{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:39:19Z","timestamp":1778866759643,"version":"3.51.4"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"1154","license":[{"start":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T00:00:00Z","timestamp":1703116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To evaluate the value of multimodal ultrasonography (US) in a rat experimental torsion model after 6\u2009h of torsion with different degrees.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Twenty-one male rats were divided into three groups. Left testes of the rats were twisted around their vascular pedicle 360 degrees in group 1, 720 degrees in group 2, and 1080 degrees in group 3 and intact right testes of the rats were accepted as control group. Grey-scale US, superb microvascular imaging (SMI), colour Doppler ultrasonography (CDUS), strain elastography (SE), and two-dimensional (2-D) shear wave elastography (SWE) examinations were applied 6\u2009h after torsion procedure and testes were removed for pathological evaluation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Short-axis dimensions and volumes of the torsion side were higher than control testes. Lengths of the testes in the 3rd torsion group were smaller than the testes in groups 1 and 2 (P\u2009&amp;lt;\u20090.002). SMI was better than CDUS in recognizing blood flow in testicular tissue. Strain ratios were higher in group 1 and decreased with the increasing torsion degree. Emean and standard deviation (SD) measurements increased in the torsion side. Pathologically the mean testicular damage scores were statistically significant between torsion and control testes in all groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Our results showed that short-axis and volume measurements, SMI, 2D-SWE, and SE are effective in the evaluation and diagnosis of testicular torsion (TT).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge<\/jats:title>\n                  <jats:p>Evaluation of affected testis and intact testis with multiparametric US in late presenting TT cases is more reliable than being dependent on a single sonographic modality.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/bjr\/tqad059","type":"journal-article","created":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T00:14:33Z","timestamp":1704845673000},"page":"377-385","source":"Crossref","is-referenced-by-count":4,"title":["The value of multimodal ultrasonography in the evaluation of late presenting testicular torsion in a rat experimental model"],"prefix":"10.1093","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8580-1066","authenticated-orcid":false,"given":"Duygu","family":"Herek","sequence":"first","affiliation":[{"name":"Pamukkale University Hospital, Department of Radiology , Denizli, 20160, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7002-5594","authenticated-orcid":false,"given":"Vefa","family":"\u00c7akmak","sequence":"additional","affiliation":[{"name":"Pamukkale University Hospital, Department of Radiology , Denizli, 20160, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3386-4206","authenticated-orcid":false,"given":"Erdem","family":"\u00c7omut","sequence":"additional","affiliation":[{"name":"Pamukkale University Hospital, Department of Pathology , Denizli, 20160, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7781-617X","authenticated-orcid":false,"given":"\u00d6zkan","family":"Herek","sequence":"additional","affiliation":[{"name":"Pamukkale University Hospital, Department of Paediatric Surgery , Denizli, 20160, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,12,21]]},"reference":[{"issue":"10","key":"2024020301480515500_tqad059-B1","doi-asserted-by":"crossref","first-page":"2149","DOI":"10.7863\/ultra.15.11038","article-title":"Role of strain elastography in the evaluation of testicular torsion: an experimental study","volume":"35","author":"Herek","year":"2016","journal-title":"J Ultrasound Med"},{"issue":"1","key":"2024020301480515500_tqad059-B2","doi-asserted-by":"crossref","first-page":"33","DOI":"10.11152\/mu-3206","article-title":"Multiparametric ultrasound in torsion of the testicular appendages: a reliable diagnostic tool?","volume":"24","author":"Laimer","year":"2022","journal-title":"Med Ultrason"},{"issue":"2","key":"2024020301480515500_tqad059-B3","doi-asserted-by":"crossref","first-page":"14","DOI":"10.22259\/2638-5155.0102004","article-title":"Diagnostic value of superb microvascular imaging in testicular torsion-a case report","volume":"1","author":"Kara","year":"2018","journal-title":"Arch Pediatr Neonatology"},{"issue":"5","key":"2024020301480515500_tqad059-B4","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1148\/rg.255045109","article-title":"Gray-scale and color Doppler sonography of scrotal disorders in children: an update","volume":"25","author":"Aso","year":"2005","journal-title":"Radiographics"},{"issue":"2","key":"2024020301480515500_tqad059-B5","doi-asserted-by":"crossref","first-page":"146","DOI":"10.3348\/kjr.2019.0500","article-title":"Ultrasonographic demonstration of the tissue microvasculature in children: microvascular ultrasonography versus conventional color doppler ultrasonography","volume":"21","author":"Yoo","year":"2020","journal-title":"Korean J Radiol"},{"issue":"1110","key":"2024020301480515500_tqad059-B6","doi-asserted-by":"crossref","first-page":"20200063","DOI":"10.1259\/bjr.20200063","article-title":"The role of multiparametric ultrasound in the diagnosis of paediatric scrotal pathology","volume":"93","author":"Huang","year":"2020","journal-title":"Br J Radiol"},{"issue":"5","key":"2024020301480515500_tqad059-B7","first-page":"7089","article-title":"Shear wave elastography (SWE) is reliable