The Relationship between Testis Arfi Elastography Values and Sperm Count  in Infertile Patients

Cihad Varol; Hale Çolakoğlu Er; Mehmet Demir

Makale detayları

The Relationship between Testis Arfi Elastography Values and Sperm Count in Infertile Patients

Yazarlar:

Cihad Varol | Hale Çolakoğlu Er | Mehmet Demir

Yayıncı:

Harran University

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 3, pp.612-617

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001298525

pISSN:

1304-9623

Anahtar kelimeler:

Özet:

 Background: The aim of this prospective study was to determine the relationship between testicular shear wave elastography SWE and sperm count in infertile male patients and to evaluate diagnostic performance. Materials and Methods: The study was carried out with 113 patients over 18 years of age who were diagnosed as infertility.All patients underwent US examination and virtual touch tissue imaging measu-rement VTIQ SWE examination. A total of 6 measurements were made in each testis. Volume measu-rements of testes were calculated with US examination. Patients were evaluated for varicocele using color Doppler ultrasonography Results: Right and left testis volume values in azoospermia patients found statistically different and lower than other groupsp0,001.The mean SWE values in all zones were significantly higher in azoo-spermia patients compared to the other groups p0.001.Moderate positive correlation was found between sperm count and mean volume r 0.545, p 0.001.Negative correlation was found between sperm count and mean SWE r -0.429, p  0.001.There was a moderate negative relationship between mean volume and mean SWE r -0.590, p 0.001. Using ROC analysis between normal sperm and azospermia patients, the cut-off value was 2.06 msec.sensitivity 72 specificity was measured 87.88 p0,001; AUC0,837; Sensitivity 72,00 95 GA 46,5-85,1; Specifity87,88 95 GA 81,5-95,2. Using ROC analysis between the azoospermia patient group and the oligospermia patient group, the cut-off point was 2.04msec. For differentiating azoospermia and oligospermia patients groups, the sensitivity sensitivity was 72 and the specifity was 83.33 p0,001; AUC0,789; Sensitivity 72,00 95 GA 46,5-85,1; Specifity83,33 95 GA 81,5-95. Conclusions: SWE is a noninvasive method for the evaluation of testicular parenchyma in male patients whohave infertility and may provide helpful information in addition to gray scale and RDUS.

 Background: The aim of this prospective study was to determine the relationship between testicular shear wave elastography SWE and sperm count in infertile male patients and to evaluate diagnostic performance. Materials and Methods: The study was carried out with 113 patients over 18 years of age who were diagnosed as infertility.All patients underwent US examination and virtual touch tissue imaging measu-rement VTIQ SWE examination. A total of 6 measurements were made in each testis. Volume measu-rements of testes were calculated with US examination. Patients were evaluated for varicocele using color Doppler ultrasonography Results: Right and left testis volume values in azoospermia patients found statistically different and lower than other groupsp0,001.The mean SWE values in all zones were significantly higher in azoo-spermia patients compared to the other groups p0.001.Moderate positive correlation was found between sperm count and mean volume r 0.545, p 0.001.Negative correlation was found between sperm count and mean SWE r -0.429, p  0.001.There was a moderate negative relationship between mean volume and mean SWE r -0.590, p 0.001. Using ROC analysis between normal sperm and azospermia patients, the cut-off value was 2.06 msec.sensitivity 72 specificity was measured 87.88 p0,001; AUC0,837; Sensitivity 72,00 95 GA 46,5-85,1; Specifity87,88 95 GA 81,5-95,2. Using ROC analysis between the azoospermia patient group and the oligospermia patient group, the cut-off point was 2.04msec. For differentiating azoospermia and oligospermia patients groups, the sensitivity sensitivity was 72 and the specifity was 83.33 p0,001; AUC0,789; Sensitivity 72,00 95 GA 46,5-85,1; Specifity83,33 95 GA 81,5-95. Conclusions: SWE is a noninvasive method for the evaluation of testicular parenchyma in male patients whohave infertility and may provide helpful information in addition to gray scale and RDUS.

