B mode US imaging with elastosonography tecnology was performed on the cords by 4-13 MHz linear p... more B mode US imaging with elastosonography tecnology was performed on the cords by 4-13 MHz linear probe (Esaote, MyLab60 with Elaxto application). The elastosonography technic demonstrated a colour map over B mode image. Different colours extended from green (soft) to ruddy (hard) to illustrate tissue feature after compression-decompression periods. In kids, spermatic cord with testicular torsion is among the main significant events. Differentiation from other acute scrotal events is confusing in diagnosis and therapy. The point of experimental research is to determine the viability of elastosonography, which investigates stiffness as a target strategy in determination and intervention of spermatic cord torsion. 16 male rabbits of a similar weight and age were chosen. They were separated into 2 groups including 8 rabbits. In Group 1, right testis was constant; in Group 2, the same testis experienced 720° curve a clockwise way and stabilized. After 1-2 hours of ischemic period, elastos...
Background Abdominal aortic aneurysm (AAA) has risk factors similar to those of atherosclerosis. ... more Background Abdominal aortic aneurysm (AAA) has risk factors similar to those of atherosclerosis. Salusin-β and arterial stiffness are novel parameters that have been shown to predict atherosclerosis and related cardiovascular disorders. However, their predictive value for detecting AAA remains unclear. Methods Forty-eight patients with AAA and 47 age- and sex-matched participants without AAA were enrolled in the study. Arterial stiffness parameters were obtained via an oscillometric Mobil-O-Graph PWA Monitor device (IEM GmbH) with integrated ARCSolver software (Australian Institute of Technology). Plasma salusin-β levels were analyzed using an enzyme-linked immunosorbent assay reagent kit (Abbkine, Inc). The measured salusin-β levels and arterial stiffness parameters of the AAA and control groups were compared. Results Salusin-β levels were significantly lower in patients with AAA (P = .014). There was a significant negative correlation between salusin-β levels and abdominal aorta d...
Amaç: Stres Üriner İnkontinansı (SÜİ) olan kadın hastalarda Elastosonografinin (ES) klinik ve dia... more Amaç: Stres Üriner İnkontinansı (SÜİ) olan kadın hastalarda Elastosonografinin (ES) klinik ve diagnostik deerini saptamak. Gereç ve yöntemler: SÜİ tanısı olan 30 kadın ve şikayeti olmayan 30 kadın hastanın ES tetkikindeki suburetral doku elastikiyetleri karşılaştırıldı. Ped testi, Q-tip ve stres testleriyle SÜİ ve mesane boynunun hipermobilitesi teşhis edildi. ES tetkikinde mesane altı (MA) ve cilt altı (CA) dokular ile üretra (Ü) ölçüm alanları olarak deerlendirildi. MAĞCA,ÜĞCA ve MAĞÜ oranları hesaplandı. ES esnasında elde edilen bu oranların tanısal deeri ROC curve analizi ile incelendi. Bulgular: MAĞCA (AUC0.962, P0.001) ve ÜĞCA (AUC0.953, P0.001) stres test pozitişii için anlamlı prediktördür. MAĞCA (AUC0.883, P0.001) ve ÜĞCA (AUC0.885, P0.001) Ped testi için anlamlı prediktördür. MAĞCA (AUC0.877, P0.001) ve ÜĞCA (AUC0.857, P0.001) Q tip test pozitişii için anlamlı prediktördür. Lineer regresyon analizinde Stres test pozitişii MAĞCA (R20.84, beta0.369, P0.026) ve ÜĞCA (R20.84, ...
Journal of Obstetrics and Gynaecology Research, 2021
AimOmentin‐1, an adipokine primarily secreted from visceral adipose tissue, regulates metabolic h... more AimOmentin‐1, an adipokine primarily secreted from visceral adipose tissue, regulates metabolic homeostasis, whereas carotid intima‐media thickness (CIMT) is a valid marker for early diagnosis of atherosclerosis. We aimed to investigate whether polycystic ovary syndrome (PCOS) is related to levels of omentin‐1 and CIMT and demonstrate the association with cardiovascular risk.MethodsA prospective case–control study was performed on 47 PCOS patients and 35 healthy subjects. Hormonal and metabolic parameters, levels of serum omentin‐1, and CIMT were evaluated in the two groups.ResultsThe right, left, total CIMT, and levels of serum omentin‐1 were significantly higher in the PCOS group than in the healthy controls (p = 0.015, p = 0.009, p = 0.021, and p = 0.002, respectively). Using multiple linear and backward elimination regression analyses, serum omentin‐1 was found to be independently associated with age and Ln‐transformed homeostasis model assessment of insulin resistance, and card...
