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Subaşı Turgut F, Bulut M, Hattapoğlu S, Güneş M, Cemal Kaya M, Ekici F, Guli Çetinçakmak M, Kaplan İ, Atmaca M. The relationship between oxidative stress markers and 1H-Magnetic resonance spectroscopy findings in obsessive compulsive disorder. Brain Res 2024; 1833:148852. [PMID: 38494099 DOI: 10.1016/j.brainres.2024.148852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Revised: 02/16/2024] [Accepted: 03/05/2024] [Indexed: 03/19/2024]
Abstract
INTRODUCTION The purpose of this study was to examine N-acetyl aspartate (NAA)/creatine (Cr) and glutamate, glutamine, and gamma-aminobutyric acid complex (Glx)/Cr levels in patients with obsessive compulsive disorder (OCD) and healthy controls' orbitofrontal cortex (OFC) and caudate nucleus (CN) by proton magnetic resonance spectroscopy (1H-MRS) method and to investigate their relationship with oxidative stress markers glutathione peroxidase (GPx) and superoxide dismutase (SOD). METHODS This study included patients with OCD (n = 25) and healthy controls (n = 25) ranging in age from 18 to 65. We used the ELISA method to evaluate serum SOD and GPx levels. Levels of NAA/Cr and Glx/Cr in the orbitofrontal cortex and caudate nucleus were measured using the 1H-MRS method. RESULTS Our study did not detect statistically significant differences in the orbitofrontal cortex Glx/Cr and NAA/Cr levels between the OCD patients and the control group. OCD patients exhibited a decrease in NAA/Cr levels, consistent with impaired neuronal integration, and an increase in Glx/Cr levels, consistent with hyperactivation, in the caudate nucleus compared to the control group. We observed a negative correlation between NAA/Cr levels in the caudate nucleus and the levels of SOD and GPx. CONCLUSIONS Our study is the first to assess CN and OFC together in OCD patients using 3 T MR, investigating the relationship between neurometabolite concentrations and oxidative stress parameters. The negative correlation we observed between NAA/Cr levels and SOD and GPx in the caudate nucleus suggests that increased oxidative stress in this brain region in OCD patients may contribute to impaired neuronal integration and functionality.
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Affiliation(s)
- Fatma Subaşı Turgut
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
| | - Mahmut Bulut
- Department of Psychiatry, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.
| | - Salih Hattapoğlu
- Department of Radiology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
| | - Mehmet Güneş
- Department of Psychiatry, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
| | - Mehmet Cemal Kaya
- Department of Psychiatry, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
| | - Faysal Ekici
- Department of Radiology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
| | | | - İbrahim Kaplan
- Department of Biochemistry, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
| | - Murad Atmaca
- Department of Psychiatry, Faculty of Medicine, Fırat University, Elazığ, Turkey
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Sağlam T, Deniz MA, Turmak M, Hattapoğlu S, Akbudak İ, Tekinhatun M. Relation between anterior ethmoidal artery course on computed tomography and supraorbital ethmoid cell and Keros classification. Eur Arch Otorhinolaryngol 2024; 281:1293-1299. [PMID: 37870642 DOI: 10.1007/s00405-023-08286-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 10/09/2023] [Indexed: 10/24/2023]
Abstract
PURPOSE The anterior ethmoidal artery (AEA) is an important risk area in endoscopic sinus surgery. This study aimed to evaluate the course of AEA according to the Keros classification and the presence of supraorbital ethmoid cell (SOEC) and to prevent possible complications by emphasizing the importance of preoperative paranasal computed tomography (CT) imaging. This approach will increase the effectiveness of endoscopic sinus surgery and improve patient safety. METHODS The paranasal CT scan images of patients aged > 18 years between October 2020 and November 2021 from our center were retrospectively analyzed. The images were primarily evaluated in the coronal plane, and the sagittal and axial planes were utilized to evaluate variations in AEA regarding the skull base. Furthermore, the relation of AEA course with Keros classification and SOEC was evaluated. The study included 1000 patients aged 18-80 years (right and left, a total of 2000 samples). RESULTS Grade 3 AEA was the most common regarding the skull base. Keros Type 2 was the most common classification. Overall, 48.7% patients had SOEC. The incidence of Grade 3 AEA was higher among patients with SOEC and a higher Keros classification compared with those without SOEC and a lower Keros classification. Furthermore, Keros Type 3 was the most associated with SOEC presence. CONCLUSION Consistent with the literature, the probability of Grade 3 AEA in patients with high Keros classification and SOEC was significantly higher in our study. Therefore, we consider that preoperative imaging according to Keros classification and SOEC presence can predict AEA course and guide surgery.
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Affiliation(s)
- Tarık Sağlam
- Department of Radiology, Health Sciences University Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey
| | - Muhammed Akif Deniz
- Department of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey.
| | - Mehmet Turmak
- Department of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey
| | - Salih Hattapoğlu
- Department of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey
| | - İbrahim Akbudak
- Department of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey
| | - Muhammed Tekinhatun
- Department of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey
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Sariyildiz MA, Batmaz I, Hattapoğlu S. Predictors of successful treatment after transforaminal epidural steroid injections in patients with lumbar disc herniation. J Back Musculoskelet Rehabil 2024; 37:327-335. [PMID: 37840482 DOI: 10.3233/bmr-230051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2023]
Abstract
BACKGROUND Epidural steroid injections are common procedures used to treat lumbosacral radicular pain due to lumbar disc herniation (LDH). It is crucial for the clinician to anticipate which patients can benefit from interventional treatment options. OBJECTIVE This study aimed to examine the effect of radiological and clinical parameters on lumbar transforaminal epidural steroid injections (TFESI)/local anesthetic injection outcomes in patients with LDH. METHODS This study included 286 patients with LDH (146 males and 140 females). All patients received a fluoroscopically guided TFESI (triamcinolone acetonide 40 mg, lidocaine 2%, and 2.5 ml of physiological saline). Patients were evaluated according to radicular pain, the Oswestry Disability Index (ODI) and the Hospital Anxiety and Depression Scale at baseline and 3 months after the injections. Demographic, clinical and magnetic resonance imaging (MRI) findings were recorded to assess the predictive factors for TFESI outcomes. Pfirrmann Grades 1 and 2 were classified as low-grade nerve root compression and Grade 3 was classified as highgrade nerve root compression. RESULTS Compared to baseline measurements there were significant improvements in radicular pain, ODI score, Laseque angle, and Schober test scores 3 months after injection. Improvements of at least 50% in radicular pain relief and the ODI functionality index were (n= 214) 82%, (n= 182) 70% respectively at 3 months. Correlation analyses revealed that a shorter duration of symptoms, lowgrade nerve root compression and foraminal/extraforaminal location on MRI findings were associated with a favorable response. CONCLUSIONS Lowgrade nerve root compression was a predictor of a favorable response to TFESI.
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Affiliation(s)
- Mustafa Akif Sariyildiz
- Department of Physical Medicine and Rehabilitation, Memorial Dicle Hospital, Diyarbakır, Turkey
| | - Ibrahim Batmaz
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Salih Hattapoğlu
- Department of Radiology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
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Tekin R, Hattapoğlu S, Tekin RC. Aspergillus encephalitis with microabscesses in an immunocompetent patient. Rev Soc Bras Med Trop 2023; 56:e03912023. [PMID: 37792845 PMCID: PMC10550211 DOI: 10.1590/0037-8682-0391-2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 09/06/2023] [Indexed: 10/06/2023] Open
Affiliation(s)
- Recep Tekin
- Dicle University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Diyarbakir, Turkey
| | - Salih Hattapoğlu
- Dicle University, Faculty of Medicine, Department of Radiology, Diyarbakir, Turkey
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Deniz MA, Turmak M, Hattapoğlu S, Akbudak İ, Tay M. Evaluation of thyroid Zuckerkandl tubercle by computed tomography. Surg Radiol Anat 2022; 44:907-912. [PMID: 35666298 DOI: 10.1007/s00276-022-02963-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 05/17/2022] [Indexed: 10/18/2022]
Abstract
PURPOSE This study investigated the incidence of thyroid Zuckerkandl Tubercle (ZT) using a computed tomography (CT) scan of the neck with contrast to identify the typologies in ZT-positive CT scans, investigate the presence of nodules located in that area, and compare the results with the relevant literature. METHODS We selected and retrospectively examined the CT scan images of patients who presented to our clinic with CT scans of the neck with contrast that clearly showed thyroid tissue and boundaries. Patients were evaluated based on age, gender, and presence of thyroid ZT. Patients with thyroid ZT were further investigated for localization and type of tubercles as well as for presence of nodules at the tubercle level. RESULTS A total of 1000 patients (mean age: 48.4 ± 19.1) were included in the study. Out of the total 222 (22.2%) patients who had thyroid ZT, 134 (60.4%) patients had unilateral thyroid ZT on the right side and 29 (13.1%) patients had unilateral thyroid ZT on the left side; 59 (26.6%) patients had bilateral thyroid ZT. In addition, nodules at the ZT level were observed in 13 (1.3%) of the patients. A review of all cases with ZTs indicated that 63% were Type 1, 31% were Type 2, and 5% were Type 3. CONCLUSION During the thyroid operations, ZT is essential for locating the recurrent laryngeal nerve. Reporting the presence of ZTs based on CT scans is crucial because it can prevent unnecessary interventional procedures, misdiagnoses, and likely complications in patients with planned thyroid operations.
