{"id":10575,"date":"2020-12-24T21:45:53","date_gmt":"2020-12-25T02:45:53","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=10575"},"modified":"2020-12-24T22:08:51","modified_gmt":"2020-12-25T03:08:51","slug":"whats-new-in-pediatric-imaging-turkish-december-2020","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/tr\/whats-new-in-pediatric-imaging-turkish-december-2020\/","title":{"rendered":"What\u2019s new in Pediatric Imaging (Turkish) \u2013 December 2020"},"content":{"rendered":"

V\u00dcCUT G\u00d6R\u00dcNT\u00dcLEME<\/strong><\/span><\/h3>\n

 <\/p>\n

K\u00fc\u00e7\u00fck Wilms t\u00fcm\u00f6rlerine kar\u015f\u0131 nefrojenik kal\u0131nt\u0131lar\u0131n g\u00f6r\u00fcnt\u00fcleme \u00f6zellikleri: \u00c7ocuk Onkoloji Grubu \u00c7al\u0131\u015fmas\u0131 AREN03B2’den bir rapor<\/strong><\/span><\/h5>\n

Sandberg JK, Chi YY, Smith EA et al.<\/p>\n

AJR<\/em> 2020;214:987-994.<\/p>\n

https:\/\/doi.org\/10.2214\/AJR.19.22301<\/a><\/p>\n

Soru<\/strong> Nefrojenik kal\u0131nt\u0131lar\u0131 Wilms t\u00fcm\u00f6rlerinden ay\u0131rmak i\u00e7in hangi g\u00f6r\u00fcnt\u00fcleme \u00f6zellikleri kullan\u0131labilir?<\/p>\n

Tasar\u0131m <\/strong>Temmuz 2006’dan A\u011fustos 2016’ya kadar uzanan retrospektif \u00e7al\u0131\u015fma<\/p>\n

Ortam<\/strong> \u00c7ocuk Onkoloji Grubu (COG) AREN03B2 \u00e7al\u0131\u015fmas\u0131ndan t\u00fcm vakalar<\/p>\n

Kat\u0131l\u0131mc\u0131lar <\/strong>\u0130ki dahil etme kriterinden birini kar\u015f\u0131layan AREN03B2 denemesine kat\u0131lan 5 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck 52 hasta: ya nefrojenik kal\u0131nt\u0131 ya da k\u00fc\u00e7\u00fck (\u00e7ap\u0131 5 cm’den k\u00fc\u00e7\u00fck) bir Wilms t\u00fcm\u00f6r\u00fcn\u00fcn merkezi patolojik tan\u0131s\u0131.<\/p>\n

M\u00fcdahale<\/strong> Kontrastl\u0131 BT veya MRI’da lezyonlar\u0131n g\u00f6r\u00fcnt\u00fcleme de\u011ferlendirmesi patolojik olarak do\u011fruland\u0131.<\/p>\n

\u00c7\u0131kt\u0131lar <\/strong>T\u00fcm\u00f6r \u00e7ap\u0131, \u015fekli (k\u00fcresel veya k\u00fcresel olmayan), ekzofitik g\u00f6r\u00fcn\u00fcm, dansite (homojen veya homojen olmayan), konum (\u00f6rn. Korteks, medulla veya kortikomed\u00fcller ayr\u0131m) ve lezyonunun normal b\u00f6brek ile s\u0131n\u0131r\u0131 gibi g\u00f6r\u00fcnt\u00fcleme \u00f6zellikleri.<\/p>\n

Ana Bulgular<\/strong> Nefrojenik kal\u0131nt\u0131lar\u0131n medyan \u00e7ap\u0131 1.3 cm, Wilms t\u00fcm\u00f6r\u00fcn\u00fcnki 3.2 cm\u2019ydi (p <0.001). Wilms t\u00fcm\u00f6rleri, kal\u0131nt\u0131lara g\u00f6re daha yayg\u0131n olarak k\u00fcresel \u015fekilli (p <0.001) ve ekzofitikti (p <0.001). Nefrojenik kal\u0131nt\u0131lar ile Wilms t\u00fcm\u00f6rleri aras\u0131nda ayr\u0131m yapmak i\u00e7in optimal boyut e\u015fi\u011fi 1.75 cm\u2019ydi (ROC analizine g\u00f6re).<\/p>\n

Yorum <\/strong>Nefrojenik kal\u0131nt\u0131lar ve Wilms t\u00fcm\u00f6rleri aras\u0131nda \u00f6rt\u00fc\u015fen birka\u00e7 g\u00f6r\u00fcnt\u00fcleme \u00f6zelli\u011fi olsa da, \u00e7al\u0131\u015fma daha b\u00fcy\u00fck t\u00fcm\u00f6r boyutunun (> 1.75 cm), ekzofitik g\u00f6r\u00fcn\u00fcm\u00fcn ve k\u00fcresel \u015feklin, Wilms t\u00fcm\u00f6rlerini 5 ya\u015f\u0131ndan k\u00fc\u00e7\u00fck \u00e7ocuklarda nefrojenik kal\u0131nt\u0131larla ay\u0131rmaya yard\u0131mc\u0131 olabilece\u011fini d\u00fc\u015f\u00fcnd\u00fcrmektedir. S\u0131n\u0131rlamalar, \u00f6zellikle 2’den fazla lezyonu olan hastalarda (cerrahi eksizyon cerrah\u0131n takdirine ba\u011fl\u0131 oldu\u011fu i\u00e7in) t\u00fcm multifokal lezyonlar\u0131n patolojik olarak do\u011frulanamamas\u0131, s\u0131k\u0131 dahil etme kriterleri nedeniyle nispeten k\u00fc\u00e7\u00fck \u00f6rnek boyutu ve MRI tekniklerindeki de\u011fi\u015fkenli\u011fi i\u00e7ermektedir.<\/p>\n

\u00a0<\/strong><\/p>\n

\u00c7ocuklarda apandisit te\u015fhisinde bilgisayarl\u0131 tomografinin klinik sezgiye kar\u015f\u0131 kullan\u0131lmas\u0131: iki kurumlu uluslararas\u0131 bir \u00e7al\u0131\u015fma<\/strong><\/span><\/h5>\n

El-Gohary Y, Molina M, Chang J et al.<\/p>\n

Journal of Pediatric Surgery<\/em> (2020). Journal Pre-Proof.<\/p>\n

https:\/\/doi.org\/10.1016\/j.jpedsurg.2020.09.061<\/a>.<\/p>\n

Soru: <\/strong>Amerika Birle\u015fik Devletleri’ndeki bir \u00e7ocuk hastanesi ile \u0130spanya’daki bir \u00e7ocuk hastanesi aras\u0131nda apandisit \u015f\u00fcphesi olan \u00e7ocuklarda g\u00f6r\u00fcnt\u00fcleme kullan\u0131m\u0131ndaki farkl\u0131l\u0131klar nelerdir?<\/p>\n

Tasar\u0131m<\/strong> 2015’ten 2017’ye kadar uzanan retrospektif \u00e7al\u0131\u015fma<\/p>\n

Ortam<\/strong> \u00c7ok kurumlu (Le Bonheur \u00c7ocuk Hastanesi, Memphis, Tennessee ve Hospital Universitario Virgen Del Rocio, Sevilla, \u0130spanya)<\/p>\n