method for testicular spermatogenesis evaluation after torsion","volume":"8","author":"Zhang","year":"2015","journal-title":"Int J Clin Exp Med"},{"issue":"2","key":"2024020301480515500_tqad059-B8","doi-asserted-by":"crossref","first-page":"253","DOI":"10.7863\/ultra.15.03076","article-title":"Application of quasistatic ultrasound elastography for examination of scrotal lesions","volume":"35","author":"Zeng","year":"2016","journal-title":"J Ultrasound Med"},{"issue":"4","key":"2024020301480515500_tqad059-B9","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1007\/s00261-018-1510-7","article-title":"Multiparametric US for scrotal diseases","volume":"43","author":"Bertolotto","year":"2018","journal-title":"Abdom Radiol (NY)"},{"issue":"1","key":"2024020301480515500_tqad059-B10","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1007\/s10140-020-01812-2","article-title":"Acute scrotal pain in pediatric patients: diagnosis with an innovative Doppler technique (MicroV)","volume":"28","author":"Visalli","year":"2021","journal-title":"Emerg Radiol"},{"issue":"2","key":"2024020301480515500_tqad059-B11","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1007\/s11604-021-01194-6","article-title":"Microvascular imaging ultrasound (MicroV) and power Doppler vascularization analysis in a pediatric population with early scrotal pain onset","volume":"40","author":"Visalli","year":"2022","journal-title":"Jpn J Radiol"},{"key":"2024020301480515500_tqad059-B12","volume-title":"Guide for the Care and Use of Laboratory Animals","author":"National Research Council (US) Committee for the Update of the Guide for the Care and Use of Laboratory Animals","year":"2011","edition":"8th ed"},{"issue":"1","key":"2024020301480515500_tqad059-B13","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1002\/j.1939-4640.1986.tb00862.x","article-title":"Histopathology of prepubertal rat testes subjected to various durations of spermatic cord torsion","volume":"7","author":"Cosentino","year":"1986","journal-title":"J Androl"},{"issue":"3","key":"2024020301480515500_tqad059-B14","first-page":"169","article-title":"Testicular torsion: most delay occurs outside hospital","volume":"80","author":"Rampaul","year":"1998","journal-title":"Ann R Coll Surg Engl"},{"issue":"6","key":"2024020301480515500_tqad059-B15","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.21037\/tau.2017.09.10","article-title":"Degree of twisting and duration of symptoms are prognostic factors of testis salvage during episodes of testicular torsion","volume":"6","author":"Howe","year":"2017","journal-title":"Transl Androl Urol"},{"issue":"4","key":"2024020301480515500_tqad059-B16","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1016\/S0090-4295(00)01049-9","article-title":"Medicolegal aspects of testicular torsion","volume":"57","author":"Matteson","year":"2001","journal-title":"Urology"},{"key":"2024020301480515500_tqad059-B17","doi-asserted-by":"publisher","first-page":"237","DOI":"10.2147\/OAEM.S236767","article-title":"Testicular torsion in the emergency room: a review of detection and management strategies","volume":"12","author":"Laher","year":"2020","journal-title":"Open Access Emerg Med"},{"issue":"5","key":"2024020301480515500_tqad059-B18","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1007\/s00247-018-4093-0","article-title":"Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis","volume":"48","author":"Bandarkar","year":"2018","journal-title":"Pediatr Radiol"},{"issue":"1","key":"2024020301480515500_tqad059-B19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.joad.2015.06.017","article-title":"A review of main controversial aspects of acute testicular torsion","volume":"5","author":"Feher","year":"2016","journal-title":"Journal of Acute Disease"},{"issue":"9","key":"2024020301480515500_tqad059-B20","doi-asserted-by":"crossref","first-page":"e0138523","DOI":"10.1371\/journal.pone.0138523","article-title":"Utility of real-time shear wave elastography in the assessment of testicular torsion","volume":"10","author":"Sun","year":"2015","journal-title":"PLoS One"},{"issue":"3 Pt 1","key":"2024020301480515500_tqad059-B21","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1542\/peds.105.3.604","article-title":"An analysis of clinical outcomes using color Doppler testicular ultrasound for testicular torsion","volume":"105","author":"Baker","year":"2000","journal-title":"Pediatrics"},{"issue":"5","key":"2024020301480515500_tqad059-B22","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1002\/jcu.23210","article-title":"The clinical application of ultrasonography with superb microvascular imaging-a review","volume":"50","author":"Tang","year":"2022","journal-title":"J Clin Ultrasound"}],"container-title":["British Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/bjr\/advance-article-pdf\/doi\/10.1093\/bjr\/tqad059\/55612721\/tqad059.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/97\/1154\/377\/56556269\/tqad059.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/97\/1154\/377\/56556269\/tqad059.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,3]],"date-time":"2024-02-03T01:48:44Z","timestamp":1706924924000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjr\/article\/97\/1154\/377\/7486559"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,21]]},"references-count":22,"journal-issue":{"issue":"1154","published-online":{"date-parts":[[2023,12,21]]},"published-print":{"date-parts":[[2024,2,2]]}},"URL":"https:\/\/doi.org\/10.1093\/bjr\/tqad059","relation":{},"ISSN":["0007-1285","1748-880X"],"issn-type":[{"value":"0007-1285","type":"print"},{"value":"1748-880X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,2,1]]},"published":{"date-parts":[[2023,12,21]]}}}