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Affiliation(s)
- Muhammed Akif Deniz
- Department of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey.
| | - Mehmet Turmak
- Department of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey
| | - Salih Hattapoğlu
- Department of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey
| | - İbrahim Akbudak
- Department of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey
| | - Muhyettin Tay
- Department of Radiology, Dicle University Medical Faculty, Sur, Diyarbakır, Turkey
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Deniz MA, Turmak M, Hattapoğlu S, Tekinhatun M. Persistent trigeminal artery detected on computed tomography angiography. Surg Radiol Anat 2022; 44:715-720. [DOI: 10.1007/s00276-022-02960-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 05/02/2022] [Indexed: 10/18/2022]
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Yılmaz K, Hattapoğlu S, Şen V, Karabel M, Kan A, Yılmaz ED, Selimoglu Sen H, Yılmaz S. Evaluation of children and adolescent with cystic fibrosis by pancreatic elastography. Pediatr Int 2022; 64:e14951. [PMID: 34390069 DOI: 10.1111/ped.14951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2021] [Revised: 07/28/2021] [Accepted: 08/11/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Cystic fibrosis (CF) is an autosomal recessively inherited disease. Clinical findings vary by age of the patient, the organ systems involved, and the severity of the CFTR gene mutation. Pancreatic and liver involvement is prominent and exocrine pancreatic insufficiency is observed in the majority of patients. Point shear wave elastography (pSWE) is a non-invasive method that can quantitatively determine tissue elasticity and stiffness. In this study, the morphological evaluation of the pancreas was performed using the pSWE technique in pediatric patients diagnosed with CF. The effectiveness of this method for the early detection of pancreatic insufficiency was investigated. METHODS Fifty-five patients with CF (24 girls, 31 boys) and 60 healthy children (29 girls, 31 boys) without any chronic diseases and who were suitable for the pSWE examination were included in the study. RESULTS The mean value of pSWE was 1.12 ± 0.16 in the healthy group and 0.97 ± 0.16 in the patients with cystic fibrosis. There was a statistically significant difference between the two groups (P < 0.001). Significant negative correlations were found between pSWE and age (r = -0.319; P = 0.018), height (r = -0.293; P = 0.03), serum glucose (r = -0.346; P = 0.01), HbA1C (r = -0.592; P = 0.02), and duration of the disease (r = -0.806; P < 0.001). CONCLUSIONS Investigating pancreatic elasticity and detecting pancreatic insufficiency using pSWE (a simple, inexpensive, and non-invasive method) in the early period before overt laboratory and clinical symptoms of EPI appear can contribute positively to long-term results in young patients with CF.
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Affiliation(s)
- Kamil Yılmaz
- Department of Pediatric Infectious Diseases, Diyarbakir, Turkey
| | | | - Velat Şen
- Department of Pediatric Pulmonology, Diyarbakir, Turkey
| | | | - Ahmet Kan
- Department of Pediatric Allergy, Diyarbakir, Turkey
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Dündar İ, Göya C, Hattapoğlu S, Özkaçmaz S, Özgökçe M, Türkoğlu S, Türko E. Clinical Impacts of Juxtapapillary Duodenal Diverticulum Detected on Computed Tomography. Curr Med Imaging 2021; 18:346-352. [PMID: 34825876 DOI: 10.2174/1573405617666211126153042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 09/14/2021] [Accepted: 09/27/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND Diverticula are commonly observed in the duodenum. Duodenal diverticulum (DD) usually does not give symptoms throughout life and is diagnosed by coincidence. However, it may present with different symptoms in patients. OBJECTIVE This study aims to evaluate the prevalence of DD and juxtapapillary duodenal diverticulum (JDD) and its association with other possible pathologies and to determine its clinical impact by using Computed Tomography (CT). METHODS This retrospective observational study, which was taken consecutively between the years of 2013-2020, was evaluated in the Radiology Department. The total number of cases was 4850 (male-2440; female-2410). CT images were evaluated by two experienced radiologists at the workstation. DD and JDD prevalence and clinical findings in the hospital registry system were examined. RESULTS The age of the patients included in the study ranged from 17 to 92 years (mean age 46.94±16.42). In patients with DD (female-130; male-101), mean age was 62.24 ± 12.69 (21-92). The prevalence of DD was 4.76% (n=231). The prevalence of JDD was 4.02% (n=195) and increased with age (p<0.01). The average diameter of the JDD was measured as 23.29±8.22(9.5-55.3) mm. A significant positive correlation was found between age and DD diameter (p=0.039). DDs were found most commonly 84.42% (n=195) in the second segment of the duodenum as JDD. In patients with JDD, the mean diameter of choledochus and wirsung canal were 6.7 ± 2.4 (3-15.3) mm and 0.31 ± 0.1 (0.1-6.5) mm respectively. The choledochal diameter was correlated with the JDD size (p = 0.004). Cholelithiasis (n=56), choledocholithiasis (n=20), cholecystitis (n=52), diverticulitis (n=15), duodenitis (n=37), pancreatitis (n=5) and hiatal hernia (n=60) with JDD were observed. Periampullary carcinoma was detected in one patient. CONCLUSION Our study shows that cholelithiasis, choledocholithiasis, cholecystitis, diverticulitis, duodenitis, pancreatitis may be associated with JDD. Therefore, in contrast-enhanced abdominal CT scans taken for various reasons, investigation of the presence and characteristics of JDD and detection of pathologies that may be associated with JDD are important for patients to benefit from early diagnosis and treatment opportunities and to take precautions against possible complications.
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Affiliation(s)
- İlyas Dündar
- Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey
| | - Cemil Göya
- Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey
| | - Salih Hattapoğlu
- Department of Radiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey
| | - Sercan Özkaçmaz
- Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey
| | - Mesut Özgökçe
- Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey
| | - Saim Türkoğlu
- Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey
| | - Ensar Türko
- Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey
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Şimşek S, Hattapoğlu S. Intramuscular hydatid cyst in the lower extremity: report of three cases. Rev Soc Bras Med Trop 2021; 54:e02552021. [PMID: 34431944 PMCID: PMC8405206 DOI: 10.1590/0037-8682-0255-2021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Accepted: 06/15/2021] [Indexed: 11/21/2022] Open
Abstract
Hydatid cysts are rarely detected in the muscle tissue, even in endemic countries. Echinococcus granulosis is the most common causative agent, whereas Echinococcus alveolaris is rare. Three patients, two females and one male, with primary echinococcosis of the skeletal muscles are described in this report. Mean patient age was 33.3 ± 14.6 years. The disease occurred as soft tissue masses in all three patients, and no hydatid foci were detected elsewhere in the patients. Skeletal muscle echinococcosis should be considered in the differential diagnosis of limb masses, especially in endemic countries.
