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Instrumentation, Technical Requirements: MRI

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Scrotal Pathology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

This section of the chapter provides practical guide for MR examination of the scrotum and comprehensive description of clinical applications. The techniques used for scrotal MR imaging can be implemented with virtually any MR unit. Several technical points are described in obtaining high-resolution scrotal MR imaging: patient preparation, coil selection, respiratory compensation, imaging planes, pulse sequence design, fat suppression, multiple contrast, injection of contrast material, and the scanning order of pulse sequences. Image analysis is also described in the evaluation of testicular volume and perfusion. The scrotal MR imaging can be clinically applied for acute scrotal symptoms, intrascrotal masses, scrotal trauma, nonpalpable testis, infertility, etc. The recommended protocol of pulse sequences should include T1-weighted, FS-T2-weighted, and heavily T2-weighted imaging in the coronal plane. Some changes to the basic protocol should be made depending on the clinical settings. The dynamic subtraction contrast-enhanced MR imaging can be used to provide information about testicular perfusion with the use of dynamic subtraction contrast-enhanced technique.

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References

  • Baker LL, Hajek PC, Burkhard TK et al (1987a) MR imaging of the scrotum: pathologic conditions. Radiology 163:93–98

    PubMed  CAS  Google Scholar 

  • Baker LL, Hajek PC, Burkhard TK et al (1987b) MR imaging of the scrotum: normal anatomy. Radiology 163:89–92

    PubMed  CAS  Google Scholar 

  • Baud C, Veyrac C, Couture A et al (1998) Spiral twist of the spermatic cord: a reliable sign of testicular torsion. Pediatr Radiol 28:950–954

    Article  PubMed  CAS  Google Scholar 

  • Bradley WG Jr (1993) MR appearance of hemorrhage in the brain. Radiology 189:15–26

    PubMed  Google Scholar 

  • Cheng HC, Khan MA, Bogdanov A Jr et al (1997) Relative blood volume measurements by magnetic resonance imaging facilitate detection of testicular torsion. Invest Radiol 32:763–769

    Article  PubMed  CAS  Google Scholar 

  • Choyke PL (2000) Dynamic contrast-enhanced MR imaging of the scrotum: reality check. Radiology 217:14–15

    PubMed  CAS  Google Scholar 

  • Costabile RA, Choyke PL, Frank JA et al (1993) Dynamic enhanced magnetic resonance imaging of testicular perfusion in the rat. J Urol 149:1195–1197

    PubMed  CAS  Google Scholar 

  • Fritzsche PJ, Hricak H, Kogan BA et al (1987) Undescended testis: value of MR imaging. Radiology 164:169–173

    PubMed  CAS  Google Scholar 

  • Frush DP, Sheldon CA (1998) Diagnostic imaging for pediatric scrotal disorders. Radiographics 18:969–985

    PubMed  CAS  Google Scholar 

  • Hermier M, Nighoghossian N (2004) Contribution of susceptibility-weighted imaging to acute stroke assessment. Stroke 35:1989–1994

    Article  PubMed  Google Scholar 

  • Hricak H, Hamm B, Kim B (1995) Imaging techniques, anatomy, artifacts and bioeffects: magnetic resonance imaging. Raven Press, New York

    Google Scholar 

  • Jhaveri KS, Mazrani W, Chawla TP et al (2010) The role of cross-sectional imaging in male infertility: a pictorial review. Can Assoc Radiol J 61:144–155

    Article  PubMed  Google Scholar 

  • Kaipia A, Ryymin P, Makela E et al (2005) Magnetic resonance imaging of experimental testicular torsion. Int J Androl 28:355–359

    Article  PubMed  CAS  Google Scholar 

  • Kangasniemi M, Kaipia A, Joensuu R (2001) Diffusion weighted magnetic resonance imaging of rat testes: a method for early detection of ischemia. J Urol 166:2542–2544

    Article  PubMed  CAS  Google Scholar 

  • Kier R, McCarthy S, Rosenfield AT et al (1988) Nonpalpable testes in young boys: evaluation with MR imaging. Radiology 169:429–433

    PubMed  CAS  Google Scholar 

  • Kim W, Rosen MA, Langer JE et al (2007) US MR imaging correlation in pathologic conditions of the scrotum. Radiographics 27:1239–1253

    Article  PubMed  Google Scholar 

  • Kodama K, Yotsuyanagi S, Fuse H et al (2000) Magnetic resonance imaging to diagnose segmental testicular infarction. J Urol 163:910–911

