Yıl: 2017 Cilt: 6 Sayı: 3 Sayfa Aralığı: 498 - 503 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele

Öz:
The aim of this study was to compare the testicular apparent diffusion coefficient (ADC) values of the patients with unilateral advanced stage varicocele and healthy volunteers. Twenty-seven patients with unilateral advanced stage varicocele and twenty-seven healthy volunteers were included in the study. Those with a diagnosis of clinical varicocele and the healthy volunteers were examined clinical and color Doppler ultrasonography. Patients with a unilateral (left) varicocele clinically grade III, color Doppler ultrasound grade IV-V were included in the study. All the patients and healthy volunteers were obtained ADC values. Mean values were calculated and statistical comparison was performed. ADC values were analysed by using an independent t test for each participant. Pearson's correlation test was used for the comparison of left pampiniform venous diameter and both testicular parenchymal ADC values. Left testicular ADC values were observed to be significantly lower when a comparison of the testicular parenchymal with left advanced stage varicocele and healthy volunteers revealed significantly low left testicular ADC values in patients (p<0.05) Furthermore, a negative correlation was detected between the increase in the left testicular venous diameter and parenchymal ADC values of the bilateral testis in patients with left advanced stage varicocele (left p= -624, right p= -0.382). Diffusion weighted magnetic resonance imaging may be beneficial in defining the testicular damage in patients with varicocele
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Nöske HD, Weidner W. Varicocele: a historical perspective. World J Urol. 1999;17(3):151–7.
  • 2. Meacham RB, Townsend RR, Rademacher D, Drose JA. The incidence of varicoceles in the general population when evaluated by physical examination, gray scale sonography and color Doppler sonography. J Urol. 1994;151(6):1535–8.
  • 3. Karakas E, Karakas O, Cullu N, Badem OF, Boyacı FN, Gulum M, Cece H. Diffusion-Weighted MRI of the Testes in Patients With Varicosele: Apreliminary Study. AJR. 2014;202(2):324-8.
  • 4. Sakamoto H, Saito K, Shichizyo T, Ishikawa K, Igarashi A, Yoshida H. Color Doppler ultrasonography as a routine clinical examination in male infertility. Int J Urol. 2006;13(8):1073–8.
  • 5. Maki D, Watanabe Y, Nagayama M, Ishimori T, Okumura A, Amoh Y, Nakashita S, Terai A, Dodo Y. Diffusion-weighted magnetic resonance imaging in the detection of testicular torsion: feasibility study. J Magn Reson Imaging. 2011;34(5):1137–42.
  • 6. Mori MM, Bertolla RP, Fraietta R, Ortiz V, Cedenho AP. Does variocosele grade determine extend of alteration to spermatogenesis in adolescents? Fertil Steril. 2008; 90(5):1769-73.
  • 7. Aubé C, Racineux PX, Lebigot J, Oberti F, Croquet V, Argaud C, Calès P, Caron C. Diagnosis and quantification of hepatic fibrosis with diffusion weighted MR imaging: preliminary results [in French]. J Radiol. 2004;85(3):301–6.
  • 8. Mukherji SK, Chenevert TL, Castillo M. Diffusion- weighted magnetic resonance imaging. J Neuroophthalmol. 2002;22(2):118–22.
  • 9. Sandrasegaran K, Akışık FM, Lin C, Tahir B, Rajan J, Saxena R, Aisen AM. Value of diffusion-weighted MRI for assessing liver fibrosis and cirrhosis. AJR. 2009;193(6):1556–60.
  • 10. Tsili AC, Argyropoulou MI, Giannakis D, Tsampalas S, Sofikitis N, Tsampoulas K. Diffusion-weighted MR imaging of normal and abnormal scrotum: preliminary results. AJA. 2012;14(4):649-54.
  • 11. Rowe PJ, Comhaire FH, Hargreave TB, Mahmoud AMA. WHO Manual for the standardized investigation, diagnosis and management of the infertile male, 1st edition. Cambridge University Press, Cambridge, MA: 2000:24.
  • 12. Imaging of Urogenital Diseases: A Color Atlas, 11th edition.. Olivetti L, Grazioli, eds. Milan: Springer, 2009.
  • 13. G. Iosa, D. Lazzarini. Hemodynamic classification of varicoceles in men: our experience. J. Ultrasound. 2013;16(2):57–63.
  • 14. Sener RN. Diffusion MRI: apparent diffusion coefficient (ADC) values in the normal brain, and a classification of brain disorders based on ADC values. Comput MED Imaging Graph. 2001;25(4):299–326.
