{"id":7244,"date":"2020-08-06T07:04:38","date_gmt":"2020-08-06T12:04:38","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=7244"},"modified":"2020-08-07T06:11:43","modified_gmt":"2020-08-07T11:11:43","slug":"whats-new-in-gastrointestinal-imaging-turkish-august-2020","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/tr\/whats-new-in-gastrointestinal-imaging-turkish-august-2020\/","title":{"rendered":"What&#8217;s new in Gastrointestinal Imaging (Turkish) &#8211; August 2020"},"content":{"rendered":"<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Abdomen ve Pelviste IgG4 \u0130li\u015fkili Hastal\u0131k: Atipik Bulgular, Tuzaklar ve Taklit Eden Durumlar<\/strong><\/span><\/h5>\n<p>Zheng Y, Elsayes KM, Waranch C, et al. IgG4-related disease in the abdomen and pelvis: atypical findings, pitfalls, and mimics.\u00a0<em>Abdom Radiol (NY)<\/em>. 2020;45(8):2485-2499. doi:10.1007\/s00261-020-02526-2<\/p>\n<p><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00261-020-02526-2\">https:\/\/link.springer.com\/article\/10.1007\/s00261-020-02526-2<\/a><\/p>\n<p><strong>Keywords<\/strong>: Diagnostic approach, IgG4, autoimmune pancreatitis<\/p>\n<p>Zheng ve ark. bu makalede IgG4 ili\u015fkili hastal\u0131klar ile ilgili derleme sunuyor. IgG4 ili\u015fkili hastal\u0131klar\u0131n tan\u0131s\u0131nda radyologlar\u0131n oynad\u0131\u011f\u0131 rol b\u00fcy\u00fckt\u00fcr. Bu makalede de IgG4 ili\u015fkili otoimmun pankreatit, sklerozan kolanjit, renal hastal\u0131k ve retroperitoneal fibroziste beklenen g\u00f6r\u00fcnt\u00fcleme bulgular\u0131 tart\u0131\u015f\u0131lmaktad\u0131r. Ek olarak daha seyrek g\u00f6r\u00fclen karaci\u011fer, apendiks ve prostat tutulumlar\u0131 da detayland\u0131r\u0131lm\u0131\u015ft\u0131r. Daha sonra makalede IgG4 ili\u015fkili hastal\u0131\u011f\u0131n glukokortikoid ve immunsupresan kombinasyonu, \u00f6rne\u011fin azatiyop\u00fcrin veya metotreksat ile tedavisi anlat\u0131lmaktad\u0131r. Bu kombinasyon ile remisyon oran\u0131 %98\u2019lere ula\u015fabilmektedir ancak %23\u2019e varan relaps g\u00f6r\u00fclebilir.<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Kanser Hastalar\u0131nda Akut Bat\u0131n G\u00f6r\u00fcnt\u00fclemesi<\/strong><\/span><\/h5>\n<p>Morani AC, Hanafy AK, Marcal LP, et al. Imaging of acute abdomen in cancer patients.\u00a0<em>Abdom Radiol (NY)<\/em>. 2020;45(8):2287-2304. doi:10.1007\/s00261-019-02332-5<\/p>\n<p><a href=\"https:\/\/link.springer.com\/content\/pdf\/10.1007%252Fs00261-019-02332-5.pdf\">https:\/\/link.springer.com\/content\/pdf\/10.1007%2Fs00261-019-02332-5.pdf<\/a><\/p>\n<p><strong>Keywords<\/strong>: Diagnostic approach, acute abdomen, oncology<\/p>\n<p>Bu derlemede Morani ve ark. kanser hastalar\u0131nda abdominal acilleri tart\u0131\u015f\u0131yor. Makalede bu hasta grubunda kar\u0131n a\u011fr\u0131lar\u0131n\u0131n