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Affiliation(s)
- Sadullah Şimşek
- Dicle University Medical School, Radiology Department, Diyarbakır, Turkey
| | - Salih Hattapoğlu
- Dicle University Medical School, Radiology Department, Diyarbakır, Turkey
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Şimşek S, Hattapoğlu S, Ekici F. Value of Magnetic Resonance Spectroscopy for Diagnosis of Creatine Deficiency Syndrome. Journal of Pediatric Neurology 2021. [DOI: 10.1055/s-0041-1726311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
AbstractCreatine deficiency syndromes are congenital metabolic diseases characterized by decreased cerebral creatine levels as a result of disorders in creatine synthesis and transport. Therefore, magnetic resonance spectroscopy is a valuable tool for diagnosis. This disease can be explained by congenital disorders occurring in three forms at different stages of the creatine metabolic pathway. Two of disorders arise autosomal recessively in creatine biosynthesis, arginine-glycine amidinotransferase, and guanidinoacetate methyltransferase enzyme deficiency. The third disorder occurs as a result of an SLC6A8 variant in the form of creatine carrier protein deficiency. In this article, a patient with SLC6A8 carrier deficiency is presented.
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Affiliation(s)
- Sadullah Şimşek
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey
| | - Salih Hattapoğlu
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey
| | - Faysal Ekici
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey
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Çetinçakmak MG, Hattapoğlu S, Söker M, Ekici F, Yilmaz K, Göya C, Hamidi C. Evaluation of the relationship between splenic iron overload and liver, heart and muscle features evident on T2*-weighted magnetic resonance imaging. ADV CLIN EXP MED 2020; 29:475-480. [PMID: 32369274 DOI: 10.17219/acem/116758] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
BACKGROUND Splenic iron overload is the most common clinical condition in patients with thalassemia. However, few studies of the effects of splenectomy have been published. OBJECTIVES To evaluate the relationship between splenic iron overload and liver, heart and muscle features visible in T2*-weighted magnetic resonance imaging, and to investigate the effects of splenectomy on these tissues in patients with beta-thalassemia major (TM). MATERIAL AND METHODS We retrospectively included 131 patients (76 male and 55 female) diagnosed with TM. All radiological assessments were performed with the aid of a Philips Achieva 1.5T scanner running a multiecho gradient-echo sequence. Hepatic and splenic T2* values were assessed in the same gradient multiecho series. Muscle T2* values were assessed in the shoulder girdle muscles adjacent to the heart area. The relationships among splenic T2*, hepatic T2*, cardiac T2* and muscle T2* parameters, serum ferritin levels, age and other parameters were evaluated. RESULTS The splenic T2* value correlated with serum ferritin level and the hepatic T2* value (p < 0.001 and p < 0.001, respectively). The splenic T2* value did not correlate with age, cardiac or muscle T2* values, or with spleen size (p = 0.27, 0.21, 0.99, and 0.39, respectively). The muscle T2* value correlated weakly with the serum ferritin level (p = 0.022). The cardiac T2* value was lower and the liver size greater in patients who had undergone splenectomy compared with those who had not (p < 0.001 and 0.001, respectively). CONCLUSIONS Splenic iron overload correlated with hepatic overload and the serum ferritin level. Splenectomy increased cardiac iron overload and triggered liver enlargement. However, the muscle iron overload was low and the muscles were therefore unaffected by splenectomy.
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Affiliation(s)
| | - Salih Hattapoğlu
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey
| | - Murat Söker
- Department of Pediatrics, Medical School, Dicle University, Diyarbakir, Turkey
| | - Faysal Ekici
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey
| | - Kamil Yilmaz
- Department of Pediatrics, Medical School, Dicle University, Diyarbakir, Turkey
| | - Cemil Göya
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey
| | - Cihad Hamidi
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey
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Özevren H, Hattapoğlu S. Akut Subdural Hematomlu 106 Olgunun Retrospektif Değerlendirilmesi. Dicle Tıp Dergisi 2018. [DOI: 10.5798/dicletip.410849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Hattapoğlu S, Göya C, Arslan S, Alan B, Ekici F, Tekbaş G, Yıldız İ, Hamidi C. Evaluation of postoperative undescended testicles using point shear wave elastography in children. Ultrasonics 2016; 72:191-194. [PMID: 27567037 DOI: 10.1016/j.ultras.2016.08.012] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/19/2016] [Revised: 08/03/2016] [Accepted: 08/17/2016] [Indexed: 06/06/2023]
Abstract
PURPOSE To demonstrate the difference in tissue stiffness by comparing the value of the shear wave velocity (SWV) of postoperative undescended testicles with that of normal testes. METHODS This study included 39 patients and 30 healthy controls. US and p-SWE (VTQ) were performed using with a linear probe (4-9MHz). Forty-seven operated undescended testicles comprised "Group A", 27 testes with normal scrotal placement since birth in patient population comprised "Group B". A total of 60 testes in 30 healthy controls were included as "Group C". Finally, the testes of Group A, B, C were statistically compared in terms of the SWV and volume. RESULTS The shear wave values of the 47 testes in Group A were 0.75-2.8 (median, 1.1)m/s, and the SWVs of the 27 testes in Group B were 0.62-1.2 (median, 0.84)m/s. The SWVs of the 60 testes in Group C were 0.65-1 (median, 0.82)m/s. The testicular volumes of Group A ranged from 0.19 to 4.7 (median, 0.15)cm(3), Group B ranged from 0.34 to 8 (median, 0.74)cm(3) and Group C ranged as 0.4-15.5 (median, 0.91)cm(3). CONCLUSIONS VTQ method of p-SWE is a new method that may reveal the difference in stiffness between scrotally placed testes and postoperative undescended testicles.
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Affiliation(s)
- Salih Hattapoğlu
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey.
| | - Cemil Göya
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey
| | - Serkan Arslan
- Department of Pediatric Surgery, Medical School, Dicle University, Diyarbakir, Turkey
| | - Bircan Alan
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey
| | - Faysal Ekici
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey
| | - Güven Tekbaş
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey
| | - İsmail Yıldız
- Department of Biostatistics, Medical School,Dicle University, Diyarbakir, Turkey
| | - Cihad Hamidi
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey
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Teke M, Teke F, Alan B, Türkoğlu A, Hamidi C, Göya C, Hattapoğlu S, Gumus M. Differential diagnosis of idiopathic granulomatous mastitis and breast cancer using acoustic radiation force impulse imaging. J Med Ultrason (2001) 2016; 44:109-115. [PMID: 27787642 DOI: 10.1007/s10396-016-0749-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2016] [Accepted: 09/02/2016] [Indexed: 12/21/2022]
Abstract
PURPOSE Differentiation of idiopathic granulomatous mastitis (IGM) from carcinoma with routine imaging methods, such as ultrasonography (US) and mammography, is difficult. Therefore, we evaluated the value of a newly developed noninvasive technique called acoustic radiation force impulse imaging in differentiating IGM versus malignant lesions in the breast. METHODS Four hundred and eighty-six patients, who were referred to us with a presumptive diagnosis of a mass, underwent Virtual Touch tissue imaging (VTI; Siemens) and Virtual Touch tissue quantification (VTQ; Siemens) after conventional gray-scale US. US-guided percutaneous needle biopsy was then performed on 276 lesions with clinically and radiologically suspicious features. Malignant lesions (n = 122) and IGM (n = 48) were included in the final study group. RESULTS There was a statistically significant difference in shear wave velocity marginal and internal values between the IGM and malignant lesions. The median marginal velocity for IGM and malignant lesions was 3.19 m/s (minimum-maximum 2.49-5.82) and 5.05 m/s (minimum-maximum 2.09-8.46), respectively (p < 0.001). The median internal velocity for IGM and malignant lesions was 2.76 m/s (minimum-maximum 1.14-4.12) and 4.79 m/s (minimum-maximum 2.12-8.02), respectively (p < 0.001). CONCLUSION The combination of VTI and VTQ as a complement to conventional US provides viscoelastic properties of tissues, and thus has the potential to increase the specificity of US.