Kat\u0131l\u0131mc\u0131lar<\/strong> 1,952 \u00e7ocuk (1,288\u2019i ABD merkezinde)<\/p>\n

M\u00fcdahale<\/strong> Referans standard\u0131 olarak cerrahi patolojinin kullan\u0131lmas\u0131 ile bilgisayarl\u0131 tomografinin (BT) klinik sezgiler ve ultrason (US) ile k\u0131yaslanmas\u0131.<\/p>\n

\u00c7\u0131kt\u0131lar<\/strong> Birincil \u00e7\u0131kt\u0131lar, kullan\u0131lan g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerinin (yaln\u0131zca US, yaln\u0131zca CT, CT + US), g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemi kullan\u0131lmamas\u0131n\u0131n ve tan\u0131 do\u011frulu\u011funun oranlar\u0131n\u0131 i\u00e7eriyordu. \u0130kincil \u00e7\u0131kt\u0131lar, her merkezde genel tan\u0131sal yakla\u015f\u0131m\u0131n duyarl\u0131l\u0131\u011f\u0131n\u0131, \u00f6zg\u00fcll\u00fc\u011f\u00fcn\u00fc, pozitif tahmini de\u011ferini(PPV) ve negatif tahmini de\u011ferini(NPV) i\u00e7eriyordu.<\/p>\n

Ana Bulgular<\/strong> ABD’de kullan\u0131lan en yayg\u0131n g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemi yaln\u0131zca US (% 39,9), ard\u0131ndan yaln\u0131zca BT (% 39,3) ve CT + US (% 19,3) idi. ABD’de klinik sezgiler % 1,6’s\u0131nda kullan\u0131ld\u0131. \u0130spanya’da, klinik sezgiler en yayg\u0131n olarak (% 48,6), ard\u0131ndan yaln\u0131zca US (% 48,5), US + BT (% 2,4) ve yaln\u0131zca BT (% 0,5) kullan\u0131lm\u0131\u015ft\u0131r. \u00c7ocuklarda akut apandisit tan\u0131s\u0131 i\u00e7in hassasiyet, spesifiklik, PPV, NPV ve do\u011fruluk oranlar\u0131 ABD hastaneleri i\u00e7in s\u0131ras\u0131yla % 99,8,% 75,2,% 93,8,% 98,9 ve% 94,7 ve \u0130spanyol hastanesi i\u00e7in s\u0131ras\u0131yla % 92,5,% 96,7,% 94,7,% 95,2 ve % 95.1 idi. ABD merkezindeki negatif apendektomi oran\u0131 % 6.1 ve \u0130spanyol merkezindeki % 4.9 iken, atlanan apandisit oran\u0131 ABD merkezinde% 0.2 ve \u0130spanyol merkezinde% 7.5 idi.<\/p>\n

Yorum<\/strong> Yazarlar, bu \u00e7al\u0131\u015fmada ABD ve \u0130spanya aras\u0131ndaki do\u011fruluk oranlar\u0131n\u0131n kar\u015f\u0131la\u015ft\u0131r\u0131labilir oldu\u011fu ve \u0130spanya’daki merkezin g\u00f6r\u00fcnt\u00fclemeye \u00e7ok daha az dayanarak da bu do\u011fruluk oran\u0131n\u0131 elde etti\u011fi kan\u0131s\u0131na varm\u0131\u015flard\u0131r. Fakat buna kar\u015f\u0131l\u0131k olarak ABD merkezinde daha d\u00fc\u015f\u00fck bir fark edilmeyen apandisit oran\u0131 g\u00f6zlemlenmi\u015ftir. Makale ayn\u0131 zamanda uygun bir \u015fekilde, g\u00f6r\u00fcnt\u00fcleme maliyeti, hastaneye yatma \/ g\u00f6zlem maliyeti oran\u0131 ve ligasyon maliyetleri dahil olmak \u00fczere fiyat tasarrufu konular\u0131n\u0131 da k\u0131saca dahil etmi\u015ftir. \u0130lgili bir s\u0131n\u0131rlama, \u00e7al\u0131\u015fman\u0131n klinik sonu\u00e7lar\u0131n ve maliyetlerin \u00f6nemli bir belirleyicisi olan perforasyon oranlar\u0131n\u0131 kar\u015f\u0131la\u015ft\u0131rmamas\u0131d\u0131r.<\/p>\n

 <\/p>\n

G\u00d6\u011e\u00dcS G\u00d6R\u00dcNT\u00dcLEME<\/strong><\/span><\/h3>\n

 <\/p>\n

\u00c7ocuklarda trakeobron\u015fiyal yabanc\u0131 cisim aspirasyonunun te\u015fhisinde \u00e7ok kesitli spiral bilgisayarl\u0131 tomografinin de\u011feri: 5 y\u0131ll\u0131k retrospektif \u00e7al\u0131\u015fma<\/strong><\/span><\/h5>\n

Shen J, Huang L, and Hao C.<\/p>\n

Pediatrics International<\/em> 2020;62:1184-1188.<\/p>\n

Soru<\/strong> \u00c7ocuklarda trakeobron\u015fiyal yabanc\u0131 cisim aspirasyonu (YCA) i\u00e7in BT’nin tan\u0131sal de\u011feri nedir?<\/p>\n

Tasar\u0131m<\/strong> Temmuz 2008’den Haziran 2013’e kadar uzanan retrospektif \u00e7al\u0131\u015fma<\/p>\n

Ortam <\/strong>Tek merkez (Soochow \u00dcniversitesi \u00c7ocuk Hastanesi, Suzhou, \u00c7in)<\/p>\n

Kat\u0131l\u0131mc\u0131lar <\/strong>Toraks BT ve bronkoskopi yap\u0131lan 382 \u00e7ocuk. Bu hastalar\u0131n 81’ine g\u00f6\u011f\u00fcs radyografisi \u00e7ekildi.<\/p>\n

M\u00fcdahale <\/strong>T\u00fcm g\u00f6\u011fs\u00fcn \u00e7ok kesitli, spiral BT g\u00f6r\u00fcnt\u00fclemesi (parametreler: pitch, 0,9; 120 kV; 300 mA ve kesit kal\u0131nl\u0131\u011f\u0131, 2.0 mm) 2 pediatrik radyolog taraf\u0131ndan incelendi.<\/p>\n

Sonu\u00e7lar<\/strong> Demografi (cinsiyet ve ya\u015f), toraks BT sunumlar\u0131, YCA’lar\u0131n konumu ve do\u011fas\u0131 ve BT’nin duyarl\u0131l\u0131\u011f\u0131<\/p>\n