altta yatan t\u00fcm\u00f6re, kanser tedavisinde kullan\u0131lan ila\u00e7lara veya sa\u011flam pop\u00fclasyonda g\u00f6r\u00fclebilecek akut bat\u0131n etiyolojilerine ba\u011fl\u0131 olabilece\u011finden s\u00f6z edilmektedir. Kanser hastalar\u0131nda en s\u0131k g\u00f6r\u00fclen akut bat\u0131n acilleri; obstr\u00fcksiyon, perforasyon, iskemi ve inflamatuar s\u00fcre\u00e7ler ile ili\u015fkili gastrointestinal sistem patolojilerinden kaynaklanmaktad\u0131r. Ayr\u0131ca akut hepatik, pankreatik, biliyer, vask\u00fcler ve genito\u00fcriner di\u011fer etiyolojik sebepler de incelenmi\u015ftir. Makalede bu hasta grubunda akut bat\u0131na yol a\u00e7an patolojilerin s\u0131k g\u00f6r\u00fclen BT bulgular\u0131 incelenmi\u015ftir. Ayr\u0131ca malignitelerin ilk bulgusunun akut bat\u0131n \u015feklinde ortaya \u00e7\u0131kabilece\u011fi ve kanser tedavisindeki ilerlemelerin ya\u015fam s\u00fcresini uzatmas\u0131yla birlikte abdominal onkolojik acillerin de artaca\u011f\u0131 kaydedilmi\u015ftir.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Akut Mezenterik \u0130skeminin Kontrastl\u0131 BT ile Tan\u0131s\u0131<\/strong><\/span><\/h5>\n<p>Garzelli L, Nuzzo A, Copin P, et al. Contrast-Enhanced CT for the Diagnosis of Acute Mesenteric Ischemia.\u00a0<em>AJR Am J Roentgenol<\/em>. 2020;215(1):29-38. doi:10.2214\/AJR.19.22625<\/p>\n<p><a href=\"https:\/\/www.ajronline.org\/doi\/abs\/10.2214\/AJR.19.22625\">https:\/\/www.ajronline.org\/doi\/abs\/10.2214\/AJR.19.22625<\/a><\/p>\n<p><strong>Keywords<\/strong>: Diagnostic approach, acute abdomen, mesenteric ischemia<\/p>\n<p>Bu \u00e7ok merkezli makale, akut mezenterik iskemi(AM\u0130)\u2019nin tan\u0131s\u0131nda ve prognozunda kontrastl\u0131 BT\u2019nin rol\u00fc konusunda bir bak\u0131\u015f a\u00e7\u0131s\u0131 sa\u011flamaktad\u0131r. Makalede AM\u0130\u2019nin patofizyolojisi, klini\u011fi ve muhtemel etiyolojileri tan\u0131mlanm\u0131\u015ft\u0131r. AM\u0130; semptomlar\u0131n\u0131n ortaya \u00e7\u0131k\u0131\u015f\u0131ndan itibaren ilk 12 saatte %12, 48 saatte %98, \u015fayet tedavisiz b\u0131rak\u0131l\u0131rsa %100 mortalite oran\u0131na sahiptir; bu nedenle makalede AM\u0130\u2019ye acil m\u00fcdahalenin \u00f6nemi belirtilmektedir. AM\u0130\u2019nin tan\u0131s\u0131nda kontrastl\u0131 BT %90\u2019n\u0131n \u00fczerinde \u00f6zg\u00fcll\u00fck ile en do\u011fru tan\u0131 arac\u0131d\u0131r. Ayr\u0131ca BT, AM\u0130 d\u00fc\u015f\u00fcn\u00fclen hastalarda di\u011fer alternatif tan\u0131lar\u0131n koyulmas\u0131nda da yararl\u0131 olmaktad\u0131r. Makalede en uygun protokol olarak kontrasts\u0131z, arteriyel ve portal fazlar\u0131 i\u00e7eren BT protokol\u00fcnden bahsedilmektedir. Daha sonra barsak duvar\u0131nda incelme veya kal\u0131nla\u015fma, kontrasts\u0131z g\u00f6r\u00fcnt\u00fclerde barsak duvar\u0131 