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Comparison of testicular stiffness values obtained by ultrasound shear-wave elastography and magnetic resonance elastography in normal healthy volunteers

Year 2024, Volume: 10 Issue: 2, 178 - 186, 04.03.2024
https://doi.org/10.18621/eurj.1401693

Abstract

Objectives: This study aimed to contribute to the standardization of elastography by comparing stiffness values obtained from ultrasound shear wave elastography (SWE) and magnetic resonance elastography (MRE) of the testicular parenchyma in healthy volunteers.

Methods: A total of 22 healthy volunteers (44 testes) were included in this study. Of the 26 cases analyzed, four were excluded from the study due to the exclusion criteria. The testicular parenchyma of the included patients was evaluated using MRE and SWE examinations. Pearson's correlation test was used to calculate the correlation between age and stiffness values, testicular volumes and stiffness values, and stiffness values from both examinations.

Results: The mean SWE stiffness of the right testes was 5.560±3.1 kPa and the mean SWE stiffness of the left testes was 5.361±2.9 kPa. The mean MRE stiffness of the right testes was 6960.11±460 Pa and the mean MRE stiffness of the left testes was 6560.19±310 Pa. There was no significant correlation between SWE and MRE stiffness values (P=0.096). There was also no significant statistical correlation between SWE and MRE stiffness values and testicular volumes (P=0.17 and P=0.093, respectively).

Conclusions: No statistical correlation was found between the stiffness values obtained by SWE and those obtained by MRE in the normal testicular parenchyma. Additionally, no conclusive relationship between stiffness levels, age, or testicular volume was discovered.

References

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  • 5. Yüzkan S, Çilengir AH. Shear Wave Elastography for Assessment of Testicular Stiffness in Patients with Varicocele: A Prospective Comparative Study. J Med Ultrasound. 2022;30(4):277-281. doi: 10.4103/jmu.jmu_218_21.
  • 6. Yin M, Talwalkar JA, Glaser KJ, et al. Assessment of hepatic fibrosis with magnetic resonance elastography. Clin Gastroenterol Hepatol. 2007;5(10):1207-1213.e2. doi: 10.1016/j.cgh.2007.06.012.
  • 7. Venkatesh SK, Yin M, Ehman RL. Magnetic resonance elastography of liver: technique, analysis, and clinical applications. J Magn Reson Imaging. 2013;37(3):544-555. doi: 10.1002/jmri.23731.
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  • 11. Rafaelsen SR, Vagn-Hansen C, Sørensen T, Lindebjerg J, Pløen J, Jakobsen A. Ultrasound elastography in patients with rectal cancer treated with chemoradiation. Eur J Radiol. 2013;82(6):913-917. doi: 10.1016/j.ejrad.2012.12.030.
  • 12. Hamarat MB, Dönmez Mİ, Sezgin T, et al. Testicular volume loss in the long-term follow-up after surgical detorsion of the testis. Pediatr Surg Int. 2022;38(6):907-911. doi: 10.1007/s00383-022-05118-x.
  • 13. Beşler MS, Gökhan MB, Ölçücüoğlu E, Özdemir FAE. Shear wave elastography for the evaluation of testicular salvage after testicular torsion. Andrologia. 2022;54(11):e14565. doi: 10.1111/and.14565.
  • 14. Yang ZL, Ke ZC, Li SL, et al. [Ultrasound measurement of the testis volume of 0-14 years old Chinese boys]. Zhonghua Nan Ke Xue. 2020;26(12:1083-1086. [Article in Chinese]
  • 15. Wei Y, Yu C, Zhou Y, et al. Testicular hypertrophy as predictor of contralateral nonpalpable testis among Chinese boys: An 18-year retrospective study. Arch Pediatr. 2020;27(8):456-463. doi: 10.1016/j.arcped.2020.08.006.
  • 16. Mathur M, Spektor M. MR Imaging of the Testicular and Extratesticular Tumors: When Do We Need? Magn Reson Imaging Clin N Am. 2019;27(1):151-171. doi: 10.1016/j.mric.2018.08.006.
  • 17. Mannelli L, Godfrey E, Joubert I, et al. MR elastography: Spleen stiffness measurements in healthy volunteers--preliminary experience. AJR Am J Roentgenol. 2010;195(2):387-392. doi: 10.2214/AJR.09.3390.
Year 2024, Volume: 10 Issue: 2, 178 - 186, 04.03.2024
https://doi.org/10.18621/eurj.1401693

