Mersin Üniversitesi Sağlık Bilimleri Dergisi, 2019
Amaç: Çalışmamızda, difüzyon ağırlıklı manyetik rezonans görüntüleme (DAG)’nin tiroid nodüllerini... more Amaç: Çalışmamızda, difüzyon ağırlıklı manyetik rezonans görüntüleme (DAG)’nin tiroid nodüllerinin karakterizasyonundaki yeri araştırılacaktır. Yöntem: Ekim 2010–Nisan 2011 tarihleri arasında, tiroid nodülüne yönelik ultrasonografi, sintigrafisi yapılan ve ince iğne aspirasyon sitolojisi (İİAS) planlanan hastalara İİAS öncesinde DAG gerçekleştirildi. DAG üzerinden lezyonların ‘apparent diffusion coefficient’ (ADC) haritaları oluşturuldu. Dört ayrı b değeri (b=300sn/mm², b=500sn/mm², b=750sn/mm², b=1000sn/mm²) kullanılarak nodüllerin ADC değerleri sitopatoloji sonuçları bilinmeden ölçüldü. İİAS ve postoperatif histopatoloji sonuçlarına göre toplam iki malign, 24 benign nodül çalışmaya dahil edildi. Sintigrafi bulguları ADC değerleri ile karşılaştırıldı. ADC değerlerinden ROC (Reveiver Operating Characteric) eğrisi oluşturularak sınır değeri elde edilmeye çalışıldı. Bulgular: 24 benign tiroid nodülün ölçülen ortalama ADC değerleri b=300’de 3547 ± 556 x10-6mm2/sn, b=500’de 2221 ± 362 x...
European Journal of Nuclear Medicine and Molecular Imaging, 2005
Radionuclide renography with angiotensin converting enzyme (ACE) inhibition plays an important ro... more Radionuclide renography with angiotensin converting enzyme (ACE) inhibition plays an important role in the diagnosis of haemodynamically significant renal artery stenosis. Angiotensin receptor antagonists inhibit the renin angiotensin system at different levels from ACE inhibitors by selectively blocking the binding of angiotensin II to AT1 receptors. The AT1 angiotensin receptor antagonist losartan has recently been used clinically in the treatment of hypertension. However, the available data on the use of losartan with renography for the detection of renovascular hypertension are limited and contradictory. The purpose of this prospective study was to compare the effectiveness of losartan renography and captopril scintigraphy in revealing renal artery stenosis. A total of 61 renal units in 32 patients with hypertension were studied in two groups based on the losartan dosage (50 mg in group A and 100 mg in group B). Group A consisted of 17 patients, in whom 19 renal units had angiographically proven renal artery stenosis (>or=50%). In group B, there were 15 patients, in whom 20 renal arteries were stenotic. All of the patients underwent three renographies (baseline, captopril renography and early losartan renography). Early losartan renography was performed at 1 h after oral losartan administration in both groups. In group B, seven patients underwent additional losartan renography (late losartan) performed 3 h after oral losartan administration; these patients composed group B1. The sensitivities of captopril and losartan studies were 63.2% and 42% in group A, 65% and 65% in group B and 55.6% and 66.6% in group B1, respectively. From our preliminary results, we conclude that losartan is not superior to captopril renography for the detection of haemodynamically significant renal artery stenosis. However, a high dose (100 mg) of losartan provided higher sensitivity than the lower dose (50 mg). Late losartan scintigraphy provided similar diagnostic efficacy to early losartan renography.
Mersin Üniversitesi Sağlık Bilimleri Dergisi, 2019
Amaç: Çalışmamızda, difüzyon ağırlıklı manyetik rezonans görüntüleme (DAG)’nin tiroid nodüllerini... more Amaç: Çalışmamızda, difüzyon ağırlıklı manyetik rezonans görüntüleme (DAG)’nin tiroid nodüllerinin karakterizasyonundaki yeri araştırılacaktır. Yöntem: Ekim 2010–Nisan 2011 tarihleri arasında, tiroid nodülüne yönelik ultrasonografi, sintigrafisi yapılan ve ince iğne aspirasyon sitolojisi (İİAS) planlanan hastalara İİAS öncesinde DAG gerçekleştirildi. DAG üzerinden lezyonların ‘apparent diffusion coefficient’ (ADC) haritaları oluşturuldu. Dört ayrı b değeri (b=300sn/mm², b=500sn/mm², b=750sn/mm², b=1000sn/mm²) kullanılarak nodüllerin ADC değerleri sitopatoloji sonuçları bilinmeden ölçüldü. İİAS ve postoperatif histopatoloji sonuçlarına göre toplam iki malign, 24 benign nodül çalışmaya dahil edildi. Sintigrafi bulguları ADC değerleri ile karşılaştırıldı. ADC değerlerinden ROC (Reveiver Operating Characteric) eğrisi oluşturularak sınır değeri elde edilmeye çalışıldı. Bulgular: 24 benign tiroid nodülün ölçülen ortalama ADC değerleri b=300’de 3547 ± 556 x10-6mm2/sn, b=500’de 2221 ± 362 x...
European Journal of Nuclear Medicine and Molecular Imaging, 2005
Radionuclide renography with angiotensin converting enzyme (ACE) inhibition plays an important ro... more Radionuclide renography with angiotensin converting enzyme (ACE) inhibition plays an important role in the diagnosis of haemodynamically significant renal artery stenosis. Angiotensin receptor antagonists inhibit the renin angiotensin system at different levels from ACE inhibitors by selectively blocking the binding of angiotensin II to AT1 receptors. The AT1 angiotensin receptor antagonist losartan has recently been used clinically in the treatment of hypertension. However, the available data on the use of losartan with renography for the detection of renovascular hypertension are limited and contradictory. The purpose of this prospective study was to compare the effectiveness of losartan renography and captopril scintigraphy in revealing renal artery stenosis. A total of 61 renal units in 32 patients with hypertension were studied in two groups based on the losartan dosage (50 mg in group A and 100 mg in group B). Group A consisted of 17 patients, in whom 19 renal units had angiographically proven renal artery stenosis (>or=50%). In group B, there were 15 patients, in whom 20 renal arteries were stenotic. All of the patients underwent three renographies (baseline, captopril renography and early losartan renography). Early losartan renography was performed at 1 h after oral losartan administration in both groups. In group B, seven patients underwent additional losartan renography (late losartan) performed 3 h after oral losartan administration; these patients composed group B1. The sensitivities of captopril and losartan studies were 63.2% and 42% in group A, 65% and 65% in group B and 55.6% and 66.6% in group B1, respectively. From our preliminary results, we conclude that losartan is not superior to captopril renography for the detection of haemodynamically significant renal artery stenosis. However, a high dose (100 mg) of losartan provided higher sensitivity than the lower dose (50 mg). Late losartan scintigraphy provided similar diagnostic efficacy to early losartan renography.
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