Andrea Alessandro Esposito1, Caterina Giannitto2, Claudia Muzzupappa2, Sara Maccagnoni2, Franco Gadda3, Giancarlo Albo3, Pietro Raimondo Biondetti4. 1. Department of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Hospital, Via Francesco Sforza, 35, 20121, Milan, Italy. rxandreaesposito@yahoo.it. 2. School of Radiology, University of Milan, Via A. Di Rudinì 8, Milan, Italy. 3. Department of Urology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Hospital, Via Francesco. Sforza, 35, 20121, Milan, Italy. 4. Department of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Hospital, Via Francesco Sforza, 35, 20121, Milan, Italy.
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).
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).
Authors: Leandro Koifman; André G Cavalcanti; Carlos Henrique Manes; Daibes R Filho; Luciano A Favorito Journal: Int Braz J Urol Date: 2003 Jan-Feb Impact factor: 1.541