睾丸超声测量睾丸体积和附睾直径:前瞻性研究中的精液质量预测

Imaging Pub Date : 2024-06-03 DOI:10.1556/1647.2024.00184
Norbert Pásztor, D. Veréb, I. Király, Z. Kincses, András Palkó, Gábor Németh, Zoltán Bajory, Z. Fejes
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摘要

通过多参数研究确定对男性不育症评估最具预测性的超声参数。研究组共招募了 64 名男性,对照组招募了 14 名男性。研究组共有 64 名男性,对照组有 14 名男性。研究组首先使用灰阶、彩色和动力多普勒超声成像技术分析睾丸形态特征,并检测睾丸内异常。双侧睾丸的应变比、左侧睾丸的体积和左侧阑尾的大小与精液分析结果的相关性最大,根据投影中的变量重要性(VIP)评分>1。PLS分析的第一个潜变量解释了TSC、浓度和活力参数的显著变异量(P < 0.0002),并显示双侧应变比、睾丸体积和左盲肠体积是病理精液和精子细胞特征最显著的US预测因子。
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Testicular ultrasound measurement of testicular volume and epididymis diameters: Prediction of semen quality in a prospective study
To identify the most predictive ultrasound parameters for the assessment of male infertility by a multiparametric study.A total of 64 males were recruited in the study group and 14 men in the control group. At first, grey-scale and color and Power Doppler ultrasonographic imaging was used to analyze testicular morphological characteristics and detect intratesticular abnormalities. Various ultrasound parameters of B-mode US and strain-elastography were related to total sperm count (TSC).The prevalence of varicocele was not significant (P = 0.33), though presented a 2.53-fold odds ratio The strain ratios of both testes, the volume of the left testis and the size of the left appendix were most associated with the results of semen analysis according to a Variable Importance in the Projection (VIP) score of >1. The first latent variable from the PLS analysis explained a significant amount of variance in TSC, concentration, and motility parameters (P < 0.0002) and showed that bilateral strain ratio, the size of the testis, and the volume of left appendix were the most significant US predictors of the pathological semen and sperm cell features.Our results showed that B-mode US with strain elastography is among more sensitive US approaches in evaluating male fertility.
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