Journal of Medical Ultrasonics

, Volume 45, Issue 2, pp 281–286 | Cite as

Shear wave elastography evaluation in pediatric testicular microlithiasis: a comparative study

  • Zuhal Bayramoglu
  • Sedat Giray Kandemirli
  • Rana Gunoz Comert
  • Yunus Emre Akpinar
  • Emine Caliskan
  • Ravza Yilmaz
  • Tayfun Mevlut Oktar
  • Bilal Cetin
  • Mehmet Cingoz
  • Ibrahim Adaletli
Original Article



The aim of this study was to evaluate the testicular parenchyma in pediatric patients with testicular microlithiasis by shear wave elastography (SWE) and compare the values with normal control subjects.


Twenty-three patients previously diagnosed with testicular microlithiasis under follow-up for 20 ± 11 months were included in the study group. In the control group, 31 patients with no medical history that could affect testicular tissue were prospectively included. Forty-six testes in the study group and 62 testes in the control group were evaluated with gray-scale ultrasound and SWE.


There were no differences in age and testes volume between the study and control groups. The mean SWE values of all testes based on elasticity and speed parameters in the study group were 8.84 ± 2.86 kPa and 1.66 ± 0.26 m/s, respectively. In the control group, mean SWE values were 5.26 ± 1.17 kPa and 1.31 ± 0.14 m/s, respectively. Elasticity values were significantly higher in testes with microlithiasis as compared with the control group (p < 0.001).


SWE evaluation demonstrates the effects of ultrastructural changes in elasticity that are not detected on gray-scale ultrasound. SWE is a more reliable method in follow-up examinations for pediatric testicular microlithiasis.


Testis Microlithiasis Shear wave elastography Pediatric Elasticity 


Compliance with ethical standards

Ethical statement

The study was approved by the institutional review committee.

Financial disclosure

The authors have no relevant financial interest in this article.

Conflict of interest

The authors declare that they have all participated in the design, execution, and analysis of the paper, and that they have approved the final version. Additionally, there are no conflicts of interest in connection with this paper, and the material described is not under publication or consideration for publication elsewhere. No financial support was received while the paper was prepared.


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Copyright information

© The Japan Society of Ultrasonics in Medicine 2017

Authors and Affiliations

  • Zuhal Bayramoglu
    • 1
  • Sedat Giray Kandemirli
    • 2
  • Rana Gunoz Comert
    • 1
  • Yunus Emre Akpinar
    • 1
  • Emine Caliskan
    • 1
  • Ravza Yilmaz
    • 1
  • Tayfun Mevlut Oktar
    • 3
  • Bilal Cetin
    • 3
  • Mehmet Cingoz
    • 2
  • Ibrahim Adaletli
    • 1
  1. 1.Radiology Department, Istanbul Medical FacultyIstanbul UniversityIstanbulTurkey
  2. 2.Radiology Department, Cerrahpasa Medical FacultyIstanbul UniversityIstanbulTurkey
  3. 3.Urology Department, Istanbul Medical FacultyIstanbul UniversityIstanbulTurkey

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