The aim of this study was to assess the relationship between the maternal superior mesenteric art... more The aim of this study was to assess the relationship between the maternal superior mesenteric artery Doppler, pancreatic size and gestational diabetes mellitus (GDM). Two hundred and fifty-eight consecutive, pregnant women between 20 and 22 weeks of gestation underwent routine fetal anomaly screening. All subjects underwent maternal superior mesenteric artery Doppler and pancreatic size measurement of head, corpus and tail during screening. Screening was done with 50 g glucose challenge test (GCT) at gestational age 24-28 weeks. The patients who were having an abnormal GCT were subjected to 100 g GCT. Subjects were divided into two groups such as pregnancies with gestational diabetes and normal pregnancies. Relationship between Doppler and pancreatic measurements with GDM was analyzed. Out of 258 screened pregnancies, 28 (10.9 %) were diagnosed as GDM. There were significant differences between GDM positive and negative cases in terms of pancreatic body size (17.5 vs. 14.4 mm, p = 0.05), superior mesenteric artery Doppler systolic/diastolic ratio (S/D) (4.2 vs. 3.4) and resistance index (RI) (0.72 vs. 0.68) values. Superior mesenteric artery Doppler S/D (AUC = 0.761, p < 0.001) and RI (AUC = 0.762, p < 0.001) indices were significant predictors for GDM. Superior mesenteric artery Doppler and pancreatic size evaluation may be utilized to detect abnormal glucose metabolism during pregnancy care.
Aim: The evaluation of the relationship between the aortic aneurysm and colonic diverticulum in t... more Aim: The evaluation of the relationship between the aortic aneurysm and colonic diverticulum in the tomography images of the patients followed-up for abdominal aortic aneurysm Methods: The tomographic images of 97 patients (Female/Male:20/77) aged between 40-88 years with/without abdominal aortic aneurysm and colonic diverticulum were analyzed. Abdominal aortic diameters were analyzed by categorizing them as 20-29 mm, 30-49 mm, and 50 mm over, and the presence of colonic diverticulum in the abdominal aorta with these diameters. The presence of plaque, narrowing, and dilatation in ascending, descending, and abdominal parts of the aorta was evaluated, and the levels of arterial plaque, narrowing, and stenosis in the inferior and superior mesenteric arteries supplying the intestine were assessed. Results: The rate of colonic diverticulum was found to be significantly lower in the tomographic images of the patients with normal abdominal aortic diameter. It was found that the frequency o...
Dandy-Walker malformation is a part of Dandy-Walker complex and characterized as development anom... more Dandy-Walker malformation is a part of Dandy-Walker complex and characterized as development anomaly of posterior fossa. Etiology is not definitely known. Many theories suggested as agenesis of Luschka and Magendie foramens, malformation of fourth ventricle root and delayed opening of foramen Magendie. Prenatal ultrasonography is important on diagnosis. Cystic dilatation of posterior fossa, hypo- or agenesis of cerebellar vermis is the main sonographic findings. Hydrocephaly may exist. This study reveals Dandy-Walker malformation with existence of hypoplasia of cerebellar hemispheres, meningocele and polyhydramnios.
Aim: The aim of the study is to demonstrate the relationship between the number and distribution ... more Aim: The aim of the study is to demonstrate the relationship between the number and distribution of microbleeding focuses with degrees of periventricular ischemia on magnetic resonance imaging (MRI) by using T2W GRE in lacunar infarct. Method: 79 patients with stroke were examined on MRI by using T2W GRE. Periventricular hyperintensity (PVH) grouped on 4 degrees by using scoring system. Microbleedings defined as a well bordered small hemosiderin deposits appear hypointense on T2W gradient echo sequence. Results: One or more microbleeding focuses had found on T2W GRE in 49.6%. Microbleedings were existed lacunar infarct in 93.7%. Pearson chi-square analysis revealed a significant relation with periventricular ischemia severity and the number of microbleedings (p<0,01). Spearman's correlation analysis showed an advanced positive relationship between number of lacunar infarcts and number of microbleedings (r=0,429; p<0,01), number of lacunar infarcts and severity of periventricular hyperintensity (r=0,400; p<0,01) and severity of periventricular hyperintensity and number of microbleedings (r=0,773; p<0,01). Conclusion: This study revealed the relationship between lacunar infarct, periventricular white matter ischemia and hypointens focuses on T2W GRE. This MRI sequence has a role on diagnosis and treatment planning especially cerebrovascular diseases in middle and advanced ages.