aten\u00fcasyonunda art\u0131\u015f, postkontrast fazlar\u0131nda barsak boyanmas\u0131nda azalma , barsak l\u00fcmeninde dilatasyon gibi AM\u0130\u2019nin g\u00f6r\u00fcnt\u00fcleme bulgular\u0131 detayland\u0131r\u0131lm\u0131\u015ft\u0131r. Geri d\u00f6n\u00fc\u015f\u00fcms\u00fcz transmural nekroz ile beraber olan ge\u00e7 AM\u0130; serum laktat d\u00fczeyinde art\u0131\u015f, organ yetmezli\u011fi bulgular\u0131 ve BT\u2019de g\u00f6sterilmi\u015f barsak nekrozuyla erken AM\u0130\u2019dan ayr\u0131labilmektedir. Makale, cerrahi veya endovask\u00fcler tedavi se\u00e7enekleri ile BT\u2019nin revask\u00fclarizasyon veya ba\u011f\u0131rsak rezeksiyonu gereklili\u011fin derecelendirilmesinde nas\u0131l bir rol oynad\u0131\u011f\u0131n\u0131 tart\u0131\u015farak son bulmaktad\u0131r.<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Distal Rektal Kanserde <\/strong><strong>Dentat \u00c7izgi \u0130nvazyonunu Tahmin Etmede MRG\u2019nin Do\u011frulu\u011fu<\/strong><\/span><\/h5>\n<p>Tatsumoto S, Itoh T, Takahama J, et al. Accuracy of magnetic resonance imaging in predicting dentate line invasion in low rectal cancer.\u00a0<em>Jpn J Radiol<\/em>. 2020;38(6):539-546. doi:10.1007\/s11604-020-00933-5<\/p>\n<p><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11604-020-00933-5\">https:\/\/link.springer.com\/article\/10.1007\/s11604-020-00933-5<\/a><\/p>\n<p><strong>Keywords<\/strong>: MRI, diagnostic approach, rectal cancer<\/p>\n<p>Bu retrospektif \u00e7al\u0131\u015fmada distal rektal kanserde dentat \u00e7izgi invazyonunu tahminde MRG\u2019nin do\u011frulu\u011fu de\u011ferlendirilmi\u015ftir. Dentat \u00e7izgi tutulumu hastalarda sfinkter koruyucu veya abdominoperineal rezeksiyon se\u00e7iminde karar verdirici bir s\u0131n\u0131r noktas\u0131 olarak ele al\u0131nmaktad\u0131r; bu makalede de dentat \u00e7izgi cerrahi planlama a\u00e7\u0131s\u0131ndan \u00f6nemli bir s\u0131n\u0131r noktas\u0131 olarak tan\u0131mlanm\u0131\u015ft\u0131r. Ara\u015ft\u0131rmada iki radyolog birbirinden ba\u011f\u0131ms\u0131z olarak primer distal rektal kanserli 54 hastada s\u0131ras\u0131yla %94 ve %91 oran\u0131nda do\u011frulukla dentat \u00e7izgi invazyonunu tan\u0131mlad\u0131. Makalede radyolojik olarak t\u00fcm\u00f6r ve MRG taraf\u0131ndan belirlenen dentat \u00e7izgi aras\u0131ndaki uzakl\u0131\u011f\u0131n histolojik olarak tan\u0131mlanan uzakl\u0131ktan 4.9 mm daha k\u0131sa oldu\u011fundan s\u00f6z edilmi\u015ftir; bu uyumsuzluk muhtemelen transizyonel zonu veya t\u00fcm\u00f6r\u00fcn etraf\u0131ndaki inflamasyonu tan\u0131mlamadaki g\u00fc\u00e7l\u00fckten kaynaklanmaktad\u0131r.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u0130nce Barsak Neoplazmlar\u0131: Resimli Derleme<\/strong><\/span><\/h5>\n<p>Jasti R, Carucci LR. Small Bowel Neoplasms: A Pictorial Review. Radiographics. 