MRI of the scrotum: Recommendations of the ESUR Scrotal and Penile Imaging Working Group
Since 1986, 205 patients, age 2–84 years, mean age 33 years, with scrotal pathology were examined by magnetic resonance imaging (MRI). A 1.5-T Siemens Magnetom and specially designed external coils were used for obtaining T1- and T2-weighted images. Of these, 88 patients underwent MRI studies for suspicion of testicular cancer, and 117 for a variety of benign scrotal lesions. MRI studies yielded excellent diagnostic information of scrotal pathology: predictive value for diagnosing testicular cancer was 100% with 62% of correct differentiation between seminoma and non-seminomatous tumors. In future, the incidence of diagnostic surgical explorations of scrotal pathology can be reduced by MRI studies.