Cryptorchidism Case Study

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1. Introduction Cryptorchidism or undescended testis (UDT) is the most common genital disorder identified at birth. The main reasons for treatment of cryptorchidism include increased risks of impairment of fertility potential, testicular malignancy, torsion and/or associated inguinal hernia [1]. Approximately 1% of males have undescended testes, 80% of them are clinically palpable and 20% are non-palpable. The term ‘nonpalpable testes’ implies that they cannot be detected on physical examination; they are either intra-abdominal, absent, vanishing or atrophic [2]. Preoperative detection and location of testicles can help to determine the optimal type of procedure and allow for appropriate future planning. In the case of vanishing or absent …show more content…

MR Imaging: All MRI examinations were performed with a 1.5-T MRI system (Achieva; Philips Medical Systems, Best, the Netherlands) using body coil (a phased-array coil).T1, T2 and fat suppressed T2-weighted imaging as well as diffusion weighted imaging were performed during the same MRI examination in all patients. Images will acquired with the patient is in supine position with head pointing to the magnet (head first supine; HFS). The body coil was securely tightened using straps to prevent respiratory artifacts. The center the laser beam localizer will placed over symphysis pubis. Chloral hydrate syrup at a dose of 1 ml/kg body weight was needed for children less than 5 years for sedation during MRI examination. Conventional MRI examination included axial and coronal spin-echo T1-weighted sequence, axial T2- weighted sequence, axial and coronal fat suppressed spin-echo T2-weighted sequence, and axial DWI, slice thickness, 4 mm; interslice gap, 1 mm; field of view, 50 cm2. DWIs were performed using three sets of b value (50, 400, and 800 s/mm2). All MRI images including diffusion-weighted image sequences were transferred to an independent workstation. 2.3. Image …show more content…

They recorded the presence or absence and the location of UDT. First, the DWIs (including the images with b values of 50, 400, and 800 s/mm2) were reviewed alone, then the conventional MR images, and finally the combined DW and conventional MR images. At DWIs, the abdomen was imaged for focal areas of hyperintensity. Elliptic areas of hyperintensity were recorded as testes, and their anatomical location were classified into: intracanalicular, low intraabdominal, and high intraabdominal. On conventional MR images, elliptic areas hypointense on fat-suppressed T1-weighted images and iso- or hyperintense on T2-weighted images were recorded as testes in the aforementioned locations. On the combined DW and conventional MR images, conventional MRI was used for anatomic localization of hyperintense elliptic areas on the DW images. On DWIs, testes were recorded for focal areas of hyperintensity that did not represent T2 shine through from fluid-containing

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