Turkish Journal of Geriatrics-Turk Geriatri Dergisi, 2012
Glomus jugulare tumors are arising from the jugulare bulb in the jugular foramen of the temporal ... more Glomus jugulare tumors are arising from the jugulare bulb in the jugular foramen of the temporal bone and may spread to the middle ear. Glomus jugulare is a rare and highly vascular neural residue tumors that have benign features and grouped in the glomus tumors. Glomus caroticum, glomus vagale, glomus tympanicum and glomus jugulare both are inside this disease group also called as paraganglioma or chemodectoma. Women are more often and left side localization is frequent in this tumor. Glomus jugulare tumor has a slow progression and temporary pause periods on the symptoms; therefore findings lead delays on the diagnosis. 62-year-old female patient with tinnitus for 3 years was admitted to hospital because of developing a new hoarseness. This study reveals a glomus tumor that is a rare cause of tinnitus and new developed hoarseness caused by cranial nerve infiltration and examined with radiological findings.
Current Medical Imaging Formerly Current Medical Imaging Reviews
Background: The most common etiology of shoulder pain in adults is rotator cuff tear. Elastograph... more Background: The most common etiology of shoulder pain in adults is rotator cuff tear. Elastography is an imaging method that can report the strain and elastic modulus of the biological tissue. We think acoustic radiation force impulse (ARFI) elastography can effectively assess rotator cuff tendinopathy. Purpose: This study aimed to investigate the usefulness of ARFI elastography in evaluating supraspinatus tendinopathy. Materials and Methods: We included 44 patients (22 men, 22 women, median age, 47 years; range, 20-69 years) with unilateral supraspinatus tendinopathy diagnosed with magnetic resonance imaging (MRI) in this prospective study. The normal tendons and tendinopathies, including supraspinatus tendinosis, partial-thickness, and full-thickness supraspinatus tears, were evaluated with ultrasound and ARFI elastography. The ARFI elastography values were compared between healthy and tendinopathy groups, and the gender was compared between elastography values of the normal tendo...
B mode US imaging with elastosonography tecnology was performed on the cords by 4-13 MHz linear p... more B mode US imaging with elastosonography tecnology was performed on the cords by 4-13 MHz linear probe (Esaote, MyLab60 with Elaxto application). The elastosonography technic demonstrated a colour map over B mode image. Different colours extended from green (soft) to ruddy (hard) to illustrate tissue feature after compression-decompression periods. In kids, spermatic cord with testicular torsion is among the main significant events. Differentiation from other acute scrotal events is confusing in diagnosis and therapy. The point of experimental research is to determine the viability of elastosonography, which investigates stiffness as a target strategy in determination and intervention of spermatic cord torsion. 16 male rabbits of a similar weight and age were chosen. They were separated into 2 groups including 8 rabbits. In Group 1, right testis was constant; in Group 2, the same testis experienced 720° curve a clockwise way and stabilized. After 1-2 hours of ischemic period, elastos...
Background Abdominal aortic aneurysm (AAA) has risk factors similar to those of atherosclerosis. ... more Background Abdominal aortic aneurysm (AAA) has risk factors similar to those of atherosclerosis. Salusin-β and arterial stiffness are novel parameters that have been shown to predict atherosclerosis and related cardiovascular disorders. However, their predictive value for detecting AAA remains unclear. Methods Forty-eight patients with AAA and 47 age- and sex-matched participants without AAA were enrolled in the study. Arterial stiffness parameters were obtained via an oscillometric Mobil-O-Graph PWA Monitor device (IEM GmbH) with integrated ARCSolver software (Australian Institute of Technology). Plasma salusin-β levels were analyzed using an enzyme-linked immunosorbent assay reagent kit (Abbkine, Inc). The measured salusin-β levels and arterial stiffness parameters of the AAA and control groups were compared. Results Salusin-β levels were significantly lower in patients with AAA (P = .014). There was a significant negative correlation between salusin-β levels and abdominal aorta d...
