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Ultraschall Med
DOI: 10.1055/a-2785-3267
Guidelines & Recommendations

EFSUMB Testis Multiparametric Ultrasound Guidelines

EFSUMB-Leitlinien zur multiparametrischen Ultraschalluntersuchung des Skrotums

Authors

  • Michele Bertolotto 

    1   Radiology, Trieste University Integrated Health Authority, Trieste, Italy (Ringgold ID: RIN9247)

  • Simon Freeman

    2   Imaging, Derriford Hospital, Plymouth, United Kingdom of Great Britain and Northern Ireland

  • Dean Huang

    3   Department of Radiology, King's College Hospital, London, London, United Kingdom of Great Britain and Northern Ireland

  • Paul S Sidhu 

    4   Department of Radiology, King's College London, London, United Kingdom of Great Britain and Northern Ireland

  • Irene Campo 

    5   Radiology, University of Trieste, Gorizia, Italy

  • Dirk-André Clevert

    6   Department of Clinical Radiology, University of Munich-Grosshadern Campus, Munich, Germany

  • Vikram Dogra

    7   Department of Radiology, University of Rochester, Rochester, United States (Ringgold ID: RIN6927)

  • Francesco Maria Drudi

    8   Department of Radiology, University of Rome La Sapienza, Rome, Italy (Ringgold ID: RIN9311)

  • Thomas Fischer

    9   Radiology, University Berlin, Charite, Berlin, Germany

  • Andrea M. Isidori

    10   Department of Experimental Medicine, University of Rome La Sapienza, Rome, Italy (Ringgold ID: RIN9311)

  • Christian Jenssen

    11   Department of Internal Medicine, Krankenhaus Märkisch Oderland, Strausberg, Germany Brandenburg Institute for Clinical Ultrasound (BICUS), Brandenburg Medical University, Neuruppin, Germany

  • Markus Herbert Lerchbaumer 

    12   Department of Radiology, Charite University Hospital Berlin, Berlin, Germany (Ringgold ID: RIN14903)

  • Guntram Lock

    13   Internal Medicine, Albertinen Krankenhaus, Hamburg, Germany (Ringgold ID: RIN39611)

  • Lotti Francesco

    14   Department of Experimental and Clinical Biomedical Sciences “Mario Serio”, University of Florence, Florence, Italy (Ringgold ID: RIN9300)
    15   Andrology, Female Endocrinology and Gender Incongruence Unit, University Hospital Careggi, Florence, Italy (Ringgold ID: RIN18561)

  • Malene Roland Vils Pedersen

    16   Department of Radiology, University Hospital Region of Southern Denmark, Vejle, Denmark

  • Carlotta Pozza

    10   Department of Experimental Medicine, University of Rome La Sapienza, Rome, Italy (Ringgold ID: RIN9311)

  • Subramaniyan Ramanathan

    17   Department of Clinical Imaging, Weill Cornell Medical College in Qatar, Doha, Qatar (Ringgold ID: RIN36579)

  • Jonathan Richenberg

    18   Deparment of Imaging, Sussex University Hospitals NHS Foundation Trust Brighton, Brighton, United Kingdom of Great Britain and Northern Ireland

  • Valeria Scotti

    19   UOSD Grant Office, TTO and Scientific Documentation, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy (Ringgold ID: RIN18631)

  • Paul Spiesecke 

    20   Department of Radiology, ChariteCentrum 6 Diagnostische und interventionelle Radiologie und Nuklearmedizin, Berlin, Germany (Ringgold ID: RIN358947)

  • Christoph F. Dietrich 

    21   CEE, Center of Education and Excellence, Thun, Switzerland

  • Vito Cantisani

    8   Department of Radiology, University of Rome La Sapienza, Rome, Italy (Ringgold ID: RIN9311)
Further Information
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Multiparametric ultrasound (MPUS) integrates B-mode, Doppler techniques and microvascular imaging, contrast-enhanced ultrasound (CEUS) and elastography, enhancing diagnostic precision across a wide spectrum of scrotal diseases. Developed under the auspices of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB), these guidelines provide evidence-based recommendations for the clinical use of MPUS in scrotal imaging. Based on the Oxford Centre for Evidence-Based Medicine framework, this document outlines the diagnostic value of MPUS in acute scrotal pain, trauma, infertility, focal and extratesticular lesions, cryptorchidism, and testicular incidentalomas. The recommendations highlight CEUS as the reference method for vascular assessment and elastography as a complementary tool for tissue characterization. These guidelines aim to standardize MPUS practice and promote its integration into routine scrotal imaging.



Publication History

Received: 22 November 2025

Accepted: 09 January 2026

Accepted Manuscript online:
12 January 2026

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