    Article  PubMed  CAS  Google Scholar 

  • Landa HM, Gylys-Morin V, Mattery RF et al (1988) Detection of testicular torsion by magnetic resonance imaging in a rat model. J Urol 140:1178–1180

    PubMed  CAS  Google Scholar 

  • Muller-Leisse C, Bohndorf K, Stargardt A et al (1994) Gadolinium-enhanced T1-weighted versus T2-weighted imaging of scrotal disorders: is there an indication for MR imaging? J Magn Reson Imaging 4:389–395

    Article  PubMed  CAS  Google Scholar 

  • Newhouse JH, Murphy RX Jr (1981) Tissue distribution of soluble contrast: effect of dose variation and changes with time. Am J Roentgenol 136:463–467

    CAS  Google Scholar 

  • Oyen RH (2002) Scrotal ultrasound. Eur Radiol 12:19–34

    Article  PubMed  Google Scholar 

  • Paltiel HJ, Diamond DA, Di Canzio J et al (2002) Testicular volume: comparison of orchidometer and US measurements in dogs. Radiology 222:114–119

    Article  PubMed  Google Scholar 

  • Rholl KS, Lee JK, Ling D et al (1987) MR imaging of the scrotum with a high-resolution surface coil. Radiology 163:99–103

    PubMed  CAS  Google Scholar 

  • Shadbolt CL, Heinze SB, Dietrich RB (2001) Imaging of groin masses: inguinal anatomy and pathologic conditions revisited. Radiographics 21:S261–S271

    PubMed  Google Scholar 

  • Shellock F (1992) Biologic effects and safety considertions. Raven Press, New York

    Google Scholar 

  • Shellock FG, Crues JV (1988) High-field-strength MR imaging and metallic biomedical implants: an ex vivo evaluation of deflection forces. Am J Roentgenol 151:389–392

    CAS  Google Scholar 

  • Shellock FG, Rothman B, Sarti D (1990) Heating of the scrotum by high-field-strength MR imaging. Am J Roentgenol 154:1229–1232

    CAS  Google Scholar 

  • Simpson WL Jr, Rausch DR (2009) Imaging of male infertility: pictorial review. Am J Roentgenol, 192(Suppl 6):S98-107 (Quiz S108-111)

    Google Scholar 

  • Terai A, Yoshimura K, Ichioka K et al (2006) Dynamic contrast-enhanced subtraction magnetic resonance imaging in diagnostics of testicular torsion. Urology 67:1278–1282

    Article  PubMed  Google Scholar 

  • Trambert MA, Mattrey RF, Levine D et al (1990) Subacute scrotal pain: evaluation of torsion versus epididymitis with MR imaging. Radiology 175:53–56

    PubMed  CAS  Google Scholar 

  • Tripathi RP, Jena AN, Gulati P et al (1992) Undescended testis: evaluation by magnetic resonance imaging. Indian Pediatr 29:433–438

    PubMed  CAS  Google Scholar 

  • van den Brink JS, Watanabe Y, Kuhl CK et al (2003) Implications of SENSE MR in routine clinical practice. Eur J Radiol 46:3–27

    Article  PubMed  Google Scholar 

  • Watanabe Y, Dohke M, Ohkubo K et al (2000) Scrotal disorders: evaluation of testicular enhancement patterns at dynamic contrast-enhanced subtraction MR imaging. Radiology 217:219–227

    PubMed  CAS  Google Scholar 

  • Watanabe Y, Nagayama M, Okumura A et al (2007) MR imaging of testicular torsion: features of testicular hemorrhagic necrosis and clinical outcomes. J Magn Reson Imaging 26:100–108

    Article  PubMed  Google Scholar 

  • Young SW, Turner RJ, Castellino RA (1980) A strategy for the contrast enhancement of malignant tumors using dynamic computed tomography and intravascular pharmacokinetics. Radiology 137:137–147

    PubMed  CAS  Google Scholar 

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Correspondence to Yuji Watanabe .

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© 2011 Springer-Verlag Berlin Heidelberg

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Watanabe, Y. (2011). Instrumentation, Technical Requirements: MRI. In: Bertolotto, M., Trombetta, C. (eds) Scrotal Pathology. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2011_169

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  • DOI: https://doi.org/10.1007/174_2011_169

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-12455-6

  • Online ISBN: 978-3-642-12456-3

  • eBook Packages: MedicineMedicine (R0)

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