Ana Bulgular<\/strong> Hastalar\u0131n \u00e7o\u011fu erkek (% 67) ve 1 ile 2 ya\u015f (% 69) aras\u0131ndayd\u0131. Toraks BT’de \u00e7ekim zaman\u0131, a\u011f\u0131rl\u0131kl\u0131 olarak aspirasyon olay\u0131ndan sonra 5 g\u00fcnden daha k\u0131sayd\u0131 (% 66). Aspire edilen yabanc\u0131 cisimlerin \u00e7o\u011funlu\u011fu bitkisel \u00fcr\u00fcnler(% 96), \u00e7o\u011funlukla f\u0131st\u0131k \u00e7ekirdekleri (% 48) ve ay\u00e7i\u00e7e\u011fi tohumlar\u0131 (% 26) idi. Azalan s\u0131rada yabanc\u0131 cisimlerin yerleri sol ana bron\u015f (% 51), sa\u011f ana bron\u015f (% 44) ve trakea (% 5) idi. Aspire edilmi\u015f yabanc\u0131 cisim varl\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fcren dolayl\u0131 bulgular aras\u0131nda amfizem (% 42), lokalize obstr\u00fcksiyon (% 50), mediastinal kayma ve bilateral mediastinal g\u00f6lge (% 31), subkutan\u00f6z amfizem (% 0.8) ve bron\u015fektazi (% 0.5) vard\u0131. BT’nin\u00a0 yabanc\u0131 cisimlerin do\u011frudan tespiti i\u00e7in duyarl\u0131l\u0131\u011f\u0131 % 94 idi ve dolayl\u0131 olarak tespiti % 96’ya kadar \u00e7\u0131k\u0131yordu (% 43,2’deki radyografilere k\u0131yasla).<\/p>\n

Yorum <\/strong>Bu \u00e7al\u0131\u015fma toraks BT’nin YCA\u2019lar\u0131n\u0131n saptanmas\u0131 i\u00e7in y\u00fcksek hassasiyete sahip oldu\u011funu g\u00f6sterdi. Bununla birlikte, BT’nin birka\u00e7 \u00f6nemli dezavantaj\u0131 aras\u0131nda iyonla\u015ft\u0131r\u0131c\u0131 radyasyon ve yabanc\u0131 cismi \u00e7\u0131karamamas\u0131 vard\u0131r. Spesifiklik gibi ek te\u015fhis parametrelerinin \u00e7al\u0131\u015fman\u0131n analizine dahil edilmesi yard\u0131mc\u0131 olabilirdi.<\/p>\n

 <\/p>\n

\u00c7ocuklarda pektus ekskavatum onar\u0131m\u0131 i\u00e7in Nuss prosed\u00fcr\u00fcn\u00fc takiben pn\u00f6motoraks\u0131 te\u015fhis etmek i\u00e7in g\u00f6\u011f\u00fcs r\u00f6ntgeni ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda akci\u011fer ultrasonunun kullan\u0131lmas\u0131<\/strong><\/span><\/h5>\n

Bonfiglio R, Disma N, Stagnaro N et al.<\/p>\n

Pediatric Anesthesia 2020;00:1-9.<\/em><\/p>\n

https:\/\/doi.org\/10.1111\/pan.14007<\/a><\/p>\n

Soru(lar)<\/strong> Nuss prosed\u00fcr\u00fc sonras\u0131 pn\u00f6motoraks durumunun de\u011ferlendirilmesi i\u00e7in ultrasonografi, radyografi ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda nas\u0131ld\u0131r?<\/p>\n

Tasar\u0131 <\/strong>\u00a0Okuyucular aras\u0131 ileriye d\u00f6n\u00fck g\u00f6zlemsel \u00e7al\u0131\u015fma<\/p>\n

Ortam<\/strong> Tek merkez (Giannina Gaslini Enstit\u00fcs\u00fc, Cenova, \u0130talya)<\/p>\n

Kat\u0131l\u0131mc\u0131lar<\/strong> 68 pediatrik hasta<\/p>\n

M\u00fcdahele<\/strong> G\u00f6\u011f\u00fcs ultrasonu (US) ile g\u00f6\u011f\u00fcs radyografilerinin kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131<\/p>\n

\u00c7\u0131kt\u0131lar<\/strong> 2 anestezist (A1, A2), bir t\u0131p \u00f6\u011frencisi (A3) ve toplam 12 radyolog (bir dan\u0131\u015fman radyolog R1 ve kalan 11 ki\u015fi topluca R2 olarak etiketlendi) aras\u0131nda okuyucular aras\u0131 uyu\u015fma (Cohen’in kappa).<\/p>\n

Ana Sonu\u00e7lar<\/strong> Okuyucular aras\u0131ndaki genel fikir birli\u011fi (A1-A2-A3-R1-R2) makuld\u00fc (k = 0.32). Tabakal\u0131 analiz, US kullan\u0131c\u0131lar\u0131 aras\u0131nda orta d\u00fczeyde okuyucular aras\u0131 uyu\u015fma (k = 0.58) g\u00f6sterdi (A1-A2-A3). Uyu\u015fma, g\u00f6\u011f\u00fcs r\u00f6ntgeni okuyucular\u0131 (R1-R2) aras\u0131nda makuld\u00fc (k = 0.39). Yazarlar, okuyucular aras\u0131 anla\u015fmalara dayal\u0131 olarak, US yorumunun g\u00f6\u011f\u00fcs radyografisi analizinden daha \u00fcst\u00fcn oldu\u011fu sonucuna varm\u0131\u015flard\u0131r.<\/p>\n

Yorum <\/strong>US kullan\u0131c\u0131lar\u0131 aras\u0131ndaki okuyucular aras\u0131 anla\u015fman\u0131n X-ray kullan\u0131c\u0131lar\u0131n\u0131nkinden daha iyi oldu\u011fu bildirilse de (orta veya makul), \u00e7al\u0131\u015fma tasar\u0131m\u0131, Nuss prosed\u00fcr\u00fcnden sonra pn\u00f6motoraks\u0131n tespiti i\u00e7in US\u2019i X-ray ile ger\u00e7ekten kar\u015f\u0131la\u015ft\u0131racak \u015fekilde yap\u0131lmam\u0131\u015ft\u0131r. Di\u011fer bir deyi\u015fle, X-ray radyoloji analizine ek olarak ultrasonun radyoloji yorumunun olmamas\u0131, iki modalitenin kar\u015f\u0131la\u015ft\u0131rmas\u0131n\u0131 s\u0131n\u0131rland\u0131r\u0131r, bu da \u00e7al\u0131\u015fman\u0131n bir referans standard\u0131 olmadan yaln\u0131zca okuyucular aras\u0131 uyu\u015fmay\u0131 de\u011ferlendirmesine neden olan \u00f6nemli bir s\u0131n\u0131rlamaya neden olur. Ek olarak \u00e7al\u0131\u015fma, tespit edilen pn\u00f6motorakslar\u0131n klinik \u00f6nemini de\u011ferlendirmedi.<\/p>\n

 <\/p>\n

G\u0130R\u0130\u015e\u0130MSEL RADYOLOJ\u0130<\/strong><\/span><\/h3>\n
\u00c7ocuklarda sistemik ven\u00f6z t\u0131kan\u0131kl\u0131klar\u0131n y\u00f6netimi<\/strong><\/span><\/h5>\n

Gill AE and Shivaram GM.<\/p>\n

CVIR Endovascular 2020;3(59):1-11.<\/p>\n

Soru (lar)<\/strong> Pediatrik sistemik ven\u00f6z okl\u00fczif hastal\u0131kla ilgili etiyolojiler, sunumlar, tan\u0131 testleri, rekanalizasyonun genel teknik konular\u0131 ve prosed\u00fcrel komplikasyonlar\u0131 nelerdir?<\/p>\n

