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Contrast-Enhanced Ultrasound in the Pediatric Scrotum

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Contrast-Enhanced Ultrasound in Pediatric Imaging

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Abstract

Ultrasound (US) plays a pivotal role in the diagnostic approach of paediatric scrotal disease. Grayscale and Doppler US imaging techniques offer detailed anatomic and physiological information. Contrast-enhanced ultrasound (CEUS) is a valuable complementary technique in many common paediatric scrotal abnormalities including spermatic cord torsion, inflammatory conditions, trauma and neoplasms. CEUS allows increased sensitivity for evaluation of tissue perfusion and vasculature architecture, is able to delineate ischaemic tissue, for evidence of infarction in the setting of spermatic cord torsion. In the case of trauma lack of enhancement on CEUS would indicate necrotic tissue or a haematoma. In complicated epididymo-orchitis CEUS characterizes abscess formation or venous infarction. A CEUS examination would finally exclude any internal vascularity in a complex cystic structure or demonstrate the vascular architecture in detail and enhancement pattern in real time, indicating the diagnosis of a neoplasm.

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Authors and Affiliations

  1. Department of Radiology, King’s College Hospital, London, UK

    Vasileios Rafailidis, Dean Y. Huang, Maria E. Sellars & Paul S. Sidhu

Authors
  1. Vasileios Rafailidis
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  2. Dean Y. Huang
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  3. Maria E. Sellars
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  4. Paul S. Sidhu
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Correspondence to Vasileios Rafailidis .

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Editors and Affiliations

  1. Department of Radiology, King’s College Hospital, London, UK

    Paul S. Sidhu

  2. Department of Radiology, King’s College Hospital, London, UK

    Maria E. Sellars

  3. Department of Radiology, King’s College Hospital, London, UK

    Annamaria Deganello

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Rafailidis, V., Huang, D.Y., Sellars, M.E., Sidhu, P.S. (2021). Contrast-Enhanced Ultrasound in the Pediatric Scrotum. In: Sidhu, P., Sellars, M., Deganello, A. (eds) Contrast-Enhanced Ultrasound in Pediatric Imaging. Springer, Cham. https://doi.org/10.1007/978-3-030-49691-3_15

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  • DOI: https://doi.org/10.1007/978-3-030-49691-3_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-49690-6

  • Online ISBN: 978-3-030-49691-3

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