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La radiologia medica

, Volume 121, Issue 9, pp 711–718 | Cite as

MRI of penile fracture: what should be a tailored protocol in emergency?

  • Andrea Alessandro EspositoEmail author
  • Caterina Giannitto
  • Claudia Muzzupappa
  • Sara Maccagnoni
  • Franco Gadda
  • Giancarlo Albo
  • Pietro Raimondo Biondetti
EMERGENCY RADIOLOGY

Abstract

Objectives

To conduct a review of literature to summarize the existing MRI protocols for penile trauma, suggesting a tailored protocol to reduce costs and time of examination.

Materials and methods

A systematic search was performed in Medline, Embase, Cochrane Library, and Cinahl databases from 1995 to 2015 to identify studies evaluating penis trauma with MRI examination. Studies were included if there was the description of MRI protocol with at least sequences and orthogonal planes used. We chose a systematic approach for data extraction and descriptive synthesis.

Results

12 articles were included in our study. Among the list of 12 articles: 2 were case reports, 3 were clinical series, and 7 were reviews. Clinical trials were not found. There is no unanimous consensus among the authors. Summarizing the data, the most used protocol is characterized by T2 sequences in three orthogonal planes plus T1 sequences in one plane (either axial or sagittal) without contrast medium injection.

Conclusion

There is a lack of a standard protocol. A tailored protocol to answer the diagnostic question, reducing costs and time of examination, is characterized by T2 sequences in three orthogonal planes plus at least a T1 sequence (either axial or sagittal plane).

Keywords

Emergency MRI Penis Fracture Tailored protocol Urology 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standards

The manuscript does not contain clinical studies or patient data.

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Copyright information

© Italian Society of Medical Radiology 2016

Authors and Affiliations

  • Andrea Alessandro Esposito
    • 1
    Email author
  • Caterina Giannitto
    • 2
  • Claudia Muzzupappa
    • 2
  • Sara Maccagnoni
    • 2
  • Franco Gadda
    • 3
  • Giancarlo Albo
    • 3
  • Pietro Raimondo Biondetti
    • 1
  1. 1.Department of RadiologyFondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico HospitalMilanItaly
  2. 2.School of RadiologyUniversity of MilanMilanItaly
  3. 3.Department of UrologyFondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico HospitalMilanItaly

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