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    ROLE OF DIFFUSION WEIGHTED MAGNETIC RESONANCE IMAGING IN ACUTE SCROTAL PAIN
    (Kırıkkale Üniversitesi, 2018) Beyazal, Mehmet; Aydın, Hasan Rıza; Kadıoğlu, Maksude Esra; Beyazal Çeliker, Fatma; İnecikli, Mehmet Fatih; Eldeş, Tuğba; Eren, Hüseyin
    Objective: The aim of this study was to investigate the contribution of quantitative apparent diffusion coefficient (ADC) measurements in the diagnosis of testis torsion.Material and Methods: The study included 28 patients that underwent a magnetic resonance imaging (MRI) scan between January 2013 and June 2017 due to acute scrotal pain. Definitive diagnosis was based on the symptom assessment, treatment, and follow-up of the patients. Based on these parameters, patients were categorized into groups and quantitative ADC values were compared among these groups.Results: Of the patients included in the study, 9 were diagnosed with epididymitis, 9 with orchitis, and 10 with testis torsion. The mean ADC values in the affected testes of testis torsion, epididymitis, and orchitis groups were 0.763 ± 0.154 X 10-3 mm2/s, 1.050 ± 0.850 X 10-3 mm2/s, and 1.105 ± 0.218 X 10-3 mm2/s, respectively. The mean ADC values of the affected testes were significantly lower in the testis torsion group compared to the other groups (p and lt;0.01). In the testis torsion group, the mean ADC value of the affected testes was significantly lower compared to the unaffected testes (0.763 ± 0.154 X 10-3 mm2/s vs 1.053 ± 0.147 X 10-3 mm2/s, p and lt;0.05, respectively).Conclusion: Doppler ultrasound has been used as the first choice in diagnosis of acute scrotal pain due to its being a rapid and convenient imaging modality. Quantitative ADC measurements, can be used as a helpful additional tool for the diagnosis and differential diagnosis of testis torsion from other acute scrotal pain conditions such as epididymitis or orchitis.