Comparison of testicular elasticity with histogram analysis of testicular echogenicity

ABSTRACT Aim: This study aims to evaluate the relationship between testicular tissue elasticity and ultrasound (US) histogram analysis obtained from testicular echo signals. The goal is to explore whether quantitative texture analysis can complement traditional US findings. Materials and Methods: 46 patients with 92 testis were examined using B-mode ultrasound and strain elastography (SE). A transverse US image was analyzed for each testis to extract histogram parameters such as mean, standard deviation, skewness, kurtosis, and entropy. SE was used to measure testicular elasticity. Results: Histogram analysis showed a significant correlation between age and homogenization of testicular tissue (r = 0.444; p