Adult Scrotal Multiparametric US – Tips and Tricks

ultrasonographic exploration: accessibility and superficiality of the tissues are particularly adapted to the use of high frequency probes that provide very high quality images containing a large number of anatomical details. Color Doppler sonography is the first choice of imaging technique to answer clinician questions. Recently, contrast enhanced ultrasound (CEUS) has modified the strategy of imaging, particularly in case of acute ischemic disease or trauma [1]. Furthermore, parametric analysis of CEUS signal may provide complementary information that can be useful to precisely determine the nature of intratesticular focal anomalies. Other new US modalities like elastography or ultrafast Doppler are still under evaluation. Because of the different scrotal anatomical compartments, scrotal ultrasound need to be systematic and precise with B-mode and color Doppler settings well adjusted.