Cramer B M, Schlegel E A, Thueroff J W
Department of Radiology, Staedtische Kliniken Wuppertal, Federal Republic of Germany.
Radiographics. 1991 Jan;11(1):9-21. doi: 10.1148/radiographics.11.1.1996400.
It is frequently impossible to discriminate between various causes of scrotal pain and swelling by means of clinical examination and ultrasound (US) alone. Surgical exploration is necessary in cases of indefinite differential diagnosis. For evaluation of the diagnostic potential of magnetic resonance (MR) imaging in scrotal disease, 200 patients with testicular abnormalities were studied. For 74 of these patients, the diagnosis was cancer, based on clinical and US findings. MR imaging demonstrated malignant disease in 54 patients and benign disease in 20. All of the MR imaging findings were confirmed at surgical biopsy. Despite high costs of the procedure, the authors believe that MR imaging is a useful aid for diagnosis in cases of indefinite findings in scrotal and testicular disease.
仅通过临床检查和超声（US）常常无法区分阴囊疼痛和肿胀的各种病因。在鉴别诊断不明确的情况下，手术探查是必要的。为了评估磁共振（MR）成像在阴囊疾病中的诊断潜力，对200例睾丸异常患者进行了研究。在这些患者中，根据临床和超声检查结果，74例被诊断为癌症。MR成像显示54例为恶性疾病，20例为良性疾病。所有MR成像结果均经手术活检证实。尽管该检查费用高昂，但作者认为，在阴囊和睾丸疾病检查结果不明确的情况下，MR成像是一种有用的诊断辅助手段。