Tasar\u0131<\/strong> Derleme Makalesi<\/p>\n

Ortam<\/strong> Tek kurum (Emory \u00dcniversitesi T\u0131p Fak\u00fcltesi, Atlanta, Georgia)<\/p>\n

Yorum<\/strong> Bu derleme makalesi, \u00e7ocuklarda sistemik ven\u00f6z t\u0131kay\u0131c\u0131 hastal\u0131\u011f\u0131n k\u0131sa bir arka plan\u0131n\u0131 i\u00e7erir ve bu t\u00fcr klinik durumlarda yard\u0131mc\u0131 olan g\u00f6r\u00fcnt\u00fcleme \u00e7al\u0131\u015fmas\u0131n\u0131 a\u00e7\u0131klar (Doppler ultrason, kontrastl\u0131 MRI, dinamik MR venografi ve kontrastl\u0131 BT dahil). Makalenin birincil odak noktas\u0131, prosed\u00fcr ekipman\u0131, teknik ve kar\u015f\u0131la\u015f\u0131lan potansiyel komplikasyonlar dahil olmak \u00fczere hem akut hem de kronik ven\u00f6z t\u0131kan\u0131kl\u0131klar\u0131n endovask\u00fcler y\u00f6netimi hakk\u0131nda bilgi sa\u011flamakt\u0131r.<\/p>\n

Anatomik i\u015faretlere dayal\u0131 ba\u015far\u0131s\u0131z lomber ponksiyondan sonra spinal ultrason: tek bir kurumsal deneyim<\/strong><\/span><\/h5>\n

Jeyakumar A, Weaver JJ, Chick JFB et al.<\/p>\n

Pediatric Radiology<\/em> 2020. Published online 17 September 2020.<\/p>\n

https:\/\/doi.org\/10.1007\/s00247-020-04831-w<\/a>.<\/p>\n

Soru (lar)<\/strong> Prosed\u00fcr \u00f6ncesi ultrason (US), anatomik i\u015faretlere dayal\u0131 (yatak ba\u015f\u0131) Lomber Ponksiyon(LP) sonras\u0131 US k\u0131lavuzlu (USG) Lomber Ponksiyonun teknik ba\u015far\u0131s\u0131n\u0131 ve g\u00fcvenli\u011fini art\u0131r\u0131yor mu?<\/p>\n

Tasar\u0131m<\/strong> Ekim 2017’den Nisan 2020’ye kadar geriye d\u00f6n\u00fck kohort \u00e7al\u0131\u015fmas\u0131<\/p>\n

Ortam:<\/strong> Tek merkez (Washington \u00dcniversitesi \/ Seattle \u00c7ocuk Hastanesi, Seattle, Washington)<\/p>\n

Kat\u0131l\u0131mc\u0131lar<\/strong> 47 \u00e7ocuk<\/p>\n

M\u00fcdahale<\/strong> Acil USG LP (24 saat i\u00e7inde yap\u0131lmas\u0131 gerekir)<\/p>\n

\u00c7\u0131kt\u0131lar<\/strong> Prosed\u00fcr \u00f6ncesi US\u2019te belirlenen teknik ba\u015far\u0131lar, advers olaylar, ilgili anormallikler<\/p>\n

Ana Sonu\u00e7lar<\/strong> G\u00f6r\u00fcnt\u00fc k\u0131lavuzlu\u011funda LP yap\u0131lan 36 hastan\u0131n t\u00fcm\u00fc ba\u015far\u0131l\u0131 bir LP\u2019ye sahipti. Giri\u015fimsel radyolojiye sevk edilen kalan 11 \u00e7ocuk (% 23), serebral omurilik s\u0131v\u0131s\u0131n\u0131n (BOS) azl\u0131\u011f\u0131 ve \/veya LP ihtiyac\u0131n\u0131 ortadan kald\u0131ran klinik durumdaki iyile\u015fme nedeniyle g\u00f6r\u00fcnt\u00fc k\u0131lavuzlu\u011funda LP’ye girmedi. 15 LP (% 42), \u201chafif\u201d bir advers olay olan (Giri\u015fimsel Radyoloji Derne\u011fi \/ SIR s\u0131n\u0131fland\u0131rmas\u0131) travmatik LP\u2019ye neden oldu. Orta veya \u015fiddetli advers olay belgelenmemi\u015ftir. Prosed\u00fcr \u00f6ncesi ultrasonda belirlenen anormallikler aras\u0131nda BOS hacmi azl\u0131\u011f\u0131 ve epidural hematom vard\u0131.<\/p>\n

Yorum<\/strong> \u00c7al\u0131\u015fma, ba\u015far\u0131s\u0131z yatak ba\u015f\u0131 LP giri\u015fiminden sonra odaklanm\u0131\u015f spinal US’nin teknik ba\u015far\u0131ya yard\u0131mc\u0131 olabilece\u011fi ve BOS hacminin azl\u0131\u011f\u0131 ve \/veya epidural hematom varl\u0131\u011f\u0131 gibi prosed\u00fcrle ili\u015fkili komplikasyonlar\u0131 belirleyerek g\u00f6r\u00fcnt\u00fc k\u0131lavuzlu LP i\u00e7in hasta se\u00e7imini art\u0131rabilece\u011fi sonucuna varm\u0131\u015ft\u0131r. Makalenin s\u0131n\u0131rlamalar\u0131 aras\u0131nda k\u00fc\u00e7\u00fck \u00f6rnek boyutu\/odaklanm\u0131\u015f hasta dahil etme kriterleri, hasta raporlamas\u0131na dayal\u0131 komplikasyonlar\u0131 dahil etmede zorluk (\u00f6rn. LP sonras\u0131 ba\u015f a\u011fr\u0131s\u0131) ve ger\u00e7ekten g\u00f6r\u00fcnt\u00fc k\u0131lavuzu ile ger\u00e7ekle\u015ftirilen LP ile ili\u015fkili travmatik LP ile yatak ba\u015f\u0131 LP giri\u015fiminden \u00f6nceden var olan kan\u0131 ay\u0131rt etmede zorluk vard\u0131.<\/p>\n

 <\/p>\n

MUSKULOSKELETAL RADYOLOJ\u0130<\/strong><\/span><\/h3>\n

 <\/p>\n

Geli\u015fimsel kal\u00e7a displazisi olan \u00e7ocuklarda anteroposterior pelvik radyografiler kullan\u0131larak yapay zeka destekli te\u015fhisin klinik uygulamas\u0131<\/strong><\/span><\/h5>\n

Zhang SC, Sun J, Liu CB et al.<\/p>\n

The Bone & Joint Journal<\/em> 2020;102-B(11)1574-1581.<\/p>\n

Soru (lar)<\/strong> Anteroposterior (AP) pelvik radyografilerde geli\u015fimsel kal\u00e7a displazisini (GKD) te\u015fhis etmek i\u00e7in derin \u00f6\u011frenme sistemini nas\u0131l geli\u015ftirebiliriz ve klinik uygulamas\u0131n\u0131n fizibilitesi nedir?<\/p>\n

