Weill Cornell Medical College, Ar-Rayyan, Qatar.
Department of Clinical Imaging, Al-Wakra Hospital, Hamad Medical Corporation, PO Box 82228, Doha, Qatar.
Eur Radiol. 2021 Jul;31(7):4918-4928. doi: 10.1007/s00330-020-07631-w. Epub 2021 Jan 15.
Imaging plays a crucial role in the evaluation of scrotal trauma. Among the imaging modalities, greyscale ultrasound and Colour Doppler ultrasound (CDUS) are the primary techniques with the selective utilisation of advanced techniques such as contrast-enhanced ultrasound (CEUS) and elastography. Despite ultrasound being the mainstay of imaging scrotal trauma, its diagnostic performance is not fully established. Considering these difficulties and their impact on clinical practice, the Scrotal and Penile Imaging Working Group of the European Society of Urogenital Radiology (ESUR-SPIWG) established an expert task force to review the current literature and consolidate their expertise on examination standards and imaging appearances of various entities in scrotal trauma. This paper provides the position statements agreed on by the task force with the aim of providing guidance for the use of imaging especially multiparametric US in scrotal trauma.Key Points• Greyscale and Colour Doppler ultrasound are the mainstay of imaging in patients with scrotal trauma.• Contrast-enhanced ultrasound and elastography are the advanced techniques useful as a problem-solving modality in equivocal cases.• This paper summarises the position statements of the ESUR-SPIWG on the appropriate utilisation of multiparametric ultrasound and other imaging modalities in the evaluation of scrotal trauma.
在阴囊创伤的评估中，影像学起着至关重要的作用。在各种成像方式中，灰阶超声和彩色多普勒超声（CDUS）是主要技术，选择性地使用先进技术，如超声造影（CEUS）和弹性成像。尽管超声是阴囊创伤成像的主要手段，但它的诊断性能尚未完全确立。考虑到这些困难及其对临床实践的影响，欧洲泌尿生殖放射学会（ESUR-SPIWG）的阴囊和阴茎成像工作组成立了一个专家工作组，对当前文献进行了回顾，并整合了他们在阴囊创伤中各种病变的检查标准和影像学表现方面的专业知识。本文提供了工作组达成的立场声明，旨在为特别是在阴囊创伤中使用多参数超声成像提供指导。
灰阶超声和彩色多普勒超声是阴囊创伤患者影像学检查的主要手段。
超声造影和弹性成像是在疑难情况下作为解决问题的辅助手段的先进技术。
本文总结了 ESUR-SPIWG 关于在阴囊创伤评估中适当使用多参数超声和其他成像方式的立场声明。
