Correlation Between Semen Analysis Parameters and Diffusion-Weighted Magnetic Resonance Imaging of the Testicles in Patients With Varicocele: A Pilot Study

Çekiç, Bülent; Kılıç, Koray; Toslak, İclal Erdem; Şükun, Abdullah; Sağlık, Semih; Savaş, Murat; Köroğlu, Mert

doi:10.1097/rct.0000000000000693

Cited by 8 publications

(18 citation statements)

References 25 publications

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“…Additionally, we found a positive correlation between ADC value and testicular volume in group A only with a p ‐value = 0.03. Contrast to our findings, Çekiç et al () found a significant difference in testicular volume in varicocele patients and control yet, with no correlation with ADC values ( p = 0.075).…”

Section: Discussioncontrasting

confidence: 99%

“…We found a significant positive correlation between lower ADC value and low sperm count as well as low sperm motility. On the other hand, Çekiç et al () found a positive correlation between lower ADC value and low sperm count and abnormal sperm morphology. Yet, in contrast to our results, there was no correlation between ADC and sperm motility (Çekiç et al, ).…”

Section: Discussionmentioning

confidence: 96%

“…In this study, we correlated the ADC values with the sperm parameters, which have been previously evaluated in only one study conducted by Çekiç et al (). We found a significant positive correlation between lower ADC value and low sperm count as well as low sperm motility.…”

Section: Discussionmentioning

confidence: 99%

“…When diffusion is restricted, ADC values decrease. This occurs as a result of trauma, inflammation, ischaemia, tumour and fibrosis (Çekiç et al, ; Mukherji, Chenevert, & Castillo, ; Sandrasegaran et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…The decrease in ADC values in patients with varicocele might be caused by the back pressure increase in the testicular vein, with ischaemia and consequent fibrosis (Çekiç et al, ). Thus, DWI (a decrease in ADC values) may be considered an indirect indicator of testicular damage (Yildirim, Saglik, & Celik, ).…”

Section: Introductionmentioning

confidence: 99%

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The use of diffusion-weighted MR imaging in the functional assessment of the testes of patients with clinical varicocele

et al. 2018

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We aimed to evaluate the use of diffusion-weighted imaging (DWI) in the assessment of the varicocele effect on testicular parenchyma and spermatogenesis, with estimation of apparent diffusion coefficient (ADC) value changes in the testicular parenchyma. We prospectively evaluated 30 consecutive patients (18 patients with bilateral varicocele and 12 patients with unilateral varicocele) and 10 healthy controls. US and DWI were performed to all patients. A total of 80 testes were included,

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The use of diffusion-weighted MR imaging in the functional assessment of the testes of patients with clinical varicocele

et al. 2018

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Imaging and Other Diagnostic Modalities in Varicocele Diagnosis

Alsyouf

Stokes

2019

Varicocele and Male Infertility

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The role of the radiologist in the evaluation of male infertility: recommendations of the European Society of Urogenital Radiology-Scrotal and Penile Imaging Working Group (ESUR-SPIWG) for scrotal imaging

Lotti,

Studniarek,

Balasa

et al. 2024

Eur Radiol

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Objectives The Scrotal and Penile Imaging Working Group (SPIWG) of the European Society of Urogenital Radiology (ESUR) aimed to produce recommendations on the role of the radiologist in the evaluation of male infertility focused on scrotal imaging. Methods The authors independently performed an extensive literature Medline search and a review of the clinical practice and consensus opinion of experts in the field. Results Scrotal ultrasound (US) is useful in investigating male infertility. US abnormalities related to abnormal sperm parameters (sperm concentration, total count, motility, and morphology) are low testicular volume (TV), testicular inhomogeneity (TI), cryptorchidism, testicular microlithiasis (TML), high-grade varicocele, bilateral absence of vas deferens, bilateral dilation and echotexture abnormalities of the epididymis. The proposed ESUR-SPIWG recommendations for imaging in the evaluation of male infertility are therefore: to measure TV; investigate TI; perform annual (US) follow-ups up to age 55 in men with a history of cryptorchidism/orchidopexy and/or in men with TML plus “additional risk factors” or with “starry sky” TML; perform scrotal/inguinal US in men with nonpalpable testis; perform scrotal US in men with abnormal sperm parameters to investigate lesions suggestive of tumors; evaluate varicocele in a standardized way; evaluate the presence or absence of vas deferens; investigate the epididymis to detect indirect signs suggesting obstruction and/or inflammation. Conclusions The ESUR-SPIWG recommends investigating infertile men with scrotal US focusing on TV, inhomogeneity, localization, varicocele, vas deferens, and epididymal abnormalities. Cryptorchidism, TML, and lesions should be detected in relation to the risk of testicular tumors. Clinical relevance statement The ESUR-SPIWG recommendations on scrotal imaging in the assessment of male infertility are useful to standardize the US examination, focus on US abnormalities most associated with abnormal semen parameters in an evidence-based manner, and provide a standardized report to patients. Key Points So far, ESUR-SPIWG recommendations on scrotal imaging in the assessment of male infertility were not available. The ESUR-SPIWG recommends investigating infertile men with scrotal US focusing on testicular volume, inhomogeneity, localization, varicocele, vas deferens and epididymal abnormalities, and assessing cryptorchidism, testicular microlithiasis and lesions in relation to the risk of testicular tumors. The ESUR-SPIWG recommendations on scrotal imaging in the assessment of male infertility are useful to standardize the US examination, focus on US abnormalities most associated with abnormal sperm parameters in an evidence-based manner, and provide a standardized report to patients.

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Correlation Between Semen Analysis Parameters and Diffusion-Weighted Magnetic Resonance Imaging of the Testicles in Patients With Varicocele: A Pilot Study

Cited by 8 publications

References 25 publications

The use of diffusion-weighted MR imaging in the functional assessment of the testes of patients with clinical varicocele

The use of diffusion-weighted MR imaging in the functional assessment of the testes of patients with clinical varicocele

Imaging and Other Diagnostic Modalities in Varicocele Diagnosis

The role of the radiologist in the evaluation of male infertility: recommendations of the European Society of Urogenital Radiology-Scrotal and Penile Imaging Working Group (ESUR-SPIWG) for scrotal imaging

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