Amaç: Stres Üriner İnkontinansı (SÜİ) olan kadın hastalarda Elastosonografinin (ES) klinik ve dia... more Amaç: Stres Üriner İnkontinansı (SÜİ) olan kadın hastalarda Elastosonografinin (ES) klinik ve diagnostik deerini saptamak. Gereç ve yöntemler: SÜİ tanısı olan 30 kadın ve şikayeti olmayan 30 kadın hastanın ES tetkikindeki suburetral doku elastikiyetleri karşılaştırıldı. Ped testi, Q-tip ve stres testleriyle SÜİ ve mesane boynunun hipermobilitesi teşhis edildi. ES tetkikinde mesane altı (MA) ve cilt altı (CA) dokular ile üretra (Ü) ölçüm alanları olarak deerlendirildi. MAĞCA,ÜĞCA ve MAĞÜ oranları hesaplandı. ES esnasında elde edilen bu oranların tanısal deeri ROC curve analizi ile incelendi. Bulgular: MAĞCA (AUC0.962, P0.001) ve ÜĞCA (AUC0.953, P0.001) stres test pozitişii için anlamlı prediktördür. MAĞCA (AUC0.883, P0.001) ve ÜĞCA (AUC0.885, P0.001) Ped testi için anlamlı prediktördür. MAĞCA (AUC0.877, P0.001) ve ÜĞCA (AUC0.857, P0.001) Q tip test pozitişii için anlamlı prediktördür. Lineer regresyon analizinde Stres test pozitişii MAĞCA (R20.84, beta0.369, P0.026) ve ÜĞCA (R20.84, ...
Journal of Obstetrics and Gynaecology Research, 2021
AimOmentin‐1, an adipokine primarily secreted from visceral adipose tissue, regulates metabolic h... more AimOmentin‐1, an adipokine primarily secreted from visceral adipose tissue, regulates metabolic homeostasis, whereas carotid intima‐media thickness (CIMT) is a valid marker for early diagnosis of atherosclerosis. We aimed to investigate whether polycystic ovary syndrome (PCOS) is related to levels of omentin‐1 and CIMT and demonstrate the association with cardiovascular risk.MethodsA prospective case–control study was performed on 47 PCOS patients and 35 healthy subjects. Hormonal and metabolic parameters, levels of serum omentin‐1, and CIMT were evaluated in the two groups.ResultsThe right, left, total CIMT, and levels of serum omentin‐1 were significantly higher in the PCOS group than in the healthy controls (p = 0.015, p = 0.009, p = 0.021, and p = 0.002, respectively). Using multiple linear and backward elimination regression analyses, serum omentin‐1 was found to be independently associated with age and Ln‐transformed homeostasis model assessment of insulin resistance, and card...
The aim of this study was to assess the relationship between the maternal superior mesenteric art... more The aim of this study was to assess the relationship between the maternal superior mesenteric artery Doppler, pancreatic size and gestational diabetes mellitus (GDM). Two hundred and fifty-eight consecutive, pregnant women between 20 and 22 weeks of gestation underwent routine fetal anomaly screening. All subjects underwent maternal superior mesenteric artery Doppler and pancreatic size measurement of head, corpus and tail during screening. Screening was done with 50 g glucose challenge test (GCT) at gestational age 24-28 weeks. The patients who were having an abnormal GCT were subjected to 100 g GCT. Subjects were divided into two groups such as pregnancies with gestational diabetes and normal pregnancies. Relationship between Doppler and pancreatic measurements with GDM was analyzed. Out of 258 screened pregnancies, 28 (10.9 %) were diagnosed as GDM. There were significant differences between GDM positive and negative cases in terms of pancreatic body size (17.5 vs. 14.4 mm, p = 0.05), superior mesenteric artery Doppler systolic/diastolic ratio (S/D) (4.2 vs. 3.4) and resistance index (RI) (0.72 vs. 0.68) values. Superior mesenteric artery Doppler S/D (AUC = 0.761, p &lt; 0.001) and RI (AUC = 0.762, p &lt; 0.001) indices were significant predictors for GDM. Superior mesenteric artery Doppler and pancreatic size evaluation may be utilized to detect abnormal glucose metabolism during pregnancy care.
Aim: The evaluation of the relationship between the aortic aneurysm and colonic diverticulum in t... more Aim: The evaluation of the relationship between the aortic aneurysm and colonic diverticulum in the tomography images of the patients followed-up for abdominal aortic aneurysm Methods: The tomographic images of 97 patients (Female/Male:20/77) aged between 40-88 years with/without abdominal aortic aneurysm and colonic diverticulum were analyzed. Abdominal aortic diameters were analyzed by categorizing them as 20-29 mm, 30-49 mm, and 50 mm over, and the presence of colonic diverticulum in the abdominal aorta with these diameters. The presence of plaque, narrowing, and dilatation in ascending, descending, and abdominal parts of the aorta was evaluated, and the levels of arterial plaque, narrowing, and stenosis in the inferior and superior mesenteric arteries supplying the intestine were assessed. Results: The rate of colonic diverticulum was found to be significantly lower in the tomographic images of the patients with normal abdominal aortic diameter. It was found that the frequency o...
