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© 2004 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 23:1077-1085 • 0278-4297

Image Presentation

Torsion and Beyond

New Twists in Spectral Doppler Evaluation of the Scrotum

Vikram S. Dogra, MD, Deborah J. Rubens, MD, Ronald H. Gottlieb, MD and Shweta Bhatt, DMRD

Department of Radiology, Case Western Reserve University, University Hospitals of Cleveland, Cleveland, Ohio USA (V.S.D., S.B.); and Department of Radiology, University of Rochester Medical Center, Rochester, New York USA (D.J.R., R.H.G.).

Address correspondence and reprint requests to Vikram S. Dogra, MD, Division of Ultrasound, Department of Radiology, Case Western Reserve University, University Hospitals of Cleveland, 11100 Euclid Ave, Cleveland, OH 44106-5056 USA. E-mail: dogra{at}uhrad.com.

Objective. To illustrate how spectral Doppler waveform analysis plays an adjunctive but very definite role in scrotal sonography. Methods. The cases illustrate a variety of testicular disorders that were collected at a referral tertiary care center. Results. Normal and a variety of pathologic conditions of the testes are discussed, along with their signature spectral waveforms. Conclusions. Analysis of the spectral waveform provides important additional information in various scrotal disorders with acute pain. Spectral waveform analysis is critical to diagnosing incomplete torsion when color and power Doppler examinations are indeterminate.

Key Words: arteriovenous malformation • varicocele • epididymo-orchitis • resistive index • spectral Doppler sonography • testis • torsion

Abbreviations: AVM, arteriovenous malformation • RI, resistive index




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