 Background: The aim of this prospective study was to determine the relationship between testicular shear wave elastography SWE and sperm count in infertile male patients and to evaluate diagnostic performance. Materials and Methods: The study was carried out with 113 patients over 18 years of age who were diagnosed as infertility.All patients underwent US examination and virtual touch tissue imaging measu-rement VTIQ SWE examination. A total of 6 measurements were made in each testis. Volume measu-rements of testes were calculated with US examination. Patients were evaluated for varicocele using color Doppler ultrasonography Results: Right and left testis volume values in azoospermia patients found statistically different and lower than other groupsp0,001.The mean SWE values in all zones were significantly higher in azoo-spermia patients compared to the other groups p0.001.Moderate positive correlation was found between sperm count and mean volume r 0.545, p 0.001.Negative correlation was found between sperm count and mean SWE r -0.429, p  0.001.There was a moderate negative relationship between mean volume and mean SWE r -0.590, p 0.001. Using ROC analysis between normal sperm and azospermia patients, the cut-off value was 2.06 msec.sensitivity 72 specificity was measured 87.88 p0,001; AUC0,837; Sensitivity 72,00 95 GA 46,5-85,1; Specifity87,88 95 GA 81,5-95,2. Using ROC analysis between the azoospermia patient group and the oligospermia patient group, the cut-off point was 2.04msec. For differentiating azoospermia and oligospermia patients groups, the sensitivity sensitivity was 72 and the specifity was 83.33 p0,001; AUC0,789; Sensitivity 72,00 95 GA 46,5-85,1; Specifity83,33 95 GA 81,5-95. Conclusions: SWE is a noninvasive method for the evaluation of testicular parenchyma in male patients whohave infertility and may provide helpful information in addition to gray scale and RDUS.

 Amaç: Bu prospektif çalışmanın amacı infertil erkek hastalarda shear wave elastografinin SWE sperm sayısı ile ilişkisini saptamak ve tanısal performansının değerlendirilmesidir. Materyal ve Metod: Calısma infertilite tanısı almış ve semen analizi yapılmış 113 hasta ile yapılmıştır. Tüm hastalara US incelemesi ve virtual touch tissue imaging quantification VTIQ kullanılarak SWE incelemesi yapıldı. Her testiste toplam 6 ölçüm yapıldı.US inceleme ile testislerin hacim ölçümleri yapıldı. Bulgular: Azospermi hastalarında sağ ve sol testis volüm değerleri diğer gruplardan istatistiksel olarak farklı ve düşük değerde bulunmuşturp0,001. Azospermi hastalarında tüm zonlarda ve ortalama SWE değerleri diğer gruplara göre anlamlı yüksek bulunmuşturp0,001. Sperm sayısı ile ortalama volüm arasında pozitif yönde orta şiddette bir ilişki saptanmıştır r0,545, p0,001. Sperm sayısı ile ortalama SWE arasında negatif yönde orta şiddette bir ilişki saptanmıştır r-0,429, p0,001. Ortalama volüm ile ortalama SWE arasında negatif yönde orta şiddette bir ilişki saptanmıştır r-0,590, p0,001. Sperm sayısı normal hasta grubu ile azospermi hastaları arasında yapılan ROC analizinde kesim değeri 2,06 msn olup sensivite duyarlılık 72 spesiviteözgüllük 87,88 ölçülmüştür. p0,001; EAA0,837; Sensitivite 72,00 95 GA 46,5-85,1; Spesivite87,88 95 GA 81,5-95,2. Azospermi hasta grubu ile oligospermi hasta grubu arasında yapılan ROC analizinde kesim noktası 2,04 msn olarak belirlenmiştir. Buna göre yapılan değerlendirmede sensivite 72 spesivite 83,33 ölçülmüştür. p0,001; EAA0,789; Sensitivite 72,00 95 GA 46,5-85,1; Spesivite83,33 95 GA 81,5-95. Sonuç: Infertilite şikayetiyle başvuran erkek hastalarda testis parankiminin degerlendirilmesinde, SWE invaziv olmayan bir yontem olup gri skala ve RDUS tetkiklerine ek yararlı bilgiler saglayabilir.

Makale detayları

The Relationship between Testis Arfi Elastography Values and Sperm Count in Infertile Patients

Yazarlar:

Cihad Varol | Hale Çolakoğlu Er | Mehmet Demir

Yayıncı:

Harran University

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 3, pp.612-617

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001298525

pISSN:

1304-9623

Infertility

testis

shear wave ultrasonography

ultrasoundinfertilite

testis

shear wave elastografi

ultrason

Sayı

Makale detayları

Yazarlar: Cihad Varol | Hale Çolakoğlu Er | Mehmet Demir

Yayıncı: Harran University

Ana Başlıklar: Radyoloji ve Organ Görüntüleme

Dergi: Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 3, pp.612-617

Belge Tipi: Makale

Yayın Tarihi: 12/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001298525

pISSN: 1304-9623

Sayı

Yazarlar:

Cihad Varol | Hale Çolakoğlu Er | Mehmet Demir

Yayıncı:

Harran University

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 3, pp.612-617

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001298525

pISSN:

1304-9623