Tasar\u0131m<\/strong> Nisan 2014’ten Aral\u0131k 2018’e kadar geriye d\u00f6n\u00fck \u00e7al\u0131\u015fma<\/p>\n

Ortam<\/strong> Tek merkez (Anhui Eyalet \u00c7ocuk Hastanesi ve \u00c7in Bilim ve Teknoloji \u00dcniversitesi, Hefei, Anhui, \u00c7in)<\/p>\n

Kat\u0131l\u0131mc\u0131lar<\/strong> Derin \u00f6\u011frenme sistemini e\u011fitmek ve optimize etmek i\u00e7in 10,219 AP pelvik radyografi kullan\u0131ld\u0131. Daha sonra derin \u00f6\u011frenme sistemi ve klinisyenler taraf\u0131ndan konulan te\u015fhisleri kar\u015f\u0131la\u015ft\u0131rmak i\u00e7in 1.138 radyografi kullan\u0131ld\u0131<\/p>\n

M\u00fcdahale<\/strong>: Klinisyenlere k\u0131yasla derin \u00f6\u011frenme sistemi (8 pediatrik Ortoped asistan\u0131, 2 pediatrik Ortopedi do\u00e7enti ve 2 pediatrik radyoloji do\u00e7enti dahil)
\n\u00c7\u0131kt\u0131lar<\/strong>: Bland-Altman grafikleri ile de\u011ferlendirilen asetabular indeks \u00f6l\u00e7\u00fcmlerinin do\u011frulu\u011fu, duyarl\u0131l\u0131\u011f\u0131, \u00f6zg\u00fcll\u00fc\u011f\u00fc ve tutarl\u0131l\u0131\u011f\u0131<\/p>\n

Ana Sonu\u00e7lar<\/strong> Kal\u00e7a \u00e7\u0131k\u0131\u011f\u0131n\u0131n te\u015fhisinde derin \u00f6\u011frenme sistemi i\u00e7in al\u0131c\u0131 i\u015fletim karakteristi\u011fi e\u011frisi<\/a> alt\u0131ndaki alan 0,975 idi. Derin \u00f6\u011frenme sistemi i\u00e7in duyarl\u0131l\u0131k ve \u00f6zg\u00fcll\u00fck s\u0131ras\u0131yla% 95,5 ve% 99,5 idi. Klinisyen \u00f6nderli\u011findeki tan\u0131larla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, derin \u00f6\u011frenme sistemi \u00e7\u0131k\u0131k olmayan ve \u00e7\u0131k\u0131k kal\u00e7alar\u0131n radyografilerindeki asetabular indeksleri \u00f6l\u00e7mede daha tutarl\u0131yd\u0131 (-3.27O<\/sup>-2.94O<\/sup>‘ya kar\u015f\u0131 -7.36O<\/sup>-5.36O<\/sup>, p <0.001).<\/p>\n

Yorum<\/strong> \u00c7al\u0131\u015fma, radyografilerde GKD’nin de\u011ferlendirilmesi i\u00e7in derin \u00f6\u011frenme sistemi geli\u015ftirme deneyimini a\u00e7\u0131klar ve mevcut tarama sevk s\u00fcrecini iyile\u015ftirebilecek klinisyenlere k\u0131yasla performans\u0131n\u0131 g\u00f6sterir. \u00c7al\u0131\u015fman\u0131n k\u0131s\u0131tl\u0131l\u0131klar\u0131 aras\u0131nda tek merkezli yap\u0131s\u0131, radyografik a\u00e7\u0131klamalardaki farkl\u0131l\u0131klar ve daha b\u00fcy\u00fck \u00e7ocuklarda ve \u015fiddetli dislokasyonu olan \u00e7ocuklarda kal\u00e7a radyografilerinin s\u0131n\u0131rl\u0131 de\u011ferlendirilmesi yer almaktad\u0131r.<\/p>\n

 <\/p>\n

N\u00d6RORADYOLOJ\u0130<\/strong><\/span><\/h3>\n

 <\/p>\n

Ba\u015f ve boyundaki ven\u00f6z malformasyonlar\u0131n g\u00f6r\u00fcnt\u00fc k\u0131lavuzlu\u011funda perk\u00fctan skleroterapisi: klinik ve MR temelli volumetrik orta- d\u00f6nem sonu\u00e7lar\u0131<\/span> <\/strong><\/h5>\n

Vollherbst DF, Gebhart P, Kargus S et al.<\/p>\n

PLoS ONE<\/em> 2020;15(10): e0241347.<\/p>\n

https:\/\/doi.org\/10.1371\/journal.pone.0241347<\/a>.<\/p>\n

Sorular<\/strong>: Ba\u015f ve boyundaki ven\u00f6z malformasyonlar\u0131n (VM) g\u00f6r\u00fcnt\u00fc k\u0131lavuzlu\u011funda 95% etanol veya polidokanol ile perk\u00fctan skleroterapi (PS) sonras\u0131 klinik ve MR temelli volumetrik orta- d\u00f6nem sonu\u00e7lar\u0131 nelerdir?<\/p>\n

Tasar\u0131m<\/strong>: Prospektif olarak yap\u0131lan veritaban\u0131n\u0131n Eyl\u00fcl 2010’dan May\u0131s 2015’e kadar retrospektif analizi<\/p>\n

Yer<\/strong>: Tek merkez (Kepler \u00dcniversite Hastanesi: Kepler Universitatsklinikum GmbH, Avusturya)<\/p>\n

Kat\u0131l\u0131mc\u0131lar<\/strong>: 27 hasta (ortalama ya\u015f: 29.2) ve total 51 tedavi seans\u0131<\/p>\n

M\u00fcdahele<\/strong>: G\u00f6r\u00fcnt\u00fc k\u0131lavuzlu\u011funda PS<\/p>\n

Sonu\u00e7lar<\/strong>: Klinik sonu\u00e7lar\u0131n kategorisi: 0= daha k\u00f6t\u00fc, 1= de\u011fi\u015fmemi\u015f, 2= minor geli\u015fme, 3: major geli\u015fme (hem bir n\u00f6roradyolog hem de bir cerrah taraf\u0131ndan yap\u0131lm\u0131\u015ft\u0131r ve g\u00f6rsel muayene, s\u00fcbjektif hasta semptomlar\u0131 ve\/veya ebeveynler ve\/veya doktorlar\u0131n izlenimlerini i\u00e7erir). Tedavi \u00f6ncesi ve sonras\u0131 g\u00f6r\u00fcnt\u00fclemeye dayal\u0131 volumetrik de\u011ferlendirmesi ile 3T sistemi kullan\u0131larak 4 haftal\u0131k tedaviden sonra ger\u00e7ekle\u015ftirilen MRI volumetrik analizi (tedavi cevab\u0131 kategorisi 0= daha k\u00f6t\u00fc (>%10 art\u0131\u015f), 1= de\u011fi\u015fmemi\u015f (%10 azalma veya %10\u2019a kadar artma), 2= minor geli\u015fme (%10-25 azalma), 3: orta d\u00fczey geli\u015fme (%25-50 azalma), 4= major geli\u015fme (><\/u>%50 azalma). VM\u2019ler daha sonra “b\u00fcy\u00fck” (medyan hacimden daha b\u00fcy\u00fck) veya “k\u00fc\u00e7\u00fck” (medyan hacimden daha k\u00fc\u00e7\u00fck) VM’ler olarak s\u0131n\u0131fland\u0131r\u0131ld\u0131. Kal\u0131c\u0131 komplikasyon oran\u0131 da de\u011ferlendirildi.<\/p>\n