2020;40(4):1020-1038. doi:10.1148\/rg.2020200011<\/p>\n<p><a href=\"https:\/\/pubs.rsna.org\/doi\/10.1148\/rg.2020200011\">https:\/\/pubs.rsna.org\/doi\/10.1148\/rg.2020200011<\/a><\/p>\n<p><strong>Keywords<\/strong>: Diagnostic approach, review, small bowel<\/p>\n<p>Bu makalede benign ve malign ince barsak neoplazmlar\u0131 g\u00f6zden ge\u00e7irilmi\u015ftir. Makale nadir g\u00f6r\u00fclen ve Birle\u015fik Devletler\u2019deki kanserlerin %0.5\u2019ini olu\u015fturan ince barsak neoplazmlar\u0131n\u0131n epidemiyolojisiyle ba\u015flamaktad\u0131r. Bununla birlikte muhtemelen di\u011fer endikasyonlar i\u00e7in yap\u0131lan kesitsel g\u00f6r\u00fcnt\u00fclemelerin artmas\u0131yla ince barsak neoplazmlar\u0131n\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 artmaktad\u0131r. Makalede ince barsak g\u00f6r\u00fcnt\u00fclemesinin floroskopik incelemeden MRG ve BT enterografiyi de i\u00e7eren kesitsel g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerine evrimi tart\u0131\u015f\u0131lm\u0131\u015ft\u0131r. Polipozis sendromlar\u0131 bir kenara, \u00a0benign ince barsak t\u00fcm\u00f6rleri genellikle soliterdir ve adenom, hamartom, lipom, leiyomyom ve benign G\u0130ST\u2019leri i\u00e7ermektedir. Malign ince barsak t\u00fcm\u00f6rleriyse malign G\u0130ST, adenokarsinom, karsinoid t\u00fcm\u00f6r, sarkom ve metastazlardan olu\u015fmaktad\u0131r.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Sindirim Sistemi Kanserlerinin G\u00fcncellenmi\u015f TNM Evrelendirmesinde N Kategorisinin \u0130ncelenmesi<\/strong><\/span><\/h5>\n<p><a href=\"https:\/\/www-ajronline-org\/doi\/abs\/10.2214\/AJR.19.22636\">https:\/\/www-ajronline-org\/doi\/abs\/10.2214\/AJR.19.22636<\/a><\/p>\n<p>Pedersen CK, Babu AS. Understanding the Lymphatics: Review of the N Category in the Updated TNM Staging of Cancers of the Digestive System.\u00a0<em>AJR Am J Roentgenol<\/em>. 2020;215(1):58-68. doi:10.2214\/AJR.19.22636<\/p>\n<p><strong>Keywords: <\/strong>Review, staging, oncology<\/p>\n<p>Bu makalede \u00f6zafagustan anal kanala kadar sindirim sistemi, hepatobiliyer sistem, b\u00f6brekler ve adrenal bezleri i\u00e7eren kanserlerin AJCC TNM s\u0131n\u0131fland\u0131rmas\u0131n\u0131n g\u00fcncellenmi\u015f 8. n\u00fcshas\u0131ndaki de\u011fi\u015fiklikler detayl\u0131ca incelenmi\u015ftir. Lenf nodu tutulumunun tespiti g\u00fc\u00e7 olabilmektedir; bu makalede de evreleme, prognoz ve hasta y\u00f6netiminde isabetli olabilmek i\u00e7in s\u0131k g\u00f6r\u00fclen lenf nodu drenajlar\u0131 ve lenf nodlar\u0131n\u0131n karekteristik \u00f6zellikleri detayl\u0131 ele al\u0131nm\u0131\u015ft\u0131r. Lenf nodu metastaz\u0131 varl\u0131\u011f\u0131nda metastaz\u0131n b\u00f6lgesel mi sistemik mi oldu\u011funu belirlemek \u00f6nem arz etmektedir. Bu makale sindirim sistemi ve hepatobiliyer sistem kanserlerinin farkl\u0131 nodal \u00f6zelliklerini tasvir etmektedir.