Abdominal Radiology

, Volume 44, Issue 3, pp 1070–1082 | Cite as

MRI of testicular malignancies

  • Athina C. TsiliEmail author
  • Nikolaos Sofikitis
  • Efrosyni Stiliara
  • Maria I. Argyropoulou
Review Paper


Although testicular carcinoma represents approximately only 1% of solid neoplasms in men, it is the most common malignancy between young men. The two main histologic categories are testicular germ cell tumors (TGCTs), including seminomas and nonseminomas, accounting for 90–95% of testicular neoplasms and sex cord-stromal tumors. Scrotal MRI, including a multiparametric protocol, has been proposed as a valuable supplemental imaging technique in the investigation of testicular pathology. Recently, the Scrotal and Penile Imaging Working Group appointed by the board of the European Society of Urogenital Radiology has produced recommendations on when to perform scrotal MRI. Regarding intratesticular masses, MRI of the scrotum may be used for their characterization, when US findings are indeterminate and for local staging of TGCTs, when organ-sparing surgery is planned. Differentiation between seminomas and nonseminomas is possible based on MRI features, when clinically needed. Scrotal MRI may also help in differentiating between TGCTs and nongerm cell tumors. Functional information based on diffusion-weighted imaging and dynamic contrast-enhanced MRI data improve testicular mass lesion characterization. Preliminary observations on diffusion tensor imaging, magnetization transfer imaging, and proton MR spectroscopy bring about new data in the understanding of testicular microstructure and pathophysiology.


Magnetic resonance imaging Testis Testicular neoplasms Testicular germ cell tumors 


Compliance with ethical standards


This project received no funding.

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Not applicable.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Athina C. Tsili
    • 1
    Email author
  • Nikolaos Sofikitis
    • 2
  • Efrosyni Stiliara
    • 1
  • Maria I. Argyropoulou
    • 1
  1. 1.Department of Clinical Radiology, Medical SchoolUniversity of IoanninaIoanninaGreece
  2. 2.Department of Urology, Medical SchoolUniversity of IoanninaIoanninaGreece

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