Ana sonu\u00e7lar:<\/strong> Klinik sonu\u00e7 hastalar\u0131n % 7,4’\u00fcnde daha k\u00f6t\u00fcle\u015fti ve hastalar\u0131n % 3,7’sinde de\u011fi\u015fme olmad\u0131. Hastalar\u0131n % 7,4’\u00fcnde minor bir klinik iyile\u015fme ve % 81,5 oran\u0131nda major iyile\u015fme oldu. Tedavi edilen VM’lerin hacimleri hastalar\u0131n % 7.4’\u00fcnde daha k\u00f6t\u00fcyd\u00fc ve % 14.8’inde de\u011fi\u015fmedi. VM hacminde minor iyile\u015fme % 22,2, orta d\u00fczey iyile\u015fme % 44,4 ve major iyile\u015fme % 11,1 olarak g\u00f6r\u00fcld\u00fc. Kal\u0131c\u0131 komplikasyonlar % 3.7 oran\u0131nda olu\u015ftu.<\/p>\n

Yorum<\/strong>: Yazarlar, PS’nin, ba\u015f ve boyun VM’leri olan hastalar i\u00e7in klinik iyile\u015fmesine ve VM’lerin boyutunun k\u00fc\u00e7\u00fclmesine dayal\u0131 olarak etkili bir tedavi olabilece\u011fi sonucuna varm\u0131\u015flard\u0131r. Yazarlar semptomlar\u0131n hafifletilmesinin mutlaka \u00f6nemli miktarda hacim k\u00fc\u00e7\u00fclmesi gerektirmedi\u011fini belirtmi\u015flerdir. Asemptomatik olan hastalar takip MR almad\u0131klar\u0131 i\u00e7in, volumetrik analize ili\u015fkin olarak PS ba\u015far\u0131s\u0131n\u0131n eksik tahmin edilmesi potansiyel bir s\u0131n\u0131rlamad\u0131r.<\/p>\n

 <\/p>\n

Hemofagositik lenfohistiyositozlu \u00e7ocuklarda merkezi sinir sistemi tutulumunun MR bulgular\u0131: klinik biyokimyasal testlerle korelasyon<\/strong><\/span><\/h5>\n

Rausa VC, Shapiro J, Seal ML et al.<\/p>\n

Neuroscience and Biobehavioral Reviews<\/em> 2020;118:643-653.<\/p>\n

https:\/\/doi.org\/10.1016\/j.neubiorev.2020.08.017<\/a>.<\/p>\n

Sorular<\/strong>: Merkezi sinir sistemi (MSS) tutulumu olan hemofagositik lenfohistiyositozun (HLH) MR \u00f6zellikleri nelerdir? Bu \u00f6zellikler klinik biyokimyasal testlerle nas\u0131l ili\u015fkilidir?<\/p>\n

Tasar\u0131m<\/strong>: Ocak 2012’den Haziran 2019’a kadar olan retrospektif \u00e7al\u0131\u015fma<\/p>\n

Yer<\/strong>: Tek merkez (Chongqing T\u0131p \u00dcniversitesi \u00c7ocuk Hastanesi, Chongqing, \u00c7in)<\/p>\n

Kat\u0131l\u0131mc\u0131lar<\/strong>: MR bulgular\u0131na g\u00f6re grupland\u0131r\u0131lm\u0131\u015f HLH-MSS’li 118 \u00e7ocuk<\/p>\n

M\u00fcdahale<\/strong>: Beyin MR\u2019\u0131, 11 y\u0131ll\u0131k deneyime sahip 1 pediatrik n\u00f6rolog ile birlikte 2 pediatrik radyolog (her ikisi de >10 y\u0131ll\u0131k n\u00f6roradyoloji tecr\u00fcbesine sahip) taraf\u0131ndan ger\u00e7ekle\u015ftirildi ve analiz edildi. Beyin omurilik s\u0131v\u0131s\u0131 (BOS) mikroprotein i\u00e7eri\u011fi, BOS h\u00fccre say\u0131s\u0131, serum aspartat aminotransferaz (AST), serum laktat dehidrojenaz (LDH), plazma fibrinojen (FIB), trombosit say\u0131m\u0131 (PLT) ve aktive parsiyel tromboplastin zaman\u0131 (APTT) dahil olmak \u00fczere 7 biyokimyasal test elde edildi.<\/p>\n

Sonu\u00e7lar:<\/strong> Beyin MR bulgular\u0131, \u201cNormal\u201d (Grup 1), \u201cdiff\u00fcz hacim kayb\u0131\u201d (Grup 2) ve \u201cbeyin parankimal lezyonlar\u0131\u201d (Grup 3). Klinik biyokimyasal testler ile \u00fc\u00e7 grup i\u00e7in ikili kar\u015f\u0131la\u015ft\u0131rma yap\u0131ld\u0131 ve Spearman’\u0131n s\u0131ralama korelasyon katsay\u0131s\u0131 (r) hesapland\u0131.<\/p>\n

Ana Sonu\u00e7lar<\/strong>: \u00dc\u00e7 grup aras\u0131nda biyokimyasal de\u011ferleri kar\u015f\u0131la\u015ft\u0131r\u0131rken, BOS h\u00fccre say\u0131s\u0131 hari\u00e7, istatistiksel farkl\u0131l\u0131klar vard\u0131. A\u015fa\u011f\u0131daki biyokimyasal testler i\u00e7in MR gruplar\u0131 ile pozitif korelasyon vard\u0131: BOS h\u00fccre say\u0131s\u0131 (r = 0.193, p = 0.036), BOS mikroprotein i\u00e7eri\u011fi (r = 0.379, p <0.001), AST (r = 0.521, p <0.001) , LDH (r = 0.514, p <0.001) ve APTT (r = 0.326, p <0.001). MR gruplar\u0131 ile PLT (r = -0.633, p <0.001) ve FIB (r = -0.258, p = 0.005) i\u00e7in negatif korelasyon vard\u0131.<\/p>\n

Yorum:<\/strong> Yazarlar, HLH’nin beyin MR bulgular\u0131n\u0131n MSS tutulumu ile \u00f6nemli biyokimyasal testlerle iyi korelasyon g\u00f6sterdi\u011fi sonucuna varm\u0131\u015ft\u0131r; bu, beyin MR’\u0131n\u0131n HLH’nin ciddiyetini ve klinik sonu\u00e7lar\u0131n\u0131 de\u011ferlendirmeye yard\u0131mc\u0131 olabilece\u011fini d\u00fc\u015f\u00fcnd\u00fcrmektedir; ancak, spesifik rol\u00fcn\u00fc ve biyokimyasal testleri nas\u0131l tamamlayabilece\u011fini incelemek i\u00e7in daha fazla \u00e7al\u0131\u015fma gereklidir. Bununla birlikte, 1.5T ve 3T cihaz kullan\u0131m\u0131 (lezyon s\u0131n\u0131fland\u0131rmas\u0131nda bilinmeyen hatalara yol a\u00e7abilir) ve 29 \u00e7ocuk i\u00e7in k\u00fc\u00e7\u00fck oranda kontrastl\u0131 MR kullan\u0131m\u0131 da dahil olmak \u00fczere birka\u00e7 \u00f6nemli s\u0131n\u0131rlama vard\u0131r (Bu, k\u00fc\u00e7\u00fck lezyonlar\u0131n ka\u00e7\u0131r\u0131lmas\u0131na yol a\u00e7abilir).<\/p>\n