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Mide Kanserinde Lenf Nodu Metastaz\u0131 Tahmini \u0130\u00e7in Radiomics Temelli Model<\/strong><\/span><\/h5>\n<p><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0720048X20302588\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0720048X20302588<\/a><\/p>\n<p>Gao X, Ma T, Cui J, et al. A radiomics-based model for prediction of lymph node metastasis in gastric cancer. <em>Eur J Radiol<\/em>. 2020;129:109069. doi:10.1016\/j.ejrad.2020.109069<\/p>\n<p><strong>Keywords<\/strong>: Radiomics, gastric cancer, CT<\/p>\n<p>Bu retrospektif \u00e7al\u0131\u015fmada radiomics metodu ile radyolojik g\u00f6r\u00fcnt\u00fclemelerden h\u00fccresel \u00f6zellikler ve gen ekspresyonu gibi kantititatif veriler elde edilmeye \u00e7al\u0131\u015f\u0131lm\u0131\u015ft\u0131r. Radiomics metoduyla kontrastl\u0131 BT\u2019ler kullan\u0131larak mide kanserinde lenf nodu metastaz\u0131n\u0131n tahmin edilmesi ama\u00e7lanm\u0131\u015ft\u0131r. \u00c7al\u0131\u015fmada radikal gastrektomi yap\u0131lm\u0131\u015f 768 hasta \u00fczerinde ya\u015f, cinsiyet, t\u00fcm\u00f6r lokasyonu (fundus, korpus, antrum), patolojik T ve N evresi, CEA ve CA19-9 seviyeleri gibi de\u011fi\u015fkenler kullan\u0131lm\u0131\u015ft\u0131r. Yazarlar bu verileri kullanarak lenf nodu metastazlar\u0131n\u0131 tahmin etmeye yarayan bir model geli\u015ftirmi\u015ftir. Ara\u015ft\u0131rmac\u0131lar, histolojik veriler g\u00f6zden ge\u00e7irildikten sonra, radiomicsin nodal metastazlar\u0131 tahmin etmede tek ba\u015f\u0131na BT g\u00f6r\u00fcnt\u00fclemeden daha ba\u015far\u0131l\u0131 sonu\u00e7lar verdi\u011fini ortaya koymu\u015ftur.<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u00d6zafageal Varis Kanamas\u0131: Varis Varl\u0131\u011f\u0131n\u0131n ve Kanama Riskinin Tahmininde MDCT\u2019nin Rol\u00fc<\/strong><\/span><\/h5>\n<p><a href=\"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00261-020-02585-5.pdf\">https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00261-020-02585-5.pdf<\/a><\/p>\n<p>Salahshour F, Mehrabinejad MM, Rashidi Shahpasandi MH, et al. Esophageal variceal hemorrhage: the role of MDCT characteristics in predicting the presence of varices and bleeding risk.\u00a0<em>Abdom Radiol (NY)<\/em>. 2020;45(8):2305-2314. doi:10.1007\/s00261-020-02585-5<\/p>\n<p><strong>Keywords<\/strong>: Cirrhosis, CT, Varices<\/p>\n<p>Bu retrospektif \u00e7al\u0131\u015fmada \u00f6zafageal varislerin varl\u0131\u011f\u0131n\u0131 belirlemede endoskopi ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda BT\u2019nin etkinli\u011fi incelenmi\u015ftir. Makalede \u00f6zafageal varislerin epidemiyolojisi ve siroz insidans\u0131ndaki art\u0131\u015fa ba\u011fl\u0131 \u00f6zafageal varislerin artm\u0131\u015f prevalans\u0131 