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Mutlu IN, Cingoz M, Guzelbey T, Cingoz E, Kilickesmez O. Percutaneous CT-Guided Microwave Ablation for the Treatment of Osteoid Osteomas: A Single Center Experience. Acad Radiol 2024:S1076-6332(24)00095-3. [PMID: 38490842 DOI: 10.1016/j.acra.2024.02.025] [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: 01/20/2024] [Revised: 02/11/2024] [Accepted: 02/15/2024] [Indexed: 03/17/2024]
Abstract
RATIONALE AND OBJECTIVES The aim of the current study was to evaluate the feasibility and effectiveness of CT-guided microwave ablation (MWA) in the treatment of osteoid osteomas (OO). MATERIALS AND METHODS Data from 59 consecutive patients who underwent percutaneous CT-MWA for OO treatment were examined in the current retrospective study. The period of this study spanned from January 2021 to May 2023 at a single institution. The study involved an evaluation of clinical and radiological characteristics, procedural data, Visual Analog Scale (VAS) pain scores, complication incidences, as well as clinical and technical success rates. Statistical analyses were performed by using the Wilcoxon test with Bonferroni correction, Friedman, Spearman, Mann-Whitney U test. RESULTS 59 patients with an average age of 17.31 ± 8.53 years underwent CT-guided MWA for the treatment of OO. The procedure demonstrated a high success rate, with 96.6% of cases achieving both technical and clinical success. However, recurrence was observed in two patients (3.4%) at the three-month follow-up. These cases were successfully managed with a second MWA procedure. The median VAS pain scores reported by the patients was significantly improved post-procedure: from 8.64 ± 1.14 before treatment to 0.63 ± 0.98 in the first month, 0.41 ± 1.02 in the third month, and 0.15 ± 0.45 in the sixth month. Only one patient (1.7%) experienced a minor complication; no major complications were recorded in this study. CONCLUSION CT-guided percutaneous MWA is a minimally invasive and a highly effective and safe approach for the treatment of OO.
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Affiliation(s)
- Ilhan Nahit Mutlu
- Department of Radiology, Basaksehir Cam And Sakura City Hospital, Basaksehir 34480, Istanbul, Turkey
| | - Mehmet Cingoz
- Department of Radiology, Basaksehir Cam And Sakura City Hospital, Basaksehir 34480, Istanbul, Turkey.
| | - Tevfik Guzelbey
- Department of Radiology, Basaksehir Cam And Sakura City Hospital, Basaksehir 34480, Istanbul, Turkey
| | - Eda Cingoz
- Department of Radiology, Bagcilar Training and Research Hospital, Istanbul, Turkey
| | - Ozgur Kilickesmez
- Department of Radiology, Basaksehir Cam And Sakura City Hospital, Basaksehir 34480, Istanbul, Turkey
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Guzelbey T, Cingoz M, Erdim C, Mutlu IN, Kılıckesmez O. Effectiveness of polidocanol sclerotherapy in alleviating symptoms in patients with venous malformations. J Vasc Surg Venous Lymphat Disord 2024; 12:101698. [PMID: 37890587 DOI: 10.1016/j.jvsv.2023.101698] [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: 07/24/2023] [Revised: 09/26/2023] [Accepted: 10/13/2023] [Indexed: 10/29/2023]
Abstract
OBJECTIVE The objective of this study was to retrospectively evaluate the effectiveness of polidocanol in managing pain, swelling, functional limiting and cosmetic disorders in patients with venous malformations (VMs). METHODS This retrospective study included patients who underwent sclerotherapy with polidocanol for VMs between 2020 and 2022. Patient records, imaging findings, and evaluation questionnaires used in the preprocedure and follow-up phases were reviewed. After sclerotherapy, patients were followed up at 1, 2, 3, and 6 months. During these visits, the previously used 11-point verbal numerical rating scale (from 0 [no pain] to 10 [worst pain thinkable]) was used to evaluate the severity of symptoms such as pain, swelling, cosmetic discomfort, and functional limitation, and patients were asked to report the number of days per week they experienced these symptoms owing to the VM. RESULTS A total of 194 sclerotherapy procedures (mean, 1.6 ± 0.3 procedures) in 84 patients (55 female and 29 male patients; mean age, 22.45 ± 11.83 years) were conducted. The majority of these malformations (81%, or 68 patients) were located in the extremities. We found a significant decrease in pain, swelling, functional limitation, cosmetic appearance, and number of painful days between all time points, except for the comparison between months 3 and 6 (P < .001) CONCLUSIONS: Polidocanol sclerotherapy is a safe and effective treatment for VMs that significantly decreases patient complaints and has a very low complication rate. Particularly, following patients at short intervals and administering additional sclerotherapy sessions when necessary will significantly increase patient satisfaction.
