MRI of penile fracture: what should be a tailored protocol in emergency?

Andrea Alessandro Esposito, Caterina Giannitto, Claudia Muzzupappa, Sara Maccagnoni, Franco Gadda, Giancarlo Albo, Pietro Raimondo Biondetti

Research output: Contribution to journalArticle

Abstract

Objectives: To conduct a review of literature to summarize the existing MRI protocols for penile trauma, suggesting a tailored protocol to reduce costs and time of examination. Materials and methods: A systematic search was performed in Medline, Embase, Cochrane Library, and Cinahl databases from 1995 to 2015 to identify studies evaluating penis trauma with MRI examination. Studies were included if there was the description of MRI protocol with at least sequences and orthogonal planes used. We chose a systematic approach for data extraction and descriptive synthesis. Results: 12 articles were included in our study. Among the list of 12 articles: 2 were case reports, 3 were clinical series, and 7 were reviews. Clinical trials were not found. There is no unanimous consensus among the authors. Summarizing the data, the most used protocol is characterized by T2 sequences in three orthogonal planes plus T1 sequences in one plane (either axial or sagittal) without contrast medium injection. Conclusion: There is a lack of a standard protocol. A tailored protocol to answer the diagnostic question, reducing costs and time of examination, is characterized by T2 sequences in three orthogonal planes plus at least a T1 sequence (either axial or sagittal plane).

Original languageEnglish
Pages (from-to)711-718
Number of pages8
JournalRadiologia Medica
Volume121
Issue number9
DOIs
Publication statusPublished - 2016

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Keywords

  • Emergency
  • Fracture
  • MRI
  • Penis
  • Tailored protocol
  • Urology

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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