tart\u0131\u015f\u0131lmaktad\u0131r. Farkl\u0131 etiyolojiye sahip hem BT hem de endoskopik inceleme yap\u0131lm\u0131\u015f 124 siroz hastas\u0131ndan olu\u015fan pop\u00fclasyonda endoskopide g\u00f6r\u00fclen y\u00fcksek riskli varisleri saptamada BT\u2019nin %63 duyarl\u0131l\u0131k, %82 \u00f6zg\u00fcll\u00fck oran\u0131na sahip oldu\u011fu g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Verilerin analizi; endoskopide saptanan varislerle k\u0131sa gastrik, koroner ve para\u00f6zafageal kollateraller aras\u0131nda istatiksel olarak anlaml\u0131 ili\u015fki g\u00f6stermi\u015ftir. Varislerin varl\u0131\u011f\u0131yla ba\u011flant\u0131l\u0131 olmayan \u00f6nemli de\u011fi\u015fkenlerse paraumbilikal ve splenorenal kollaterallerI, IVC \u00e7ap\u0131n\u0131 ve splenomegaliyi i\u00e7ermektedir. G\u00f6receli olarak az olan \u00f6rneklem say\u0131s\u0131 \u00e7al\u0131\u015fmay\u0131 s\u0131n\u0131rlamaktad\u0131r.<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>MDCT\u2019nin Kolonik Divertik\u00fclit \u015e\u00fcphesinde Yeri: Divertik\u00fclit ve Alternatif Tan\u0131lar \u0130\u00e7in Prevalans ve Tan\u0131sal Verimlilik<\/strong><\/span><\/h5>\n<p>Weinrich JM, Bannas P, Avanesov M, et al. MDCT in the Setting of Suspected Colonic Diverticulitis: Prevalence and Diagnostic Yield for Diverticulitis and Alternative Diagnoses.\u00a0<em>AJR Am J Roentgenol<\/em>. 2020;215(1):39-49. doi:10.2214\/AJR.19.21852<\/p>\n<p><a href=\"https:\/\/www.ajronline.org\/doi\/abs\/10.2214\/AJR.19.21852\">https:\/\/www.ajronline.org\/doi\/abs\/10.2214\/AJR.19.21852<\/a><\/p>\n<p><strong>Keywords<\/strong>: Retrospective study, diverticulitis, original research<\/p>\n<p>Bu retrospektif \u00e7al\u0131\u015fmada kolonik divertik\u00fclit istatistiklerinin detayland\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. Yazarlar divertik\u00fclit \u015f\u00fcphesi olan 1069 BT g\u00f6r\u00fcnt\u00fclemesini inceledikleri \u00e7al\u0131\u015fmada g\u00f6r\u00fcnt\u00fclemelerin %52.5\u2019i (561\/1069) divertik\u00fclit ile, %39.9\u2019u (427\/1069) ise alternatif tan\u0131 ile uyumlu bulunmu\u015ftur. %7.6\u2019s\u0131nda (81\/1069) ise nihai tan\u0131 koyulamam\u0131\u015ft\u0131r. En s\u0131k g\u00f6r\u00fclen alternatif tan\u0131lar ise apandisit, enfeksiy\u00f6z kolit, enfeksiy\u00f6z gastroenterit, \u00fcrolitiazis ve pyelonefrit olmu\u015ftur. Yazarlar divertik\u00fclit vakalar\u0131n\u0131 ya\u015f, cinsiyet ve ba\u015fvuru s\u0131ras\u0131ndaki durumlar\u0131na g\u00f6re kademelendirip gruplara ay\u0131rm\u0131\u015ft\u0131r. Ek olarak kolonik divertik\u00fclit tan\u0131s\u0131nda BT\u2019nin do\u011frulu\u011fu de\u011ferlendirilmi\u015ftir. Kolonoskopi veya cerrahiyle divertik\u00fclit tan\u0131s\u0131 alan 561 vakan\u0131n 556\u2019s\u0131 %99.1 duyarl\u0131l\u0131k oran\u0131yla BT\u2019de de