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Affiliation(s)
- Tevfik Guzelbey
- Department of Interventional Radiology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
| | - Mehmet Cingoz
- Department of Interventional Radiology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey
| | - Cagri Erdim
- Department of Interventional Radiology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey
| | - Ilhan Nahit Mutlu
- Department of Interventional Radiology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey
| | - Ozgur Kılıckesmez
- Department of Interventional Radiology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey
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Cingoz M, Kilic A, Acar A, Tosun İ, Aksoy DO, Cingoz E. Radiologic imaging findings of pelvic aggressive angiomyxoma correlated with surgical and pathological features. Egypt J Radiol Nucl Med 2021. [DOI: 10.1186/s43055-021-00642-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Aggressive angiomyxoma is an infrequent benign tumor that usually occurs in the pelvic region. Pelvic masses have variety of differential diagnosis but some featured findings should prompt the diagnosis of aggressive angiomyxoma by the radiologist.
Case presentation
A 40-year-old female patient presented with a two-year history of perineal swelling. Radiological examination including gray scale and color Doppler ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI) was consistent with the diagnosis of aggressive angiomyxoma. The patient underwent surgical operation that ensures total resection of the tumor.
Conclusion
In the case of extensive pelvic soft tissue mass with characteristic imaging findings, the radiologists should take the diagnosis of aggressive angiomyxoma into consideration.
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Abstract
Intracranial hydatid cyst is a rare entity, comprising about 2-3% of all hydatid cysts. Similarly, intracranial hydatid cysts account for 1-2% of all intracranial lesions. Clinical symptoms are generally nonspecific and patients usually present with symptoms of increased intracranial pressure. Cerebral hydatid cysts can be either primary or secondary to systemic hydatid disease. Primary cerebral hydatid cysts are usually solitary, unilocular with an intraparenchymal location. Intraventricular extension of hydatid cysts account for a limited percentage of all cerebral hydatid cysts with limited number of cases reported. Herein, we present the imaging and surgical findings of a primary cerebral hydatid cyst that is located in frontal lobe parenchyma with partial extension into the ventricular system.
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Affiliation(s)
| | - Mehmet Cingoz
- Department of Radiology, Sirnak State Hospital, Şırnak, Turkey
| | - Burak Olmaz
- Department of Neurosurgery, Sirnak State Hospital, Şırnak, Turkey
| | - Emin Akdogan
- Department of Radiology, Sirnak State Hospital, Şırnak, Turkey
| | - Mustafa Cengiz
- Department of Physical Medicine and Rehabilitation, Sirnak State Hospital, Şırnak, Turkey
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Abstract
Introduction Pott’s puffy tumour is characterised by frontal bone osteomyelitis accompanied by subperiosteal abscess. It can be further complicated by intracranial extension of the infectious process. Case presentation A 12-year-old boy initially presented with signs and imaging findings of pan-sinusitis. Despite antibiotic therapy, there was progressive swelling of the forehead region. Subsequent imaging studies revealed osteomyelitis of frontal bone, subcutaneous abscess and extension into intracranial space. The abscesses were surgically drained, and craniectomy for osteomyelitis was carried out. Conclusion The initial symptoms of Pott’s puffy tumour can be subtle, and antibiotic use may mask the underlying sinister involvement of intracranial structures. Imaging plays an important role both in diagnosis and detection of possible intracranial complications.