Abstract

References

  • 1. Gat Y, Bachar GN, Zukerman Z, Belenky A, Gornish M. Varicocele: a bilateral disease. Fertil Steril. 2004;81(2):424-429. doi: 10.1016/j.fertnstert.2003.08.010.
  • 2. Monpeyssen H, Tramalloni J, Poirée S, Hélénon O, Correas JM. Elastography of the thyroid. Diagn Interv Imaging. 2013;94(5):535-544. doi: 10.1016/j.diii.2013.01.023.
  • 3. Erdogan H, Durmaz MS, Arslan S, et al. Shear Wave Elastography Evaluation of Testes in Patients With Varicocele. Ultrasound Q. 2020;36(1):64-68. doi: 10.1097/RUQ.0000000000000418.
  • 4. Turna O, Aybar MD. Testicular stiffness in varicocele: evaluation with shear wave elastography. Ultrasonography. 2020;39(4):350-355. doi: 10.14366/usg.19087.
  • 5. Yüzkan S, Çilengir AH. Shear Wave Elastography for Assessment of Testicular Stiffness in Patients with Varicocele: A Prospective Comparative Study. J Med Ultrasound. 2022;30(4):277-281. doi: 10.4103/jmu.jmu_218_21.
  • 6. Yin M, Talwalkar JA, Glaser KJ, et al. Assessment of hepatic fibrosis with magnetic resonance elastography. Clin Gastroenterol Hepatol. 2007;5(10):1207-1213.e2. doi: 10.1016/j.cgh.2007.06.012.
  • 7. Venkatesh SK, Yin M, Ehman RL. Magnetic resonance elastography of liver: technique, analysis, and clinical applications. J Magn Reson Imaging. 2013;37(3):544-555. doi: 10.1002/jmri.23731.
  • 8. Kohler FP. On the etiology of varicocele. J Urol. 1967;97(4):741-742. doi: 10.1016/S0022-5347(17)63109-4.
  • 9. Robbins SL, Kumar V, Cotran R. Basic pathology. Philadelphia: International Publishing; 2017.
  • 10. Vogt M, Ermert H. Development and evaluation of a high-frequency ultrasound-based system for in vivo strain imaging of the skin. IEEE Trans Ultrason Ferroelectr Freq Control. 2005;52(3):375-385. doi: 10.1109/tuffc.2005.1417260.
  • 11. Rafaelsen SR, Vagn-Hansen C, Sørensen T, Lindebjerg J, Pløen J, Jakobsen A. Ultrasound elastography in patients with rectal cancer treated with chemoradiation. Eur J Radiol. 2013;82(6):913-917. doi: 10.1016/j.ejrad.2012.12.030.
  • 12. Hamarat MB, Dönmez Mİ, Sezgin T, et al. Testicular volume loss in the long-term follow-up after surgical detorsion of the testis. Pediatr Surg Int. 2022;38(6):907-911. doi: 10.1007/s00383-022-05118-x.
  • 13. Beşler MS, Gökhan MB, Ölçücüoğlu E, Özdemir FAE. Shear wave elastography for the evaluation of testicular salvage after testicular torsion. Andrologia. 2022;54(11):e14565. doi: 10.1111/and.14565.
  • 14. Yang ZL, Ke ZC, Li SL, et al. [Ultrasound measurement of the testis volume of 0-14 years old Chinese boys]. Zhonghua Nan Ke Xue. 2020;26(12:1083-1086. [Article in Chinese]
  • 15. Wei Y, Yu C, Zhou Y, et al. Testicular hypertrophy as predictor of contralateral nonpalpable testis among Chinese boys: An 18-year retrospective study. Arch Pediatr. 2020;27(8):456-463. doi: 10.1016/j.arcped.2020.08.006.
  • 16. Mathur M, Spektor M. MR Imaging of the Testicular and Extratesticular Tumors: When Do We Need? Magn Reson Imaging Clin N Am. 2019;27(1):151-171. doi: 10.1016/j.mric.2018.08.006.
  • 17. Mannelli L, Godfrey E, Joubert I, et al. MR elastography: Spleen stiffness measurements in healthy volunteers--preliminary experience. AJR Am J Roentgenol. 2010;195(2):387-392. doi: 10.2214/AJR.09.3390.
There are 17 citations in total.

Details

Primary Language English
Subjects Radiology and Organ Imaging
Journal Section Original Articles
Authors

Süheyl Poçan 0000-0002-3932-2272

Levent Karakaş 0000-0001-5485-9337

Early Pub Date February 8, 2024
Publication Date March 4, 2024
Submission Date December 7, 2023
Acceptance Date January 4, 2024
Published in Issue Year 2024 Volume: 10 Issue: 2

Cite

AMA Poçan S, Karakaş L. Comparison of testicular stiffness values obtained by ultrasound shear-wave elastography and magnetic resonance elastography in normal healthy volunteers. Eur Res J. March 2024;10(2):178-186. doi:10.18621/eurj.1401693

e-ISSN: 2149-3189 


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