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Objectives: To assess the ability of Real-time Elastography (RTE) to differentiate malignant from benign testicular lesions.

Methods: In 88 testicles ultrasound identified 144 lesions, which were examined by RTE. Elasticity images of the lesions were assigned the colour-coded score of Itoh (Radiology 2006), according to the distribution of strain induced by light compression.

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