  • 15. Johnsen SG, Agger P. Quantitative evaluation of testicular biopsies before and after operation for varicocele. Fertil Steril. 1978;29(1):58–63.
  • 16. Gulum M, Cece H, Yeni E, Savas M, Ciftci H, Karakas E, Celik H, Yagmur I. Diffusion Diffusion weighted MRI of the testis in hydrocele: a pilot study. Urol Int. 2012;89(2):191–5.
  • 17. Kangasniemi M, Kaipia A, Joensuu R. Diffusion weighted magnetic resonance imaging of rat testes: a method for early detection of ischemia. J Urol. 2001;166(6):2542–4.
  • 18. North MO, Lellei I, Rives N, Erdei E, Dittmar A, Barbet JP, Tritto G. Reversible meiotic abnormalities in azoospermic men with bilateral varicocele after microsurgical correction. Cell Mol Biol. 2004;50(3):281– 9.
  • 19. Zorgniotti AW, Sealfon AI. Measurement of intrascrotal temperature in normal and subfertile men. J Reprod Fertil. 1988;82(2):563–6.
  • 20. Knudson G, Ross L, Stuhldreher D, Houlihan D, Bruns E, Prins G. Prevalence of sperm bound antibodies in infertile men with varicocele: the effect of varicocele ligation on antibody levels and semen response. J Urol. 1994;151(5):1260–2.
  • 21. Goldstein M, Eid JF. Elevation of intratesticular and scrotal skin surface temperature in men with varicocele. J Urol. 1989;142(3):743–5.
  • 22. Pipe JG. Motion correction with propeller MRI: application to head motion and free-breathing cardiac imaging. Magn Reson Med. 1999;42(5):963–9.
  • 23. Forbes KP, Pipe JG, Karis JP, Heiserman JE. Improved image quality and detection of acute cerebral infarction with propeller diffusionweighted MR imaging. Radiology. 2002;225(2):551–5.
  • 24. Deng J, Miller FH, Salem R, Omary RA, Larson AC. Multishot diffusion- weighted propeller magnetic resonance imaging of the abdomen. Invest Radiol. 2006;41(10):769–75.
  • 25. Deng J, Omary RA, Larson AC. Multishot diffusion-weighted splice propeller MRI of the abdomen. Magn Reson Med. 2008;59(5):947–53.
APA Burulday V, Şahan M, Erdem G, YUVANÇ E (2017). Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele. , 498 - 503.
Chicago Burulday Veysel,Şahan Mehmet Hamdi,Erdem Gulnur,YUVANÇ ERCAN Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele. (2017): 498 - 503.
MLA Burulday Veysel,Şahan Mehmet Hamdi,Erdem Gulnur,YUVANÇ ERCAN Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele. , 2017, ss.498 - 503.
AMA Burulday V,Şahan M,Erdem G,YUVANÇ E Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele. . 2017; 498 - 503.
Vancouver Burulday V,Şahan M,Erdem G,YUVANÇ E Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele. . 2017; 498 - 503.
IEEE Burulday V,Şahan M,Erdem G,YUVANÇ E "Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele." , ss.498 - 503, 2017.
ISNAD Burulday, Veysel vd. "Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele". (2017), 498-503.
APA Burulday V, Şahan M, Erdem G, YUVANÇ E (2017). Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele. Medicine Science, 6(3), 498 - 503.
Chicago Burulday Veysel,Şahan Mehmet Hamdi,Erdem Gulnur,YUVANÇ ERCAN Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele. Medicine Science 6, no.3 (2017): 498 - 503.
MLA Burulday Veysel,Şahan Mehmet Hamdi,Erdem Gulnur,YUVANÇ ERCAN Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele. Medicine Science, vol.6, no.3, 2017, ss.498 - 503.
AMA Burulday V,Şahan M,Erdem G,YUVANÇ E Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele. Medicine Science. 2017; 6(3): 498 - 503.
Vancouver Burulday V,Şahan M,Erdem G,YUVANÇ E Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele. Medicine Science. 2017; 6(3): 498 - 503.
IEEE Burulday V,Şahan M,Erdem G,YUVANÇ E "Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele." Medicine Science, 6, ss.498 - 503, 2017.
ISNAD Burulday, Veysel vd. "Comparison of diffusion-weighed MRI findings of the testis in patients with the advanced stage unilateral testicular varicocele". Medicine Science 6/3 (2017), 498-503.