 <\/p>\n

Pediatrik hafif travmatik beyin hasar\u0131nda n\u00f6rog\u00f6r\u00fcnt\u00fcleme: Sistematik inceleme<\/span> <\/strong><\/h5>\n

Rausa VC, Shapiro J, Seal ML et al.<\/p>\n

Neuroscience and Biobehavioral Reviews<\/em> 2020;118:643-653.<\/p>\n

https:\/\/doi.org\/10.1016\/j.neubiorev.2020.08.017<\/a>.<\/p>\n

Sorular<\/strong>: \u00c7ocuklarda ileri d\u00fczey beyin g\u00f6r\u00fcnt\u00fcleme ve beyin sars\u0131nt\u0131s\u0131 sonras\u0131 semptomlar (PCS) aras\u0131ndaki ili\u015fki nedir? Kan\u0131t\u0131n kalitesi nedir?<\/p>\n

Tasar\u0131m<\/strong>: Sistematik inceleme<\/p>\n

Yer<\/strong>: Tek merkez (The Royal Children\u2019s Hospital, Melbourne). MEDLINE, PsycINFO, EMBASE ve PubMed i\u00e7in bir literat\u00fcr taramas\u0131 yap\u0131ld\u0131.<\/p>\n

Kat\u0131l\u0131mc\u0131lar:<\/strong> 58 g\u00f6r\u00fcnt\u00fcleme \u00e7al\u0131\u015fmas\u0131 dahil edilme kriterlerini kar\u015f\u0131lad\u0131 (total 2047 hafif travmatik beyin hasar\u0131 hastas\u0131 ve 1243 kontrol hastas\u0131)<\/p>\n

Sonu\u00e7lar:<\/strong> T1- \/ T2-a\u011f\u0131rl\u0131kl\u0131 g\u00f6r\u00fcnt\u00fcleme, duyarl\u0131l\u0131k a\u011f\u0131rl\u0131kl\u0131 g\u00f6r\u00fcnt\u00fcleme (SWI), dif\u00fczyon a\u011f\u0131rl\u0131kl\u0131 g\u00f6r\u00fcnt\u00fcleme (DWI), fonksiyonel MRI (fMRI), serebral kan ak\u0131\u015f\u0131\/ hacmi (perf\u00fczyon a\u011f\u0131rl\u0131kl\u0131 g\u00f6r\u00fcnt\u00fcleme, arteriyel spin etiketleme ve faz kontrast anjiyografi dahil) ve spektroskopi gibi \u00e7e\u015fitli MR tekniklerinin g\u00f6r\u00fcnt\u00fcleme bulgular\u0131 kullan\u0131ld\u0131. Ek olarak, \u00e7al\u0131\u015fma, Newcastle Ottawa \u00d6l\u00e7e\u011fi (NOS) ve Veri Analizi ve Payla\u015f\u0131m\u0131nda En \u0130yi Uygulamalar Komitesi (COBIDAS) kontrol listelerini kullanarak g\u00f6r\u00fcnt\u00fcleme \u00e7al\u0131\u015fmalar\u0131n\u0131n kalitesini de\u011ferlendirdi.<\/p>\n

Ana Sonu\u00e7lar<\/strong>: T1- \/ T2 a\u011f\u0131rl\u0131kl\u0131 g\u00f6r\u00fcnt\u00fcler, gri cevher de\u011fi\u015fiklikleri ve bunlar\u0131n PCS ile nas\u0131l ili\u015fkili olduklar\u0131 konusunda kar\u0131\u015f\u0131k bulgulara sahiptir. SWI bulgular\u0131 ile yaralanma \u015fiddeti aras\u0131nda pozitif bir ili\u015fki olabilir. Baz\u0131 \u00e7al\u0131\u015fmalar, \u00e7e\u015fitli DWI \u00f6l\u00e7\u00fcmlerinin, yaralanma ciddiyetinin klinik g\u00f6stergeleriyle birlikte prognostik de\u011fer potansiyeline sahip oldu\u011funu g\u00f6stermi\u015ftir. Baz\u0131 \u00e7al\u0131\u015fmalar, g\u00f6revle ilgili bili\u015fsel aktivasyonun analizine ek olarak, metabolik aktivite (kan oksijen d\u00fczeyine ba\u011fl\u0131 de\u011fi\u015fiklikler\/ BOLD sinyalindeki de\u011fi\u015fiklikler) ile sporcularda oyuna d\u00f6n\u00fc\u015f zaman\u0131 aras\u0131nda bir ili\u015fki oldu\u011funu g\u00f6stermi\u015ftir. Hafif travmatik beyin hasar\u0131 olan hastalarda serebral kan ak\u0131\u015f\u0131 ve hacim analizleri de\u011fi\u015fkenlik g\u00f6stermi\u015ftir. Birka\u00e7 \u00e7al\u0131\u015fma, 1. kez sars\u0131nt\u0131dan sonra frontal lobda GABA\/ Kreatinin oran\u0131n\u0131n artt\u0131\u011f\u0131n\u0131 ve yaralanmadan aylar sonra NAA\/ Kreatinin ve NAA\/ Kolin oranlar\u0131nda azalma oldu\u011funu g\u00f6stermi\u015ftir.<\/p>\n

Yorum:<\/strong> Bu sistematik inceleme, mevcut literat\u00fcr\u00fcn, y\u00f6ntemlerdeki farkl\u0131l\u0131klar ve nispeten k\u00fc\u00e7\u00fck \u00f6rnek b\u00fcy\u00fckl\u00fckleri nedeniyle anlaml\u0131 sonu\u00e7lar \u00e7\u0131karmak i\u00e7in yetersiz kan\u0131t sa\u011flad\u0131\u011f\u0131n\u0131 belirtmektedir.<\/p>\n

