A preliminary study on predicting the prognosis of testicular torsion based on indocyanine green-guided near-infrared fluorescence imaging
Clicks: 1
ID: 309924
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
0.0
/100
1 views
0 readers
AI Quality Assessment
Not analyzed
Readership in this journal
Ranked #335 of 490 articles by views in Frontiers in surgery
Most read
Least read
Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 490 in total.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Background: Testicular viability is the primary basis for selecting the surgical approach during orchiopexy for testicular torsion (TT); however, there is currently a lack of methods that can objectively assess testicular viability intraoperatively. The purpose of this study is to evaluate testicular viability and predict postoperative testicular outcomes using indocyanine green-guided near-infrared fluorescence (ICG-NIRF) imaging during surgery for TT. Methods: We retrospectively reviewed pediatric patients treated for TT at our hospital between January 2024 and December 2024. Intraoperative ICG-NIRF imaging was used to assess testicular viability. Cases were classified into three types based on the testicular fluorescence patterns: Type A (extensive parenchymal fluorescence), Type B (fluorescence limited to the tunica vasculosa), and Type C (no fluorescence). Follow-up ultrasounds were performed at 1, 3, and 6 months postoperatively to record testicular volume and blood flow, and to calculate the testicular atrophy index (TAI).Results: This study enrolled a total of 19 pediatric patients. The cases were distributed as follows: 8 cases of Type A, 8 cases of Type B, and 3 cases of Type C. At the 6-month postoperative follow-up, Type A testes all showed normal blood flow signals on ultrasound, seven cases exhibited no atrophy, and one case had mild atrophy, the TAI [median (P25, P75)] was 4.75% (-0.72, 9.34). Among the 8 Type B testes, ultrasound showed normal blood flow signals in 1 case, reduced blood flow in 5 cases, and absent blood flow in 2 cases. All cases experienced severe atrophy, with a TAI [median (P25, P75)] of 86.95% (83.83, 97.31). Among the 3 Type C testes, ultrasound revealed reduced blood flow signals in 1 case and absent blood flow signals in 2 cases. All cases demonstrated severe atrophy, with a TAI [median (P25, P75)] of 88.15% (86.65, 90.56). There was a statistically significant difference in the TAI on comparison of Type B and Type C with Type A, respectively (p = 0.003 and p = 0.030).Conclusion: The application of ICG-NIRF imaging during surgical intervention for TT can effectively assess testicular viability and predict the prognosis of TT.
| Reference Key |
imported_1768904076_696f558ccad2b
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | Bai, Dongsheng |
| Journal | Frontiers in surgery |
| Year | Year not found |
| DOI |
10.3389/fped.2026.1770405
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.