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Affiliation(s)
- Memik Teke
- Department of Radiology, Medical School, Dicle University, Yenişehir, 21280, Diyarbakır, Turkey.
| | - Fatma Teke
- Department of Radiation Oncology, Medical School, Dicle University, Diyarbakir, Turkey
| | - Bircan Alan
- Department of Radiology, Medical School, Dicle University, Yenişehir, 21280, Diyarbakır, Turkey
| | - Ahmet Türkoğlu
- Department of General Surgery, Medical School, Dicle University, Diyarbakir, Turkey
| | - Cihad Hamidi
- Department of Radiology, Medical School, Dicle University, Yenişehir, 21280, Diyarbakır, Turkey
| | - Cemil Göya
- Department of Radiology, Medical School, Dicle University, Yenişehir, 21280, Diyarbakır, Turkey
| | - Salih Hattapoğlu
- Department of Radiology, Medical School, Dicle University, Yenişehir, 21280, Diyarbakır, Turkey
| | - Metehan Gumus
- Department of General Surgery, Medical School, Dicle University, Diyarbakir, Turkey
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Hattapoğlu S, Göya C, Hamidi C, Taşdemir B, Alan B, Durmaz MS, Teke M, Ekici F. Evaluation of Parathyroid Lesions With Point Shear Wave Elastography. J Ultrasound Med 2016; 35:2179-2182. [PMID: 27573796 DOI: 10.7863/ultra.15.10074] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2015] [Accepted: 12/31/2015] [Indexed: 06/06/2023]
Abstract
OBJECTIVES The aim of our study was to evaluate the shear wave velocity (SWV) of parathyroid lesions by point shear wave elastography (SWE) and to compare their stiffness with that of thyroid nodules and normal thyroid parenchyma quantitatively. METHODS Thirty-six patients considered to have parathyroid disorders by clinical and laboratory tests and scintigraphy were enrolled in the study between January 2012 and February 2015. Conventional sonography, Doppler sonography, and the Virtual Touch tissue quantification (VTQ) method of point SWE (Siemens Medical Solutions, Mountain View, CA) were conducted with a linear transducer (4-9 MHz) while the patients were in the supine position. Then we compared our VTQ measurements with pathologic results. RESULTS The 36 patients included 31 female and 5 male patients with a mean age ± SD of 49 ± 15.7 years (range, 15-79 years). The mean SWV of parathyroid hyperplasia lesions (n = 4) was 1.46 ± 0.23 m/s, whereas the mean SWV of parathyroid adenomas (n = 32) was 2.28 ± 0.50 m/s. The mean SWV of normal thyroid parenchyma (n = 36) was 1.62 ± 0.20 m/s, and the mean SWV of benign thyroid nodules (n = 21) was 2.25 ± 0.51 m/s. A significant difference was found between SWV values of normal thyroid parenchyma and parathyroid adenoma (P < .001). A cutoff value of 1.73 m/s for adenomas led to 90.0% sensitivity and 80.6% specificity. CONCLUSIONS The VTQ method of point SWE may contribute to the discrimination of parathyroid adenomas from the thyroid gland. However, more comprehensive studies are needed.
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Affiliation(s)
- Salih Hattapoğlu
- Department of Radiology, Dicle University Medical School, Diyarbakır, Turkey
| | - Cemil Göya
- Department of Radiology, Dicle University Medical School, Diyarbakır, Turkey
| | - Cihad Hamidi
- Department of Radiology, Dicle University Medical School, Diyarbakır, Turkey
| | - Bekir Taşdemir
- Department of Nuclear Medicine, Dicle University Medical School, Diyarbakır, Turkey
| | - Bircan Alan
- Department of Radiology, Dicle University Medical School, Diyarbakır, Turkey
| | - Mehmet Sedat Durmaz
- Department of Radiology, Diyarbakır Obstetrics and Pediatrics Hospital, Diyarbakır, Turkey
| | - Memik Teke
- Department of Radiology, Dicle University Medical School, Diyarbakır, Turkey
| | - Faysal Ekici
- Department of Radiology, Dicle University Medical School, Diyarbakır, Turkey
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Durmaz MS, Demirtaş H, Hattapoğlu S, Kara T, Göya C, Adin ME. Bilateral cleft foot: Radiographic and prenatal ultrasound features of two siblings with a review of literature. Medicina (Kaunas) 2016; 52:257-261. [PMID: 27515833 DOI: 10.1016/j.medici.2016.07.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2016] [Revised: 05/29/2016] [Accepted: 07/12/2016] [Indexed: 12/15/2022]
Abstract
Cleft foot deformity, also known as ectrodactyly, is a rare congenital developmental defect of extremities caused by malformation in continuity of apical ectoderm. The syndrome typically involves malformation or absence of the central rays of the feet and is characterized by deformities like median deep clefts of distal extremities. Routine examination of feet during second-trimester ultrasound (US) may increase the detection rates of foot malformations. Many malformations can be diagnosed with 2-dimensional (2D) US, but 3-dimensional (3D) US also helps better understanding of the foot malformations. In the present study, we report the case of two brothers (a fetus and a 5-year-old) with cleft foot deformity. 2D and 3D second trimester US findings of one case and the foot radiography findings of the other are presented here.
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Affiliation(s)
- Mehmet Sedat Durmaz
- Department of Radiology, Konya Training and Research Hospital, Konya, Turkey
| | - Hakan Demirtaş
- Department of Radiology, Medicine Faculty, Süleyman Demirel University, Isparta, Turkey.
| | - Salih Hattapoğlu
- Department of Radiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
| | - Taylan Kara
- Department of Radiology, Medicine Faculty, Mersin University, Mersin, Turkey
| | - Cemil Göya
- Department of Radiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
| | - Mehmet Emin Adin
- Department of Radiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
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Çetinçakmak MG, Hattapoğlu S, Menzilcioğlu S, Alan B, uluca Ü, Uçar A, söker M, Bilici A. MRI-based evaluation of the factors leading to pituitary iron overload in patients with thalassemia major. J Neuroradiol 2016; 43:297-302. [DOI: 10.1016/j.neurad.2016.03.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2016] [Revised: 02/18/2016] [Accepted: 03/05/2016] [Indexed: 01/07/2023]
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Alan B, Kapan M, Teke M, Hattapoğlu S, Arıkanoğlu Z. Value of cyst localization to predict cystobiliary communication in patients undergoing conservative surgery with hydatid cyst. Ther Clin Risk Manag 2016; 12:995-1001. [PMID: 27366078 PMCID: PMC4913991 DOI: 10.2147/tcrm.s104400] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
OBJECTIVE The objectives of this study were to investigate the relationship between the segmental localization of liver hydatid cyst by computed tomography (CT) and the presence of cystobiliary communication (CBC) and to identify the risk factors for CBC. PATIENTS AND METHODS One hundred and eleven of 163 patients who underwent liver hydatid surgery between January 2011 and September 2014 were included in this study and analyzed retrospectively. The size, number, stage, and segmental and lobar localization of the cysts were investigated by CT. The presence of CBC and preoperative laboratory findings were recorded from operation notes. RESULTS CBC was more frequent in single large cysts. CBC was most commonly detected in segment 1 (50%), 8 (48.3%), 7 (41.2%), and 4 (40%). CBC was more frequent in the right lobe (40.4%) and Gharbi stage 3 (41.8%) and 4 (55.6%) lesions. There were no differences in CBC according to distance from the hilus. In addition, preoperative total bilirubin, direct bilirubin, alkaline phosphatase (ALP), and gamma-glutamyl transferase (GGT) elevations were associated with higher CBC frequency (P<0.05). Cyst diameter, number of cysts, and ALP and GGT elevations were independent predictors of CBC presence. CONCLUSION The evaluation of hydatid cyst diameter, morphological stage, and segmental and lobar localization by abdominal CT and measurement of preoperative cyst diameter, number of cysts, and ALP and GGT values may predict the presence of CBC.