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Affiliation(s)
- Burak Olmaz
- MD, Department of Neurosurgery, Sirnak State Hospital, Turkey
| | - Mehmet Cingoz
- MD, Department of Radiology, Sirnak State Hospital, Turkey
| | - Emin Akdogan
- MD, Department of Radiology, Sirnak State Hospital, Turkey
| | - Sedat G Kandemirli
- MD, Department of Radiology, Faculty of Medicine, Uludag University, Turkey
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Cingoz M, Kandemirli SG, Alis DC, Samanci C, Kandemirli GC, Adatepe NU. Evaluation of median nerve by shear wave elastography and diffusion tensor imaging in carpal tunnel syndrome. Eur J Radiol 2018; 101:59-64. [PMID: 29571802 DOI: 10.1016/j.ejrad.2018.02.005] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [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: 09/20/2017] [Revised: 01/23/2018] [Accepted: 02/06/2018] [Indexed: 12/20/2022]
Abstract
PURPOSE The aim of the current study is to investigate the diagnostic role of shear-wave elastography and diffusion tensor imaging in patients with carpal tunnel syndrome. MATERIAL AND METHODS The study included a total of 77 wrists; 18 normal, 35 wrists with mild, 9 wrists with moderate and 15 wrists with severe carpal tunnel syndrome. Elastography of the median nerve was performed by defining the boundaries of a segment of the nerve at sagittal plane at the level of proximal carpal row. Additionally, the cross-sectional area of the median nerve was evaluated. Fractional anisotropy and apparent diffusion coefficient measurements were carried out by placing region-of-interest at three levels: at pisiform bone (carpal tunnel inlet), mid carpal tunnel, and hook of hamate (carpal tunnel outlet). RESULTS Patients with carpal tunnel syndrome had higher elasticity values of median nerve (53.0 kPa; IQR 40.8-77.0 kPa) compared to control subjects. (36.8 kPa; IQR 31.0-39.9 kPa) Patients with moderate-severe carpal tunnel syndrome had higher elasticity values (82 kPa; IQR 64.0-95.5 kPa) compared to patients with mild carpal tunnel syndrome. (44 kPa; IQR 32.5-59.5 kPa) Patients with carpal tunnel syndrome had lower fractional anisotropy at mid-carpal level (0.382; IQR 0.330-0.495) compared to the control group. (0.494; IQR 0.434-0.537) Patients with moderate-severe carpal tunnel syndrome had lower fractional anisotropy values (0.366; IQR 0.331-0.407) and higher apparent diffusion coefficient values (1.509 mm2/s; IQR 1.374-1.733 mm2/s) compared to patients with mild carpal tunnel syndrome. (0,423; IQR 0.324-0.526 and 1.293 mm2/s; IQR 0.967-1.514 mm2/s) CONCLUSION: Shear-wave elastography and diffusion tensor imaging are helpful imaging modalities in diagnosing carpal tunnel syndrome and assessing its severity.
