Acute scrotal symptoms in boys with an indeterminate clinical presentation: Comparison of color Doppler sonography and scintigraphy

Harriet J. Paltiel, Leonard P. Connolly, Anthony Atala, A. David Paltiel, David Zurakowski, S. Ted Treves

Research output: Contribution to journal › Article

65 Citations (Scopus)

Abstract

PURPOSE: To compare the performance of color Doppler ultrasonography (US) and scintigraphy in assessing testicular perfusion in boys with clinically equivocal presentations. MATERIALS AND METHODS: Forty-one boys with clinically equivocal testicular perfusion underwent color Doppler US and scintigraphy. Studies were retrospectively classified as consistent with torsion, consistent with nontorsion, or indeterminate. Sensitivity and specificity were determined with alternate positivity criteria (indeterminate studies first considered positive and then negative for torsion). RESULTS: Color Doppler US demonstrated nine of 11 cases of torsion and 23 of 30 cases of nontorsion, with one false-positive and eight indeterminate studies. Scintigraphy demonstrated 10 of 11 cases of torsion and 29 of 30 cases of nontorsion, with two indeterminate studies (both in patients with inguinal testis). When indeterminate studies were considered positive for torsion, specificity was 77% for color Doppler US versus 97% for scintigraphy (P = .05). There were no other statistically significant differences between the sensitivities and specificities. CONCLUSION: Color Doppler US and scintigraphy demonstrate no statistically significant difference in ability to demonstrate testicular torsion in boys with acute scrotal symptoms and indeterminate clinical presentations. Owing to its greater specificity, scintigraphy may help prevent unnecessary surgery when color Doppler US shows equivocal flow.

Original languageEnglish
Pages (from-to)223-232
Number of pages10
JournalRadiology
Volume207
Issue number1
StatePublished - Apr 1 1998
Externally publishedYes

Fingerprint

Doppler Color Ultrasonography
Radionuclide Imaging
Perfusion
Spermatic Cord Torsion
Unnecessary Procedures
Sensitivity and Specificity
Groin
Testis

Keywords

  • Radionuclide-imaging, comparative studies
  • Testis, radionuclide studies
  • Testis, torsion
  • Testis, US
  • Ultrasound (US), comparative studies
  • Ultrasound (US), Doppler studies
  • Ultrasound (US), in infants and children

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Paltiel, H. J., Connolly, L. P., Atala, A., Paltiel, A. D., Zurakowski, D., & Treves, S. T. (1998). Acute scrotal symptoms in boys with an indeterminate clinical presentation: Comparison of color Doppler sonography and scintigraphy. Radiology, 207(1), 223-232.

Acute scrotal symptoms in boys with an indeterminate clinical presentation : Comparison of color Doppler sonography and scintigraphy. / Paltiel, Harriet J.; Connolly, Leonard P.; Atala, Anthony; Paltiel, A. David; Zurakowski, David; Treves, S. Ted.

In: Radiology, Vol. 207, No. 1, 01.04.1998, p. 223-232.

Research output: Contribution to journal › Article

Paltiel, HJ, Connolly, LP, Atala, A, Paltiel, AD, Zurakowski, D & Treves, ST 1998, 'Acute scrotal symptoms in boys with an indeterminate clinical presentation: Comparison of color Doppler sonography and scintigraphy', Radiology, vol. 207, no. 1, pp. 223-232.
Paltiel HJ, Connolly LP, Atala A, Paltiel AD, Zurakowski D, Treves ST. Acute scrotal symptoms in boys with an indeterminate clinical presentation: Comparison of color Doppler sonography and scintigraphy. Radiology. 1998 Apr 1;207(1):223-232.
Paltiel, Harriet J. ; Connolly, Leonard P. ; Atala, Anthony ; Paltiel, A. David ; Zurakowski, David ; Treves, S. Ted. / Acute scrotal symptoms in boys with an indeterminate clinical presentation : Comparison of color Doppler sonography and scintigraphy. In: Radiology. 1998 ; Vol. 207, No. 1. pp. 223-232.
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AB - PURPOSE: To compare the performance of color Doppler ultrasonography (US) and scintigraphy in assessing testicular perfusion in boys with clinically equivocal presentations. MATERIALS AND METHODS: Forty-one boys with clinically equivocal testicular perfusion underwent color Doppler US and scintigraphy. Studies were retrospectively classified as consistent with torsion, consistent with nontorsion, or indeterminate. Sensitivity and specificity were determined with alternate positivity criteria (indeterminate studies first considered positive and then negative for torsion). RESULTS: Color Doppler US demonstrated nine of 11 cases of torsion and 23 of 30 cases of nontorsion, with one false-positive and eight indeterminate studies. Scintigraphy demonstrated 10 of 11 cases of torsion and 29 of 30 cases of nontorsion, with two indeterminate studies (both in patients with inguinal testis). When indeterminate studies were considered positive for torsion, specificity was 77% for color Doppler US versus 97% for scintigraphy (P = .05). There were no other statistically significant differences between the sensitivities and specificities. CONCLUSION: Color Doppler US and scintigraphy demonstrate no statistically significant difference in ability to demonstrate testicular torsion in boys with acute scrotal symptoms and indeterminate clinical presentations. Owing to its greater specificity, scintigraphy may help prevent unnecessary surgery when color Doppler US shows equivocal flow.

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