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Affiliation(s)
- Bircan Alan
- Department of Radiology, Dicle University, Diyarbakır, Turkey
| | - Murat Kapan
- Department of General Surgery, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
| | - Memik Teke
- Department of Radiology, Dicle University, Diyarbakır, Turkey
| | | | - Zülfü Arıkanoğlu
- Department of General Surgery, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
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Çetinçakmak MG, Göya C, Hamidi C, Tekbaş G, Abakay Ö, Batmaz İ, Hattapoğlu S, Yavuz A, Bilici A. Quantitative volumetric assessment of pulmonary involvement in patients with systemic sclerosis. Quant Imaging Med Surg 2016; 6:50-6. [PMID: 26981455 DOI: 10.3978/j.issn.2223-4292.2016.02.03] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
BACKGROUND Computed tomography (CT) is the gold standard for assessing interstitial lung disease (ILD) in patients with systemic sclerosis (SSc). In this study, we performed a quantitative calculation of ILD severity by examining the lung volume of SSc patients. METHODS The present study was performed retrospectively on 38 patients with SSc who were referred to our clinic. Patients were divided into two groups based on high-resolution computed tomography (HRCT): patients with ILD and patients without ILD.The percentage of lower lobe volume (PLLV) was calculated using HRCT. In addition, we evaluated the PLLV in all patients according to age, diffusing capacity of the lung for carbon monoxide (DLCO) and spirometric findings, and assessed the relationships among these factors. RESULTS PLLV of the right lung in patients with ILD was reduced when compared with patients without ILD (P=0.041). The PLLV of the right lung in patients with ILD was negatively correlated with age and forced vital capacity (FVC; P=0.01 and P=0.012, respectively). CONCLUSIONS The PLLV of the right lung may decrease in SSc patients with ILD. In these patients, the PLLV may be a quantitative parameter indicating damage in the lung.
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Affiliation(s)
- Mehmet Güli Çetinçakmak
- 1 Department of Radiology, 2 Department of Chest Disease, Medical School, Dicle University, Diyarbakir, Turkey ; 3 Department of Physical Medicine and Rehabilitation, Dicle University, Diyarbakir, Turkey ; 4 Department of Radiology, Medical School, Yüzüncüyıl University, Van, Turkey
| | - Cemil Göya
- 1 Department of Radiology, 2 Department of Chest Disease, Medical School, Dicle University, Diyarbakir, Turkey ; 3 Department of Physical Medicine and Rehabilitation, Dicle University, Diyarbakir, Turkey ; 4 Department of Radiology, Medical School, Yüzüncüyıl University, Van, Turkey
| | - Cihad Hamidi
- 1 Department of Radiology, 2 Department of Chest Disease, Medical School, Dicle University, Diyarbakir, Turkey ; 3 Department of Physical Medicine and Rehabilitation, Dicle University, Diyarbakir, Turkey ; 4 Department of Radiology, Medical School, Yüzüncüyıl University, Van, Turkey
| | - Güven Tekbaş
- 1 Department of Radiology, 2 Department of Chest Disease, Medical School, Dicle University, Diyarbakir, Turkey ; 3 Department of Physical Medicine and Rehabilitation, Dicle University, Diyarbakir, Turkey ; 4 Department of Radiology, Medical School, Yüzüncüyıl University, Van, Turkey
| | - Özlem Abakay
- 1 Department of Radiology, 2 Department of Chest Disease, Medical School, Dicle University, Diyarbakir, Turkey ; 3 Department of Physical Medicine and Rehabilitation, Dicle University, Diyarbakir, Turkey ; 4 Department of Radiology, Medical School, Yüzüncüyıl University, Van, Turkey
| | - İbrahim Batmaz
- 1 Department of Radiology, 2 Department of Chest Disease, Medical School, Dicle University, Diyarbakir, Turkey ; 3 Department of Physical Medicine and Rehabilitation, Dicle University, Diyarbakir, Turkey ; 4 Department of Radiology, Medical School, Yüzüncüyıl University, Van, Turkey
| | - Salih Hattapoğlu
- 1 Department of Radiology, 2 Department of Chest Disease, Medical School, Dicle University, Diyarbakir, Turkey ; 3 Department of Physical Medicine and Rehabilitation, Dicle University, Diyarbakir, Turkey ; 4 Department of Radiology, Medical School, Yüzüncüyıl University, Van, Turkey
| | - Alpaslan Yavuz
- 1 Department of Radiology, 2 Department of Chest Disease, Medical School, Dicle University, Diyarbakir, Turkey ; 3 Department of Physical Medicine and Rehabilitation, Dicle University, Diyarbakir, Turkey ; 4 Department of Radiology, Medical School, Yüzüncüyıl University, Van, Turkey
| | - Aslan Bilici
- 1 Department of Radiology, 2 Department of Chest Disease, Medical School, Dicle University, Diyarbakir, Turkey ; 3 Department of Physical Medicine and Rehabilitation, Dicle University, Diyarbakir, Turkey ; 4 Department of Radiology, Medical School, Yüzüncüyıl University, Van, Turkey
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Alan B, Göya C, Tunç S, Teke M, Hattapoğlu S. Assessment of Placental Stiffness Using Acoustic Radiation Force Impulse Elastography in Pregnant Women with Fetal Anomalies. Korean J Radiol 2016; 17:218-23. [PMID: 26957906 PMCID: PMC4781760 DOI: 10.3348/kjr.2016.17.2.218] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2015] [Accepted: 11/28/2015] [Indexed: 01/08/2023] Open
Abstract
Objective We aimed to evaluate placental stiffness measured by acoustic radiation force impulse (ARFI) elastography in pregnant women in the second trimester with a normal fetus versus those with structural anomalies and non-structural findings. Materials and Methods Forty pregnant women carrying a fetus with structural anomalies diagnosed sonographically at 18–28 weeks of gestation comprised the study group. The control group consisted of 34 healthy pregnant women with a sonographically normal fetus at a similar gestational age. Placental shear wave velocity (SWV) was measured by ARFI elastography and compared between the two groups. Structural anomalies and non-structural findings were scored based on sonographic markers. Placental stiffness measurements were compared among fetus anomaly categories. Doppler parameters of umbilical and uterine arteries were compared with placental SWV measurements. Results All placental SWV measurements, including minimum SWV, maximum SWV, and mean SWV were significantly higher in the study group than the control group ([0.86 ± 0.2, 0.74 ± 0.1; p < 0.001], [1.89 ± 0.7, 1.59 ± 0.5; p = 0.04], and [1.26 ± 0.4, 1.09 ± 0.2; p = 0.01]), respectively. Conclusion Placental stiffness evaluated by ARFI elastography during the second trimester in pregnant women with fetuses with congenital structural anomalies is higher than that of pregnant women with normal fetuses.
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Affiliation(s)
- Bircan Alan
- Department of Radiology, Dicle University Medical Faculty, Diyarbakır 21280, Turkey
| | - Cemil Göya
- Department of Radiology, Dicle University Medical Faculty, Diyarbakır 21280, Turkey
| | - Senem Tunç
- Department of Gynecology and Obstetric, Dicle University Medical Faculty, Diyarbakır 21280, Turkey
| | - Memik Teke
- Department of Radiology, Dicle University Medical Faculty, Diyarbakır 21280, Turkey
| | - Salih Hattapoğlu
- Department of Radiology, Dicle University Medical Faculty, Diyarbakır 21280, Turkey
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Alan B, Hattapoğlu S, Dusak A, Aktan A. Relationship of intima-media thickness with Gensini score that determines the severity of coronary artery disease. Dicle Med J 2015. [DOI: 10.5798/diclemedj.0921.2015.04.0616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Göya C, Hamidi C, Okur MH, Içer M, Oğuz A, Hattapoğlu S, Cetinçakmak MG, Teke M. The utility of acoustic radiation force impulse imaging in diagnosing acute appendicitis and staging its severity. Diagn Interv Radiol 2015; 20:453-8. [PMID: 25323836 DOI: 10.5152/dir.2014.13439] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
PURPOSE The aim of this study was to investigate the feasibility of using acoustic radiation force impulse (ARFI) imaging to diagnose acute appendicitis. METHODS Abdominal ultrasonography (US) and ARFI imaging were performed in 53 patients that presented with right lower quadrant pain, and the results were compared with those obtained in 52 healthy subjects. Qualitative evaluation of the patients was conducted by Virtual Touch™ tissue imaging (VTI), while quantitative evaluation was performed by Virtual Touch™ tissue quantification (VTQ) measuring the shear wave velocity (SWV). The severity of appendix inflammation was observed and rated using ARFI imaging in patients diagnosed with acute appendicitis. Alvarado scores were determined for all patients presenting with right lower quadrant pain. All patients diagnosed with appendicitis received appendectomies. The sensitivity and specificity of ARFI imaging relative to US was determined upon confirming the diagnosis of acute appendicitis via histopathological analysis. RESULTS The Alvarado score had a sensitivity and specificity of 70.8% and 20%, respectively, in detecting acute appendicitis. Abdominal US had 83.3% sensitivity and 80% specificity, while ARFI imaging had 100% sensitivity and 98% specificity, in diagnosing acute appendicitis. The median SWV value was 1.11 m/s (range, 0.6-1.56 m/s) for healthy appendix and 3.07 m/s (range, 1.37-4.78 m/s) for acute appendicitis. CONCLUSION ARFI imaging may be useful in guiding the clinical management of acute appendicitis, by helping its diagnosis and determining the severity of appendix inflammation.