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Affiliation(s)
- Mehmet Cingoz
- Istanbul University, Cerrahpasa Medical Faculty, Department of Radiology, Turkey
| | | | - Deniz Can Alis
- Istanbul University, Cerrahpasa Medical Faculty, Department of Radiology, Turkey
| | - Cesur Samanci
- Istanbul University, Cerrahpasa Medical Faculty, Department of Radiology, Turkey
| | - Guzin Cakir Kandemirli
- Taksim Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Turkey
| | - Nurten Uzun Adatepe
- Istanbul University, Cerrahpasa Medical Faculty, Department of Neurology, Turkey
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Bakan S, Kandemirli SG, Akbas S, Cingoz M, Ozcan Guzelbey B, Kantarci F, Akman C. Amyloid Goiter: A Diagnosis to Consider in Diffuse Fatty Infiltration of the Thyroid. J Ultrasound Med 2017; 36:1045-1049. [PMID: 28258641 DOI: 10.7863/ultra.16.04037] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [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: 04/13/2016] [Accepted: 08/09/2016] [Indexed: 06/06/2023]
Abstract
An amyloid goiter is the presence of amyloid protein in the thyroid in sufficient amounts to produce enlargement of the gland, accompanied by fat deposition of varying extents. It can be seen in long-standing inflammatory disorders such as familial Mediterranean fever. Imaging findings depend on the amount of fat and amyloid deposition; however, the main imaging finding is diffuse fatty infiltration of the thyroid. Herein, the multimodality imaging features in 3 cases of amyloid goiters secondary to familial Mediterranean fever are presented.
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Affiliation(s)
- Selim Bakan
- Department of Radiology, Istanbul University, Istanbul, Turkey
| | | | - Serkan Akbas
- Department of Radiology, Istanbul University, Istanbul, Turkey
| | - Mehmet Cingoz
- Department of Radiology, Istanbul University, Istanbul, Turkey
| | - Burcu Ozcan Guzelbey
- Department of Pathology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Fatih Kantarci
- Department of Radiology, Istanbul University, Istanbul, Turkey
| | - Canan Akman
- Department of Radiology, Istanbul University, Istanbul, Turkey
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Kandemirli SG, Cingoz M, Ure E, Bakan S, Akman C. Giant Pulmonary Artery Aneurysm in Behcet’s Syndrome. Ann Thorac Surg 2016; 102:e363. [DOI: 10.1016/j.athoracsur.2016.03.104] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2016] [Revised: 02/26/2016] [Accepted: 03/30/2016] [Indexed: 11/29/2022]
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Ure E, Cingoz M, Kandemirli SG, Akbas S, Tutar O, Ogut AG. CT and MR imaging features of diffuse lipomatosis of the abdomen. Diagn Interv Imaging 2016; 97:1189-1191. [PMID: 27138071 DOI: 10.1016/j.diii.2016.03.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2016] [Revised: 03/21/2016] [Accepted: 03/25/2016] [Indexed: 11/16/2022]
Affiliation(s)
- E Ure
- Istanbul University, Cerrahpasa Medical Faculty, Department of Radiology, Kocamustafapasa, Istanbul, Turkey.
| | - M Cingoz
- Istanbul University, Cerrahpasa Medical Faculty, Department of Radiology, Kocamustafapasa, Istanbul, Turkey.
| | - S G Kandemirli
- Istanbul University, Cerrahpasa Medical Faculty, Department of Radiology, Kocamustafapasa, Istanbul, Turkey.
| | - S Akbas
- Istanbul University, Cerrahpasa Medical Faculty, Department of Radiology, Kocamustafapasa, Istanbul, Turkey.
| | - O Tutar
- Istanbul University, Cerrahpasa Medical Faculty, Department of Radiology, Kocamustafapasa, Istanbul, Turkey.
| | - A G Ogut
- Istanbul University, Cerrahpasa Medical Faculty, Department of Radiology, Kocamustafapasa, Istanbul, Turkey.
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Kilic F, Kandemirli S, Er M, Cingoz M, Velidedeoglu M, Ozturk T, Yilmaz M. Primary angiosarcoma of the breast: Diagnosis with computer-assisted MRI-guided radio-guided occult lesion localization (ROLL) technique. Diagn Interv Imaging 2015; 96:1203-6. [DOI: 10.1016/j.diii.2015.05.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2015] [Revised: 05/13/2015] [Accepted: 05/19/2015] [Indexed: 10/23/2022]
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