Dandy-Walker malformation is a part of Dandy-Walker complex and characterized as development anom... more Dandy-Walker malformation is a part of Dandy-Walker complex and characterized as development anomaly of posterior fossa. Etiology is not definitely known. Many theories suggested as agenesis of Luschka and Magendie foramens, malformation of fourth ventricle root and delayed opening of foramen Magendie. Prenatal ultrasonography is important on diagnosis. Cystic dilatation of posterior fossa, hypo- or agenesis of cerebellar vermis is the main sonographic findings. Hydrocephaly may exist. This study reveals Dandy-Walker malformation with existence of hypoplasia of cerebellar hemispheres, meningocele and polyhydramnios.
Aim: The aim of the study is to demonstrate the relationship between the number and distribution ... more Aim: The aim of the study is to demonstrate the relationship between the number and distribution of microbleeding focuses with degrees of periventricular ischemia on magnetic resonance imaging (MRI) by using T2W GRE in lacunar infarct. Method: 79 patients with stroke were examined on MRI by using T2W GRE. Periventricular hyperintensity (PVH) grouped on 4 degrees by using scoring system. Microbleedings defined as a well bordered small hemosiderin deposits appear hypointense on T2W gradient echo sequence. Results: One or more microbleeding focuses had found on T2W GRE in 49.6%. Microbleedings were existed lacunar infarct in 93.7%. Pearson chi-square analysis revealed a significant relation with periventricular ischemia severity and the number of microbleedings (p<0,01). Spearman's correlation analysis showed an advanced positive relationship between number of lacunar infarcts and number of microbleedings (r=0,429; p<0,01), number of lacunar infarcts and severity of periventricular hyperintensity (r=0,400; p<0,01) and severity of periventricular hyperintensity and number of microbleedings (r=0,773; p<0,01). Conclusion: This study revealed the relationship between lacunar infarct, periventricular white matter ischemia and hypointens focuses on T2W GRE. This MRI sequence has a role on diagnosis and treatment planning especially cerebrovascular diseases in middle and advanced ages.
Turkish Journal of Geriatrics-Turk Geriatri Dergisi, 2012
Glomus jugulare tumors are arising from the jugulare bulb in the jugular foramen of the temporal ... more Glomus jugulare tumors are arising from the jugulare bulb in the jugular foramen of the temporal bone and may spread to the middle ear. Glomus jugulare is a rare and highly vascular neural residue tumors that have benign features and grouped in the glomus tumors. Glomus caroticum, glomus vagale, glomus tympanicum and glomus jugulare both are inside this disease group also called as paraganglioma or chemodectoma. Women are more often and left side localization is frequent in this tumor. Glomus jugulare tumor has a slow progression and temporary pause periods on the symptoms; therefore findings lead delays on the diagnosis. 62-year-old female patient with tinnitus for 3 years was admitted to hospital because of developing a new hoarseness. This study reveals a glomus tumor that is a rare cause of tinnitus and new developed hoarseness caused by cranial nerve infiltration and examined with radiological findings.
Current Medical Imaging Formerly Current Medical Imaging Reviews
Background: The most common etiology of shoulder pain in adults is rotator cuff tear. Elastograph... more Background: The most common etiology of shoulder pain in adults is rotator cuff tear. Elastography is an imaging method that can report the strain and elastic modulus of the biological tissue. We think acoustic radiation force impulse (ARFI) elastography can effectively assess rotator cuff tendinopathy. Purpose: This study aimed to investigate the usefulness of ARFI elastography in evaluating supraspinatus tendinopathy. Materials and Methods: We included 44 patients (22 men, 22 women, median age, 47 years; range, 20-69 years) with unilateral supraspinatus tendinopathy diagnosed with magnetic resonance imaging (MRI) in this prospective study. The normal tendons and tendinopathies, including supraspinatus tendinosis, partial-thickness, and full-thickness supraspinatus tears, were evaluated with ultrasound and ARFI elastography. The ARFI elastography values were compared between healthy and tendinopathy groups, and the gender was compared between elastography values of the normal tendo...
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