Eleni Konstantatou MD, MSc, Presenter: Nothing to Disclose

Dean Yi-Hsiang Huang MBBS, FRCR, Abstract Co-Author: Nothing to Disclose

Lorenzo Egildo Derchi MD, Abstract Co-Author: Nothing to Disclose

Michele Bertolotto MD, Abstract Co-Author: Nothing to Disclose

Massimo Valentino MD, Abstract Co-Author: Nothing to Disclose

Paul Singh Sidhu MRCP, FRCR, Abstract Co-Author: Speaker, Bracco Group Speaker, Siemens AG Speaker, Hitachi, Ltd

To demonstrate the usefulness of combination of the new techniques of CEUS and RTE as adjuvant methods to normal routine testicular sonography with B-Mode and Color Doppler methods, when assessing abnormalities associated with the acute scrotum or a palpable mass. Judicious use of CEUS and RTE may aid in improving the strategy of appropriate patient management, avoiding an unnecessary orchidectomy.

We present the spectrum of the benign and malignant focal testicular lesions with indications for CEUS and RTE utilization. We will demonstrate intra-testicular abnormalities including sex-cord stromal tumours, germ cell tumors, sarcomas, segmental infarcts, abscesses, focal scars, TB granulomas and sarcoidosis. Enhancement patterns of focal lesions in CEUS and RTE patterns will be discussed, with comment on accuracy, and the ability to alter surgical management. RTE color map and visual grading of the lesions will be analyzed. The combination of the standard sonographic techniques with the use of CEUS and RTE are superior to B-Mode and color Doppler alone as it may facilitate a more accurate diagnosis and appropriate clinical management, discriminating the benign from the malignant pathology.

http://abstract.rsna.org/uploads/2014/14011756/14011756_7bxp.pdf

Konstantatou, E, Huang, D, Derchi, L, Bertolotto, M, Valentino, M, Sidhu, P, Focal Testicular Lesions: Use of Contrast-enhanced Ultrasound (CEUS) and Real-time Tissue Elastography (RTE) as Adjuvant Sonographic Techniques in Determining Clinical Management.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14011756.html