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Affiliation(s)
- Cemil Göya
- Department of Radiology, Dicle University School of Medicine, Diyarbakır, Turkey.
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Teke M, Göya C, Teke F, Uslukaya Ö, Hamidi C, Çetinçakmak MG, Hattapoğlu S, Alan B, Tekbaş G. Combination of Virtual Touch Tissue Imaging and Virtual Touch Tissue Quantification for Differential Diagnosis of Breast Lesions. J Ultrasound Med 2015; 34:1201-1208. [PMID: 26112622 DOI: 10.7863/ultra.34.7.1201] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVES Breast cancer is the second leading cause of death from cancer in women, and early detection is the key to successful treatment. Unfortunately, even with technological advances, the specificity of imaging modalities is still low. Therefore, we evaluated the value of a newly developed noninvasive technique, acoustic radiation force impulse imaging, for differentiating benign versus malignant breast lesions. METHODS We prospectively examined 141 breast lesions in 122 patients. All lesions were classified according to the American College of Radiology Breast Imaging Reporting and Data System (BI-RADS) for mammography, BI-RADS for sonography, and Virtual Touch tissue imaging (VTI; Siemens Medical Solutions, Mountain View, CA) pattern. Internal and marginal shear wave velocity (SWV) values for the lesions were noted. The sensitivity, specificity, accuracy, and positive and negative predictive values for VTI and Virtual Touch tissue quantification (VTQ; Siemens Medical Solutions) were calculated. RESULTS The marginal SWV values were statistically higher in malignant lesions (mean ± SD, 5.41 ± 1.37 m/s) than benign lesions (2.91 ± 0.88 m/s; P < .001). When the SWV cutoff level was set at 4.07 m/s, and the higher of the internal and marginal values was adopted, the combination of VTI and VTQ showed 95.1% sensitivity, 99.0% specificity, and 97.8% accuracy. CONCLUSIONS Breast Imaging Reporting and Data System category 4 lesions are the main focus of research for early detection of breast cancer. Unfortunately, BI-RADS category 4 assessment covers a wide range of likelihood of malignancy (2%-95%). This wide range reflects the necessity for a more specific imaging modality. The combination of VTI and VTQ could increase the diagnostic performance of conventional sonography.
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Affiliation(s)
- Memik Teke
- Departments of Radiology (M.T., G.G., C.H., M.G.Ç., S.H., B.A., G.T.), Radiation Oncology (F.T.), and General Surgery (Ö.U.), Dicle University, Medical School, Diyarbakır, Turkey.
| | - Cemil Göya
- Departments of Radiology (M.T., G.G., C.H., M.G.Ç., S.H., B.A., G.T.), Radiation Oncology (F.T.), and General Surgery (Ö.U.), Dicle University, Medical School, Diyarbakır, Turkey
| | - Fatma Teke
- Departments of Radiology (M.T., G.G., C.H., M.G.Ç., S.H., B.A., G.T.), Radiation Oncology (F.T.), and General Surgery (Ö.U.), Dicle University, Medical School, Diyarbakır, Turkey
| | - Ömer Uslukaya
- Departments of Radiology (M.T., G.G., C.H., M.G.Ç., S.H., B.A., G.T.), Radiation Oncology (F.T.), and General Surgery (Ö.U.), Dicle University, Medical School, Diyarbakır, Turkey
| | - Cihad Hamidi
- Departments of Radiology (M.T., G.G., C.H., M.G.Ç., S.H., B.A., G.T.), Radiation Oncology (F.T.), and General Surgery (Ö.U.), Dicle University, Medical School, Diyarbakır, Turkey
| | - Mehmet Guli Çetinçakmak
- Departments of Radiology (M.T., G.G., C.H., M.G.Ç., S.H., B.A., G.T.), Radiation Oncology (F.T.), and General Surgery (Ö.U.), Dicle University, Medical School, Diyarbakır, Turkey
| | - Salih Hattapoğlu
- Departments of Radiology (M.T., G.G., C.H., M.G.Ç., S.H., B.A., G.T.), Radiation Oncology (F.T.), and General Surgery (Ö.U.), Dicle University, Medical School, Diyarbakır, Turkey
| | - Bircan Alan
- Departments of Radiology (M.T., G.G., C.H., M.G.Ç., S.H., B.A., G.T.), Radiation Oncology (F.T.), and General Surgery (Ö.U.), Dicle University, Medical School, Diyarbakır, Turkey
| | - Güven Tekbaş
- Departments of Radiology (M.T., G.G., C.H., M.G.Ç., S.H., B.A., G.T.), Radiation Oncology (F.T.), and General Surgery (Ö.U.), Dicle University, Medical School, Diyarbakır, Turkey
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Göya C, Hamidi C, Bozkurt Y, Yavuz A, Kuday S, Gümüş H, Türkçü G, Hattapoğlu S, Bilici A. The Role of Apparent Diffusion Coefficient Quantification in Differentiating Benign and Malignant Renal Masses by 3 Tesla Magnetic Resonance Imaging. Balkan Med J 2015; 32:273-8. [PMID: 26185715 DOI: 10.5152/balkanmedj.2015.15475] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2014] [Accepted: 12/18/2014] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Diffusion-weighted magnetic resonance imaging (DWI) is a widely-accepted diagnostic modality whose efficacy has been investigated by numerous past studies in the differentiation of malignant lesions from benign entities. AIMS The aim of this study was to evaluate the efficiency of diffusion-weighted magnetic resonance imaging in the characterization of renal lesions. STUDY DESIGN Diagnostic accuracy study. METHODS A total of 137 patients with renal lesions were included in this study. The median apparent diffusion coefficient (ADC) values as well as the b 800 and b 1600 signal intensities of normal kidneys, solid components of mixed renal masses, and total cystic lesions were evaluated. RESULTS There were significant differences between the ADC values of lesions and normal renal parenchyma, and between the ADC values of benign and malignant renal lesions on DWIs at b values of 800 and 1600 s/mm(2) (p<0.001 and p<0.001, respectively). There were significant differences between the ADC values of Bosniak Category 1 and 2 cysts and the ADC values of Bosniak Category 1 and 3 cysts on DWIs at b values of 800 s/mm(2) (p<0.001) and 1600 s/mm(2) (p<0.001). A cutoff value of 1.902 × 10(-3) mm(2)/s for the ADC with a b value of 800 s/mm(2) provided 88% sensitivity and 96% specificity for differentiation between benign and malignant renal lesions. A cutoff value of 1.623 × 10(-3) mm(2)/s for the ADC with a b value of 1600 s/mm(2) provided 79% sensitivity and 96% specificity (p<0.001) for the differentiation between benign and malignant renal lesions. CONCLUSION Accurate assessment of renal masses is important for determining the necessity for surgical intervention. DWI provides additional value by differentiating benign from malignant renal tumors and can be added to routine kidney MRI protocols.
