Magnetic Resonance Imaging of the Testis and Scrotum

  • Shari-Lynn Umlas Odzer
  • Marco A. Amendola


A variety of imaging techniques have been employed to supplement the clinical findings and the physical examination for evaluation of scrotal and testicular abnormalities. High resolution ultrasonography with color flow Doppler studies is currently the imaging modality of choice for initial evaluation due to its low cost, wide availability, multiplanar imaging capabilities, short examination time, and lack of ionizing radiation. Limitations of ultrasonography include its small field of view, low specificity, and operator dependence.


High Signal Intensity Spermatic Cord Epidermoid Cyst Tunica Albuginea Leydig Cell Tumor 
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  1. 1.
    Schultz-Lampel D, Bogaert G, Thuroff JW, et al. MRI for evaluation of scrotal pathology. Urol Res 1991; 19: 289–292PubMedCrossRefGoogle Scholar
  2. 2.
    Thurnher S, Hricak H, Carroll PR, et al. Imaging the testis: comparison between MR imaging and US. Radiology 1988; 167: 631–636PubMedGoogle Scholar
  3. 3.
    Baker LL, Hajek PC, Burkhard TK, et al. MR imaging of the scrotum: pathologic conditions. Radiology 1987; 163: 93–98PubMedGoogle Scholar
  4. 4.
    Oyen R, Verdien S, Drochmans A, et al. Value of MRI in the diagnosis and staging of testicular tumors. J Belge Radiol 1993; 76: 84–89PubMedGoogle Scholar
  5. 5.
    Trambert MA, Mattrey RF, Levine D, Berthoty DP. Subacute scrotal pain: evaluation of torsion versus epididymitis with MR imaging. Radiology 1990; 715: 53–56Google Scholar
  6. 6.
    Rholl KS, Lee JKT, Ling G, et al. MR imaging of the scrotum with a high-resolution surface coil. Radiology 1987; 163: 99–103PubMedGoogle Scholar
  7. 7.
    Sohn M, Neuerburg J, Bohndorf K, et al. The value of magnetic resonance imaging at 1.5 T in the evaluation of the scrotal content. Urol Int 1989; 44: 284–291PubMedCrossRefGoogle Scholar
  8. 8.
    Mattrey RF. Magnetic resonance imaging of the scrotum. Semin Ultrasound CT MR 1991; 12: 95–108PubMedGoogle Scholar
  9. 9.
    Hricak H, Hamm B, Kim B (eds). Imaging of the Scrotum: Textbook and Atlas. New York, Raven Press, 1995Google Scholar
  10. 10.
    Seidenwurm D, Smathers RL, Lo RK, et al. Testes and scrotum: MR imaging at 1.5 T. Radiology 1987; 164: 393–398PubMedGoogle Scholar
  11. 11.
    Schnall M. Magnetic resonance imaging of the scrotum. Semin Roentgenol 1993; 28: 19–30PubMedCrossRefGoogle Scholar
  12. 12.
    Farghali H, Williams DS, Simplaceanu E, et al. An evaluation of the integrity of the blood-testis barrier by magnetic resonance imaging. Magn Reson Med 1991; 22: 81–87PubMedCrossRefGoogle Scholar
  13. 13.
    Muller-Leisse C, Bohndorf K, Stargardt A, et al. Gadolinium-enhanced T1-weighted versus T2-weighted imaging of scrotal disorders: is there an indication for MR imaging? J Magn Reson Imaging 1994; 4: 389–395PubMedCrossRefGoogle Scholar
  14. 14.
    Fritzsche PJ, Rifkin M, Hopkins CR, Piccoli CW. Scrotum and testes. In Stark DD, Bradley WG Jr (eds). Magnetic Resonance Imaging, 2nd ed. St. Louis, Mosby Yearbook, 1992: 2058–2077Google Scholar
  15. 15.
    Fritzsche PJ. MRI of the scrotum. Urol Radiol 1988; 10: 52–57PubMedCrossRefGoogle Scholar
  16. 16.
    Baker LL, Hajek PC, Burkhard TK, et al. MR imaging of the scrotum: normal anatomy. Radiology 1987; 163: 89–92PubMedGoogle Scholar
  17. 17.
    Poster RB, Spirt BA, Tamsen A, Surya BV. Complex tunica albuginea cyst simulating an intratesticular lesion. Urol Radiol 1991; 13: 129–132PubMedCrossRefGoogle Scholar
  18. 18.
    Johnson JO, Mattrey RF, Phillipson J. Differentiation of seminomatous from nonseminomatous testicular tumors with MR imaging. AJR 1990; 154: 539–543PubMedGoogle Scholar
  19. 19.
    Sokal M, Peckham MJ, Hendry WF. Bilateral germ cell tumors of the testis. Br J Urol 1980; 53: 158–162CrossRefGoogle Scholar
  20. 20.
    Cramer BH, Schlegel EA, Thueroff JW. MR imaging in the differential diagnosis of scrotal and testicular disease. RadioGraphics 1991; 11: 19–21Google Scholar
  21. 21.
    Semba CB, Trambert MA, Mattrey RF, Scrotal MRI, review of 125 patients [abstract]. Magn Reson Imaging 1990; 8(suppl 1): 36Google Scholar