 <\/p>\n

Translated by: \u00c7i\u00e7ek Bak\u0131r, Defne Ba\u015fkur, Ahmet Umur Top\u00e7u, Duygu Cengiz<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"V\u00dcCUT G\u00d6R\u00dcNT\u00dcLEME   K\u00fc\u00e7\u00fck Wilms t\u00fcm\u00f6rlerine kar\u015f\u0131 nefrojenik kal\u0131nt\u0131lar\u0131n g\u00f6r\u00fcnt\u00fcleme \u00f6zellikleri: \u00c7ocuk Onkoloji Grubu \u00c7al\u0131\u015fmas\u0131 […]","protected":false},"author":3,"featured_media":3056,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[209],"tags":[],"class_list":["post-10575","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr"],"yoast_head":"\nWhat\u2019s new in Pediatric Imaging (Turkish) \u2013 December 2020 - ACORE<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What\u2019s new in Pediatric Imaging (Turkish) \u2013 December 2020 - ACORE\" \/>\n<meta property=\"og:description\" content=\"V\u00dcCUT G\u00d6R\u00dcNT\u00dcLEME   K\u00fc\u00e7\u00fck Wilms t\u00fcm\u00f6rlerine kar\u015f\u0131 nefrojenik kal\u0131nt\u0131lar\u0131n g\u00f6r\u00fcnt\u00fcleme \u00f6zellikleri: \u00c7ocuk Onkoloji Grubu \u00c7al\u0131\u015fmas\u0131 […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/\" \/>\n<meta property=\"og:site_name\" content=\"ACORE\" \/>\n<meta property=\"article:published_time\" content=\"2020-12-25T02:45:53+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-12-25T03:08:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/broken-leg-x-ray-scanning-PWB9QTL-1-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1678\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Abdelrahman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Yazan:\" \/>\n\t<meta name=\"twitter:data1\" content=\"Abdelrahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tahmini okuma s\u00fcresi\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 dakika\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/\",\"url\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/\",\"name\":\"What\u2019s new in Pediatric Imaging (Turkish) \u2013 December 2020 - ACORE\",\"isPartOf\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/broken-leg-x-ray-scanning-PWB9QTL-1-scaled.jpg\",\"datePublished\":\"2020-12-25T02:45:53+00:00\",\"dateModified\":\"2020-12-25T03:08:51+00:00\",\"author\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/#\/schema\/person\/75293c6e4870f3aa293e1394c53df6b7\"},\"breadcrumb\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/#breadcrumb\"},\"inLanguage\":\"tr\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"tr\",\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/#primaryimage\",\"url\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/broken-leg-x-ray-scanning-PWB9QTL-1-scaled.jpg\",\"contentUrl\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/broken-leg-x-ray-scanning-PWB9QTL-1-scaled.jpg\",\"width\":2560,\"height\":1678,\"caption\":\"Broken Leg of Little Children X Ray Scanning. Radiology Imaging. Radiologist Preparing Girl for the Scan.\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/staging-hub.acoredu.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"What\u2019s new in Pediatric Imaging (Turkish) \u2013 December 2020\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/staging-hub.acoredu.com\/#website\",\"url\":\"https:\/\/staging-hub.acoredu.com\/\",\"name\":\"ACORE\",\"description\":\"Radiology education for everyone, everywhere!\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/staging-hub.acoredu.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"tr\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/staging-hub.acoredu.com\/#\/schema\/person\/75293c6e4870f3aa293e1394c53df6b7\",\"name\":\"Abdelrahman\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"tr\",\"@id\":\"https:\/\/staging-hub.acoredu.com\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/2ad7486277da081678ef5e7172d9abecba77465cd62bd4d7272d1141d0b9bca2?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/2ad7486277da081678ef5e7172d9abecba77465cd62bd4d7272d1141d0b9bca2?s=96&d=mm&r=g\",\"caption\":\"Abdelrahman\"},\"url\":\"https:\/\/staging-hub.acoredu.com\/tr\/author\/abdelrahman\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"What\u2019s new in Pediatric Imaging (Turkish) \u2013 December 2020 - ACORE","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/","og_locale":"tr_TR","og_type":"article","og_title":"What\u2019s new in Pediatric Imaging (Turkish) \u2013 December 2020 - ACORE","og_description":"V\u00dcCUT G\u00d6R\u00dcNT\u00dcLEME   K\u00fc\u00e7\u00fck Wilms t\u00fcm\u00f6rlerine kar\u015f\u0131 nefrojenik kal\u0131nt\u0131lar\u0131n g\u00f6r\u00fcnt\u00fcleme \u00f6zellikleri: \u00c7ocuk Onkoloji Grubu \u00c7al\u0131\u015fmas\u0131 […]","og_url":"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/","og_site_name":"ACORE","article_published_time":"2020-12-25T02:45:53+00:00","article_modified_time":"2020-12-25T03:08:51+00:00","og_image":[{"width":2560,"height":1678,"url":"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/broken-leg-x-ray-scanning-PWB9QTL-1-scaled.jpg","type":"image\/jpeg"}],"author":"Abdelrahman","twitter_card":"summary_large_image","twitter_misc":{"Yazan:":"Abdelrahman","Tahmini okuma s\u00fcresi":"18 dakika"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/","url":"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/","name":"What\u2019s new in Pediatric Imaging (Turkish) \u2013 December 2020 - ACORE","isPartOf":{"@id":"https:\/\/staging-hub.acoredu.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/#primaryimage"},"image":{"@id":"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/#primaryimage"},"thumbnailUrl":"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/broken-leg-x-ray-scanning-PWB9QTL-1-scaled.jpg","datePublished":"2020-12-25T02:45:53+00:00","dateModified":"2020-12-25T03:08:51+00:00","author":{"@id":"https:\/\/staging-hub.acoredu.com\/#\/schema\/person\/75293c6e4870f3aa293e1394c53df6b7"},"breadcrumb":{"@id":"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/#breadcrumb"},"inLanguage":"tr","potentialAction":[{"@type":"ReadAction","target":["https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/"]}]},{"@type":"ImageObject","inLanguage":"tr","@id":"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/#primaryimage","url":"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/broken-leg-x-ray-scanning-PWB9QTL-1-scaled.jpg","contentUrl":"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/broken-leg-x-ray-scanning-PWB9QTL-1-scaled.jpg","width":2560,"height":1678,"caption":"Broken Leg of Little Children X Ray Scanning. Radiology Imaging. Radiologist Preparing Girl for the Scan."},{"@type":"BreadcrumbList","@id":"https:\/\/staging-hub.acoredu.com\/whats-new-in-pediatric-imaging-december-2020\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/staging-hub.acoredu.com\/"},{"@type":"ListItem","position":2,"name":"What\u2019s new in Pediatric Imaging (Turkish) \u2013 December 2020"}]},{"@type":"WebSite","@id":"https:\/\/staging-hub.acoredu.com\/#website","url":"https:\/\/staging-hub.acoredu.com\/","name":"ACORE","description":"Radiology education for everyone, everywhere!","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/staging-hub.acoredu.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"tr"},{"@type":"Person","@id":"https:\/\/staging-hub.acoredu.com\/#\/schema\/person\/75293c6e4870f3aa293e1394c53df6b7","name":"Abdelrahman","image":{"@type":"ImageObject","inLanguage":"tr","@id":"https:\/\/staging-hub.acoredu.com\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/2ad7486277da081678ef5e7172d9abecba77465cd62bd4d7272d1141d0b9bca2?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2ad7486277da081678ef5e7172d9abecba77465cd62bd4d7272d1141d0b9bca2?s=96&d=mm&r=g","caption":"Abdelrahman"},"url":"https:\/\/staging-hub.acoredu.com\/tr\/author\/abdelrahman\/"}]}},"_links":{"self":[{"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/posts\/10575","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/comments?post=10575"}],"version-history":[{"count":2,"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/posts\/10575\/revisions"}],"predecessor-version":[{"id":10584,"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/posts\/10575\/revisions\/10584"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/media\/3056"}],"wp:attachment":[{"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/media?parent=10575"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/categories?post=10575"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/tags?post=10575"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}