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Affiliation(s)
- Cemil Göya
- Department of Radiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Cihad Hamidi
- Department of Radiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Yaşar Bozkurt
- Department of Urology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Alpaslan Yavuz
- Department of Radiology, Yüzüncü Yıl University Faculty of Medicine, Van, Turkey
| | - Suzan Kuday
- Department of Radiology, Bismil State Hospital, Diyarbakır, Turkey
| | - Hatice Gümüş
- Department of Radiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Gül Türkçü
- Department of Pathology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Salih Hattapoğlu
- Department of Radiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Aslan Bilici
- Department of Radiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
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Hattapoğlu S, Hamidi C, Göya C, Çetinçakmak MG, Teke M, Ekici F. A Surprising Case: A Supernumerary Heterotopic Hemicerebellum. Clin Neuroradiol 2015; 25:431-4. [PMID: 25622771 DOI: 10.1007/s00062-015-0371-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2014] [Accepted: 01/08/2015] [Indexed: 11/24/2022]
Affiliation(s)
- S Hattapoğlu
- Department of Radiology, Medical School, Dicle University, 21280, Sur/Diyarbakir, Turkey.
| | - C Hamidi
- Department of Radiology, Medical School, Dicle University, 21280, Sur/Diyarbakir, Turkey
| | - C Göya
- Department of Radiology, Medical School, Dicle University, 21280, Sur/Diyarbakir, Turkey
| | - M G Çetinçakmak
- Department of Radiology, Medical School, Dicle University, 21280, Sur/Diyarbakir, Turkey
| | - M Teke
- Department of Radiology, Medical School, Dicle University, 21280, Sur/Diyarbakir, Turkey
| | - F Ekici
- Department of Radiology, Medical School, Dicle University, 21280, Sur/Diyarbakir, Turkey
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Hamidi C, Göya C, Hattapoğlu S, Uslukaya Ö, Teke M, Durmaz MS, Yavuz MS, Hamidi A, Tekbaş G. Acoustic Radiation Force Impulse (ARFI) imaging for the distinction between benign and malignant thyroid nodules. Radiol Med 2015; 120:579-83. [DOI: 10.1007/s11547-014-0495-8] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2014] [Accepted: 10/13/2014] [Indexed: 10/24/2022]
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Göya C, Hamidi C, Ece A, Okur MH, Taşdemir B, Çetinçakmak MG, Hattapoğlu S, Teke M, Şahin C. Acoustic radiation force impulse (ARFI) elastography for detection of renal damage in children. Pediatr Radiol 2015; 45:55-61. [PMID: 25064187 DOI: 10.1007/s00247-014-3072-3] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2013] [Revised: 02/28/2014] [Accepted: 05/28/2014] [Indexed: 12/16/2022]
Abstract
BACKGROUND Acoustic radiation force impulse (ARFI) imaging is a promising method for noninvasive evaluation of the renal parenchyma. OBJECTIVE To investigate the contribution of ARFI quantitative US elastography for the detection of renal damage in kidneys with and without vesicoureteral reflux (VUR). MATERIALS AND METHODS One hundred seventy-six kidneys of 88 children (46 male, 42 female) who had been referred for voiding cystourethrography and 20 healthy controls were prospectively investigated. Patients were assessed according to severity of renal damage on dimercaptosuccinic acid (DMSA) scintigraphy. Ninety-eight age- and gender-matched healthy children constituted the control group. Quantitative shear wave velocity (SWV) measurements were performed in the upper and lower poles and in the interpolar region of each kidney. DMSA scintigraphy was performed in 62 children (124 kidneys). Comparisons of SWV values of kidneys with and without renal damage and/or VUR were done. RESULTS Significantly higher SWV values were found in non-damaged kidneys. Severely damaged kidneys had the lowest SWV values (P < 0.001). High-grade (grade V-IV) refluxing kidneys had the lowest SWV values, while non-refluxing kidneys had the highest values (P < 0.05). Significant negative correlations were found between the mean quantitative US elastography values and DMSA scarring score (r = -0.788, P < 0.001) and VUR grade (r = -0.634, P < 0.001). SWV values of the control kidneys were significantly higher than those of damaged kidneys (P < 0.05). CONCLUSION Our findings suggest decreasing SWV of renal units with increasing grades of vesicoureteric reflux, increasing DMSA-assessed renal damage and decreasing DMSA-assessed differential function.
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Affiliation(s)
- Cemil Göya
- Department of Radiology Medical School, Dicle University, Diyarbakir, Turkey
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Teke M, Önder H, Çiçek M, Hamidi C, Göya C, Çetinçakmak MG, Hattapoğlu S, Ülger BV. Sonographic findings of hepatobiliary fascioliasis accompanied by extrahepatic expansion and ectopic lesions. J Ultrasound Med 2014; 33:2105-2111. [PMID: 25425366 DOI: 10.7863/ultra.33.12.2105] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVES The aim of the study was to describe the sonographic findings of hepatobiliary fascioliasis with extrahepatic expansion and ectopic lesions. METHODS The study included 45 patients with fascioliasis. All diagnoses were confirmed via serologic enzyme-linked immunosorbent assays. Sonographic findings in the hepatobiliary system, extrahepatic expansion, and ectopic lesions were defined. RESULTS The most common hepatic lesions were subcapsular localized, small, confluent, multiple hypoechoic nodules with poorly defined borders. We also detected ectopic lesion in 5 patients (11.1%) and live parasites in the gallbladder and bile duct in 11 (24.4%). CONCLUSIONS The large spectrum of entities in the differential diagnosis of hepatobiliary fascioliasis may lead to misdiagnosis and incorrect treatment. However, the diagnosis can be made when the characteristic sonographic features are seen, such as heterogeneity of the liver with multiple poorly defined hypoechoic-isoechoic lesions and multiple echogenic nonshadowing particles in the gallbladder or common bile ducts. Nonetheless, the differential diagnosis of fascioliasis versus other hepatic lesions may still be difficult. In these situations, pathologic confirmation should be performed to exclude the possibility of malignancy.
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Affiliation(s)
- Memik Teke
- Departments of Radiology (M.T., H.Ö., C.H., C.G., M.G.Ç., S.H.), Microbiology (M.Ç.), and General Surgery (B.V.Ü.), Medical School, Dicle University, Diyarbakir, Turkey.
| | - Hakan Önder
- Departments of Radiology (M.T., H.Ö., C.H., C.G., M.G.Ç., S.H.), Microbiology (M.Ç.), and General Surgery (B.V.Ü.), Medical School, Dicle University, Diyarbakir, Turkey
| | - Mutalip Çiçek
- Departments of Radiology (M.T., H.Ö., C.H., C.G., M.G.Ç., S.H.), Microbiology (M.Ç.), and General Surgery (B.V.Ü.), Medical School, Dicle University, Diyarbakir, Turkey
| | - Cihad Hamidi
- Departments of Radiology (M.T., H.Ö., C.H., C.G., M.G.Ç., S.H.), Microbiology (M.Ç.), and General Surgery (B.V.Ü.), Medical School, Dicle University, Diyarbakir, Turkey
| | - Cemil Göya
- Departments of Radiology (M.T., H.Ö., C.H., C.G., M.G.Ç., S.H.), Microbiology (M.Ç.), and General Surgery (B.V.Ü.), Medical School, Dicle University, Diyarbakir, Turkey
| | - Mehmet Güli Çetinçakmak
- Departments of Radiology (M.T., H.Ö., C.H., C.G., M.G.Ç., S.H.), Microbiology (M.Ç.), and General Surgery (B.V.Ü.), Medical School, Dicle University, Diyarbakir, Turkey
| | - Salih Hattapoğlu
- Departments of Radiology (M.T., H.Ö., C.H., C.G., M.G.Ç., S.H.), Microbiology (M.Ç.), and General Surgery (B.V.Ü.), Medical School, Dicle University, Diyarbakir, Turkey
| | - Burak Veli Ülger
- Departments of Radiology (M.T., H.Ö., C.H., C.G., M.G.Ç., S.H.), Microbiology (M.Ç.), and General Surgery (B.V.Ü.), Medical School, Dicle University, Diyarbakir, Turkey
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Hamidi C, Türkcü FM, Göya C, Çetinçakmak MG, Yüksel H, Teke M, Hattapoğlu S, Bilici A. Evaluation of retrobulbar blood flow with color doppler ultrasonography in patients with central serous chorioretinopathy. J Clin Ultrasound 2014; 42:481-485. [PMID: 24752962 DOI: 10.1002/jcu.22156] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2013] [Revised: 11/22/2013] [Accepted: 03/13/2014] [Indexed: 06/03/2023]
Abstract
BACKGROUND To compare retrobulbar blood flow in patients with central serous chorioretinopathy (CSC) and healthy subjects using color Doppler ultrasonography. METHODS Thirty patients (age 23-54 years) with a first episode of acute CSC and 30 healthy controls (age 30-44 years) were evaluated. The peak systolic blood flow velocity, end-diastolic velocity (EDV), resistance index (RI), and pulsatility index (PI) were measured in the ophthalmic, posterior ciliary, and central retinal arteries. RESULTS The posterior ciliary and central retinal artery EDV were lower in the patient group than in the control group, whereas RI and PI values were significantly higher (p < .05). The ophthalmic artery peak systolic blood flow velocity and EDV were lower in the CSC than in the control group (p < .05) without significant difference in RI and PI. CONCLUSIONS Color Doppler ultrasonography provides additional insights into the pathophysiology of CSC and may support the vasospasm hypothesis.
