." Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 20, ss.192 - 197, 2018. 10.24938/kutfd.408215
ISNAD	Beyazal, Mehmet vd. "ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN". Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 20/2 (2018), 192-197. https://doi.org/10.24938/kutfd.408215