Application of contrast-enhanced ultrasound in the diagnosis of tuberous vas deferens tuberculosis.
Contrast-enhanced ultrasound
Male infertility
Reproductive system
Tuberculosis
Vas deferens
Journal
BMC infectious diseases
ISSN: 1471-2334
Titre abrégé: BMC Infect Dis
Pays: England
ID NLM: 100968551
Informations de publication
Date de publication:
02 Jan 2024
02 Jan 2024
Historique:
received:
28
06
2022
accepted:
08
12
2023
medline:
4
1
2024
pubmed:
4
1
2024
entrez:
3
1
2024
Statut:
epublish
Résumé
To assess the value of contrast-enhanced ultrasound (CEUS) in the diagnosis of tuberous vas deferens tuberculosis (VD TB) and improve the positive diagnostic rate of VD TB. CEUS and routine ultrasound (US) images of 17 patients with tuberous VD TB confirmed by surgery, pathology, or laboratory semen examination were retrospectively analyzed and summarized, and the positive rates of both imaging techniques were compared. The 19 VD lesions of the 17 patients were divided into two types according to the CEUS findings: Type I and Type II, and type II was divided into Types IIa, IIb, and IIc. Of the nodules with transverse diameters > 1 cm, 100% presented as type II. Of the nodules with transverse diameters < 1 cm, 37.5% (3/8) presented as type I and 62.5% (5/8) presented as type II. The sonographic manifestations of tuberous VD TB were hypoechoic and mixed echoic. The positive diagnostic rate was 89.5% for CEUS and 68.4% for US, but the difference was not significant (χ CEUS was able to show the blood supply characteristics of tuberous VD TB, the internal necrosis of nodules was more easily observed by CEUS than by routine US, which is helpful for the diagnosis of tuberous VD TB.
Sections du résumé
BACKGROUND
BACKGROUND
To assess the value of contrast-enhanced ultrasound (CEUS) in the diagnosis of tuberous vas deferens tuberculosis (VD TB) and improve the positive diagnostic rate of VD TB.
METHODS
METHODS
CEUS and routine ultrasound (US) images of 17 patients with tuberous VD TB confirmed by surgery, pathology, or laboratory semen examination were retrospectively analyzed and summarized, and the positive rates of both imaging techniques were compared.
RESULTS
RESULTS
The 19 VD lesions of the 17 patients were divided into two types according to the CEUS findings: Type I and Type II, and type II was divided into Types IIa, IIb, and IIc. Of the nodules with transverse diameters > 1 cm, 100% presented as type II. Of the nodules with transverse diameters < 1 cm, 37.5% (3/8) presented as type I and 62.5% (5/8) presented as type II. The sonographic manifestations of tuberous VD TB were hypoechoic and mixed echoic. The positive diagnostic rate was 89.5% for CEUS and 68.4% for US, but the difference was not significant (χ
CONCLUSIONS
CONCLUSIONS
CEUS was able to show the blood supply characteristics of tuberous VD TB, the internal necrosis of nodules was more easily observed by CEUS than by routine US, which is helpful for the diagnosis of tuberous VD TB.
Identifiants
pubmed: 38166757
doi: 10.1186/s12879-023-08886-6
pii: 10.1186/s12879-023-08886-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
13Subventions
Organisme : Hangzhou Agriculture and Social Development Plan
ID : 20190101A09
Organisme : Hangzhou Agriculture and Social Development Plan
ID : 20190101A09
Organisme : Hangzhou Agriculture and Social Development Plan
ID : 20190101A09
Organisme : Hangzhou Agriculture and Social Development Plan
ID : 20190101A09
Organisme : Hangzhou Agriculture and Social Development Plan
ID : 20190101A09
Informations de copyright
© 2023. The Author(s).
Références
Jing J, Zhuang H, Luo Y, Chen H, Rao Y. Vas deferens sonographic appearances of tuberculosis lesions of 19 cases of male genital systemic tuberculosis. Medicine (Baltimore). 2019;98:e14843. https://doi.org/10.1097/MD.0000000000014843 .
doi: 10.1097/MD.0000000000014843
pubmed: 30882677
Kumar R. Reproductive tract tuberculosis and male infertility. Indian J Urol. 2008;24:392–5. https://doi.org/10.4103/0970-1591.42624 .
doi: 10.4103/0970-1591.42624
pubmed: 19468475
pmcid: 2684350
Tzvetkov D, Tzvetkova P. Tuberculosis of male genital system–myth or reality in 21st century. Arch Androl. 2006;52:375–81. https://doi.org/10.1080/01485010600667076 .
doi: 10.1080/01485010600667076
pubmed: 16873138
Ramachandran A, Das CJ, Razik A. Male genital tract tuberculosis: a comprehensive review of imaging findings and differential diagnosis. Abdom Radiol. 2021;46:1677–86. https://doi.org/10.1007/s00261-020-02811-0 .
doi: 10.1007/s00261-020-02811-0
Kulchavenya E. Male genital tuberculosis. Cham: Springer International Publishing; 2014.
doi: 10.1007/978-3-319-04837-6_8
Mehta V, Mittal A, Bagga P, Singla M. Two case reports of ultrasonography features in male genital tuberculosis. Indian J Tuberc. 2009;56:95–9.
pubmed: 19810592
Yang DM, Kim HC, Kim SW, Lee HL, Min GE, Lim SJ. Sonographic findings of tuberculous vasitis. J Ultrasound Med. 2014;33:913–6. https://doi.org/10.7863/ultra.33.5.913 .
doi: 10.7863/ultra.33.5.913
pubmed: 24764347
Kulchavenya E, Kim CS, Bulanova O, Zhukova I. Male genital tuberculosis: epidemiology and diagnostic. World J Urol. 2012;30:15–21. https://doi.org/10.1007/s00345-011-0695-y .
doi: 10.1007/s00345-011-0695-y
pubmed: 21604018
Guo Y, Qin X, Chen S, Liu X, Gu P. Diagnosis efficacy of CEUS for hepatic inflammatory lesions. J Clin Lab Anal. 2020;34:e23231. https://doi.org/10.1002/jcla.23231 .
doi: 10.1002/jcla.23231
pubmed: 32017229
pmcid: 7307339
Geyer T, Schwarze V, Marschner C, Schnitzer ML, Froelich MF, Rübenthaler J, et al. Diagnostic performance of Contrast-Enhanced Ultrasound (CEUS) in the evaluation of solid renal masses. Medicina. 2020;56:624. https://doi.org/10.3390/medicina56110624 .
doi: 10.3390/medicina56110624
pubmed: 33227984
pmcid: 7699268
Pan J, Tong W, Luo J, Liang J, Pan F, Zheng Y, et al. Does contrast-enhanced ultrasound (CEUS) play a better role in diagnosis of breast lesions with calcification? A comparison with MRI. Br J Radiol. 2020;93:20200195. https://doi.org/10.1259/bjr.20200195 .
doi: 10.1259/bjr.20200195
pubmed: 32463295
pmcid: 7446019
Yang DM, Yoon MH, Kim HS, Jin W, Hwang HY, Kim HS, et al. Comparison of tuberculous and pyogenic epididymal abscesses: clinical, gray-scale sonographic, and color Doppler sonographic features. AJR Am J Roentgenol. 2001;177:1131–5. https://doi.org/10.2214/ajr.177.5.1771131 .
doi: 10.2214/ajr.177.5.1771131
pubmed: 11641187