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Affiliation(s)
- Cihad Hamidi
- Department of Radiology, Medical School, Dicle University, Diyarbakir, Turkey
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Göya C, Hamidi C, Hattapoğlu S, Çetinçakmak MG, Teke M, Degirmenci MS, Kaya M, Bilici A. Use of acoustic radiation force impulse elastography to diagnose acute pancreatitis at hospital admission: comparison with sonography and computed tomography. J Ultrasound Med 2014; 33:1453-1460. [PMID: 25063411 DOI: 10.7863/ultra.33.8.1453] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
OBJECTIVES To compare the diagnostic success rate of acoustic radiation force impulse (ARFI) elastography with those of sonography and computed tomography (CT) for acute pancreatitis at hospital admission. METHODS B-mode sonography and ARFI elastography were performed on 88 patients with symptoms of acute pancreatitis and 50 healthy control participants who were admitted to our hospital between February 2013 and July 2013. Acute pancreatitis was verified in the 88 patients based on clinical and laboratory findings. Computed tomography was performed on 41 patients, and the CT results from these patients were compared with those of ARFI elastography. The appearances of the pancreases of the patients were classified into 6 groups using visual color encodings obtained with ARFI elastography. The elasticity values of pancreatic head, body, and tail regions were evaluated with Virtual Touch imaging and Virtual Touch tissue quantification (Siemens Medical Solutions, Mountain View, CA). The success rates of sonography, CT, and ARFI elastography for diagnosing acute pancreatitis at hospital admission were compared. RESULTS Forty-six of the 88 patients had a diagnosis of pancreatitis by B-mode sonography; pancreatitis was diagnosed in all patients by ARFI elastography; and 10 of 41 patients could not be diagnosed by CT. The sensitivity and specificity of Virtual Touch tissue quantification were 100% and 98%, respectively, when a cutoff value of 1.63 m/s was used. The control group had color scores of 1 or 2, whereas all patients with pancreatitis had color scores of 3 to 6 on color scale evaluation with Virtual Touch imaging. CONCLUSIONS Acoustic radiation force impulse elastography is a rapid, radiation-free, and noninvasive tool for diagnosis of acute pancreatitis at initial hospital admission, with a higher success rate for diagnosis of acute pancreatitis than the grayscale sonography and CT.
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Affiliation(s)
- Cemil Göya
- Departments of Radiology (C.G., C.H., S.H., M.G.Ç., M.T., A.B.) and Internal Medicine (M.S.D., M.K.), Medical School, Dicle University, Diyarbakır, Turkey
| | - Cihad Hamidi
- Departments of Radiology (C.G., C.H., S.H., M.G.Ç., M.T., A.B.) and Internal Medicine (M.S.D., M.K.), Medical School, Dicle University, Diyarbakır, Turkey.
| | - Salih Hattapoğlu
- Departments of Radiology (C.G., C.H., S.H., M.G.Ç., M.T., A.B.) and Internal Medicine (M.S.D., M.K.), Medical School, Dicle University, Diyarbakır, Turkey
| | - Mehmet Güli Çetinçakmak
- Departments of Radiology (C.G., C.H., S.H., M.G.Ç., M.T., A.B.) and Internal Medicine (M.S.D., M.K.), Medical School, Dicle University, Diyarbakır, Turkey
| | - Memik Teke
- Departments of Radiology (C.G., C.H., S.H., M.G.Ç., M.T., A.B.) and Internal Medicine (M.S.D., M.K.), Medical School, Dicle University, Diyarbakır, Turkey
| | - Mehmet Serdar Degirmenci
- Departments of Radiology (C.G., C.H., S.H., M.G.Ç., M.T., A.B.) and Internal Medicine (M.S.D., M.K.), Medical School, Dicle University, Diyarbakır, Turkey
| | - Muhsin Kaya
- Departments of Radiology (C.G., C.H., S.H., M.G.Ç., M.T., A.B.) and Internal Medicine (M.S.D., M.K.), Medical School, Dicle University, Diyarbakır, Turkey
| | - Aslan Bilici
- Departments of Radiology (C.G., C.H., S.H., M.G.Ç., M.T., A.B.) and Internal Medicine (M.S.D., M.K.), Medical School, Dicle University, Diyarbakır, Turkey
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Göya C, Yavuz A, Hamidi C, Çetinçakmak MG, Teke M, Hattapoğlu S, Duşak A. The role of initial radiologic and clinical manifestations in predicting the prognosis for pneumonia caused by H1N1 influenza virus. J Thorac Dis 2014; 6:752-9. [PMID: 24976999 PMCID: PMC4073361 DOI: 10.3978/j.issn.2072-1439.2014.04.15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2014] [Accepted: 04/06/2014] [Indexed: 01/20/2023]
Abstract
OBJECTIVE The aim of this study is to investigate the prognostic values of initial radiologic findings and preexisting medical conditions in pneumonia caused by H1N1 influenza virus that were obtained during the novel swine-origin influenza A (H1N1) virus (S-OIV) pandemic spread. METHODS Thirty-nine patients hospitalized due to H1N1 infection between September and December 2009 were retrospectively evaluated regarding the radiologic and clinical aspects. The thoracic computed tomography (CT) findings of all patients were assessed and accompanying conditions that may raise the morbidity were stated. The patients were divided into two groups as those who needed the intensive care unit administration and those treated with brief hospitalization; initial radiologic findings and preexisting medical situations of patients were compared among both groups respectively in terms of their prognostic value. RESULTS In 39 patients with H1N1 infection (21 males and 18 females; mean age of 53.9±14 in range between 19 and 99 years); the necessity of intensive care was significantly higher in patients with solely chronic obstructive pulmonary disease (COPD) (P=0.008, Odds ratio: 27) or co-existence of COPD and malignity (Odds ratio: 13); however, no statistically significant difference between two groups was observed regarding the radiologic facts or other combinations of accompanying medical conditions in terms of any effects to the prognosis. CONCLUSIONS In the H1N1 (S-OIV) pandemic, we observed that merely the contribution to the diagnostic process; the radiologic features have no significance as being prognostic indicator. Additionally; the superposition of H1N1 infection in patients with either COPD or COPD by malignity was stated to be a potential risk factor in terms of increased morbidity.
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Turan Y, Yılmaz T, Göçmez C, Kamaşak K, Hattapoğlu S, Ceviz A. Lumbar intraspinal synovial cyst with urine incontinence: A case report and review of the literature. J Clin Exp Invest 2013. [DOI: 10.5799/ahinjs.01.2013.04.0345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Hamidi C, Bükte Y, Hattapoğlu S, Ekici F, Tekbaş G, Önder H, Gümüş H, Bilici A. Display with 64-detector MDCT angiography of cerebral vascular variations. Surg Radiol Anat 2013; 35:729-36. [DOI: 10.1007/s00276-013-1082-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2012] [Accepted: 02/01/2013] [Indexed: 11/29/2022]
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Hamidi C, Hattapoğlu S, Göya C, Çetinçakmak MG, Teke M. Congenital bilateral perisylvian syndrome with hydrocephalus. J Clin Exp Invest 2012. [DOI: 10.5799/ahinjs.01.2012.04.0222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Hamidi C, Göya C, Hattapoğlu S, Çetinçakmak MG, Teke M, Dusak A, Kuday S. Adrenal bez kalınlığının multi-dedektörlü bilgisayarlı tomografi ile değerlendirilmesi [Evaluation of the thickness of the adrenal glands with multi-detector computed tomography]. J Clin Exp Invest 2012. [DOI: 10.5799/ahinjs.01.2012.03.0185] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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