  22. 22.
    Kaufman E, Akiya F, Foucar E, et al. Virilization due to Leydig cell tumor: diagnosis by magnetic resonance imaging. Clin Pediatr 1990; 29: 414–417CrossRefGoogle Scholar
  23. 23.
    Nemcek AA, Fisher MR, Leschorn E, Garnett J. Mixed sexcord stromal tumor of the testis: evaluation by ultrasonography and magnetic resonance imaging. Urol Radiol 1989; 11: 186–189PubMedCrossRefGoogle Scholar
  24. 24.
    Brenner JS, Cumming WA, Ros PR. Testicular epidermoid cyst: sonographic and MR findings [letter]. AJR 1989; 152: 1344PubMedGoogle Scholar
  25. 25.
    Tartar VM, Trambert MA, Balsara ZN, Mattrey RF. Tubular ectasia of the testicle: sonographic and MR imaging appearance. AJR 1993; 160: 539–542PubMedGoogle Scholar
  26. 26.
    Janzen DL, Mathieson JR, Marsh JI, et al. Testicular microlithiasis: sonographic and clinical features. AJR 1992; 185: 1057–1060Google Scholar
  27. 27.
    Skakkebaek NE, Berthelsen JG, Muller J. Carcinoma in situ of the undescended testis. Urol Clin of North Am 1982; 9: 377–385Google Scholar
  28. 28.
    Thomsen C, Jensen KE, Giwercman A, et al. Magnetic resonance: in vivo tissue characterization of the testes in patients with carcinoma-in-situ of the testis and healthy subjects. Int J Androl 1987; 10: 191–198PubMedCrossRefGoogle Scholar
  29. 29.
    Reinges MHT, Kaiser WA, Miersch WD, Vogel J. Dynamic magnetic resonance imaging of the contralateral testis in patients with malignant tumor of the testis. Urology 1994; 44: 540–547PubMedCrossRefGoogle Scholar
  30. 30.
    Mattrey R, Trambert M. MR imaging of the scrotum and testes. In Edelman RR, Hesselink JR (eds) Clinical Magnetic Resonance Imaging. Philadelphia, Saunders, 1990: 952–979Google Scholar
  31. 31.
    Sadler BT, Greenfield SP, Wan J, Glick PL. Intrascrotal epidermoid cyst with extension into the pelvis. J Urol 1995; 153: 1265–1266PubMedCrossRefGoogle Scholar
  32. 32.
    Koenigsberg RA, Kelsey D, Friedman AC. Case report: ultrasound and MRI findings in a scrotal epidermoid cyst. Clin Radiol 1995; 50: 576–578PubMedCrossRefGoogle Scholar
  33. 33.
    Smith FJ, Bilbey JH, Filipenko JD, Goldenberg SL. Testicular pseudotumor in the acquired immunodeficiency syndrome. Urology 1995; 45: 535–537PubMedCrossRefGoogle Scholar
  34. 34.
    Hayward I, Trambert MA, Mattrey RF, et al. MR imaging of vasculitis of the testis. J Comput Assist Tomogr 1991; 15: 502–504PubMedCrossRefGoogle Scholar
  35. 35.
    Landa HM, Gylys-Morin V, Mattrey RF, et al. Detection of testicular torsion by magnetic resonance imaging in a rat model.J Urol 1988; 140: l178–1180Google Scholar
  36. 36.
    Costabile RA, Choyke PL, Frank JA, et al. Dynamic enhanced magnetic resonance imaging of testicular perfusion in the rat.J Urol 1993; 194: 1195–1997Google Scholar
  37. 37.
    Costabile RA, Choyke PL, Frank JA, et al. Variability of ischemia during spermatic cord torsion in the rat. J Urol 1994; 151: 1070–1072PubMedGoogle Scholar
  38. 38.
    Hajek PC. Magnetische resonanztomographie (MRT) des skrotum-erste ergebnisse und vergleich mit der sonographic II. Intratestikulare pathologic Radiologe 1987; 27: 529–536Google Scholar
  39. 39.
    Krasna IH, Solomon M, Mezrich R. Unilateral leg edema caused by abdominoscrotal hydrocele: elegant diagnosis by MRI. J Pediatr Surg 1992; 27: 1349–1351PubMedCrossRefGoogle Scholar
  40. 40.
    Ziffer JA, Nelson RC, Chezmar JL, et al. Subclinical varicoceles: detection with MRI [abstract]. Magn Reson Imaging 1989; 7(suppl 1): 78Google Scholar
  41. 41.
    Semelka R, Anderson M, Hricak H. Prosthetic testicle: appearance at MR imaging. Radiology 1989; 173: 561–562PubMedGoogle Scholar
  42. 42.
    Bretan PN Jr, Vigneron DB, Hricak H, et al. Assessment of testicular metabolic integrity with P-31 MR spectroscopy. Radiology 1987; 162: 867–871PubMedGoogle Scholar
  43. 43.
    Chew WM, Hricak H, McClure RD, Wendland MF. In vivo human testicular function assessed with P-31 MR spectroscopy. Radiology 1990; 177: 743–747PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Shari-Lynn Umlas Odzer
  • Marco A. Amendola

There are no affiliations available

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