g\u00f6sterilmi\u015ftir. BT, 508 hastan\u0131n 507\u2019sinde akut kolonik divertik\u00fcliti %99.8 \u00f6zg\u00fcll\u00fck oran\u0131yla ekarte etmi\u015ftir. Makale, akut divertik\u00fclit d\u00fc\u015f\u00fcn\u00fclen hastalar\u0131n yaln\u0131zca yakla\u015f\u0131k yar\u0131s\u0131nda akut divertik\u00fclit bulundu\u011funu; bu nedenle alternatif tan\u0131lar\u0131n d\u00fc\u015f\u00fcn\u00fclmesinin \u00f6nemini vurgulayarak son bulmaktad\u0131r.<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Kar\u0131n Duvar\u0131 Kitlelerinin, Kitle Benzeri Lezyonlar\u0131n\u0131n ve Diff\u00fcz Tutulumlar\u0131n\u0131n G\u00f6r\u00fcnt\u00fclenmesi<\/strong><\/span><\/h5>\n<p>Ballard DH, Mazaheri P, Oppenheimer DC, et al. Imaging of Abdominal Wall Masses, Masslike Lesions, and Diffuse Processes.\u00a0<em>Radiographics<\/em>. 2020;40(3):684-706.<\/p>\n<p><a href=\"https:\/\/pubs.rsna.org\/doi\/pdf\/10.1148\/rg.2020190170\">https:\/\/pubs.rsna.org\/doi\/pdf\/10.1148\/rg.2020190170<\/a><\/p>\n<p><strong>Keywords: <\/strong>Diagnostic approach, soft tissue masses, abdominal wall<\/p>\n<p>Makale, kar\u0131n duvar\u0131 kitlelerine algoritmik bir yakla\u015f\u0131m sunmaktad\u0131r. Makalede kar\u0131n duvar\u0131 kitlelerini de\u011ferlendirmede ilk yakla\u015f\u0131m\u0131n kitlenin f\u0131t\u0131k gibi kitle benzeri bir yap\u0131 olup olmad\u0131\u011f\u0131n\u0131 belirlemek gerekti\u011fi \u00f6ne s\u00fcr\u00fclmektedir. Lezyon kitle olarak belirlendikten sonra algoritmadaki bir sonraki basamak kitlenin tek mi multipl m\u0131 oldu\u011funa bakmakt\u0131r. Bir sonraki basamak ise kitle i\u00e7eri\u011finin ya\u011f, s\u0131v\u0131 veya solid olarak karakterize edilmesidir. Algoritman\u0131n bu \u00fc\u00e7 basama\u011f\u0131 tamamland\u0131ktan sonra klinik \u00f6yk\u00fc ay\u0131r\u0131c\u0131 tan\u0131y\u0131 daraltmada yard\u0131mc\u0131 olabilir. Ya\u011f i\u00e7eren kitleler primer olarak benign lipomlarla birlikte daha az s\u0131kl\u0131kta g\u00f6r\u00fclen liposarkom, hemanjiyom ve arteriyoven\u00f6z malformasyonlard\u0131r. S\u0131v\u0131 i\u00e7eren kitlelerse genel olarak \u00fc\u00e7 grupta s\u0131n\u0131fland\u0131r\u0131labilir: hematomlar, postoperatif s\u0131v\u0131 koleksiyonlar\u0131 ve cerrahi operasyon hikayesi olmayan hastalarda g\u00f6r\u00fclen kistik kitleler. Bu \u00fc\u00e7 lezyon lokasyon, g\u00f6r\u00fcnt\u00fcleme \u00f6zellikleri ve klinik \u00f6yk\u00fcye g\u00f6re birbirinden ay\u0131rt edilebilir. Cerrahi hikaye bildirmeyen hastalarda g\u00f6r\u00fclen kistik lezyonlar epidermal kistleri ve miksomlar\u0131 i\u00e7ermektedir. Solid kitlelerse geni\u015f bir ay\u0131r\u0131c\u0131 tan\u0131ya sahiptir; bu nedenle ay\u0131r\u0131c\u0131 tan\u0131 yap\u0131l\u0131rken ilgili t\u0131bbi hikaye g\u00f6z \u00f6n\u00fcnde bulundurulmal\u0131d\u0131r. Altta yatan malignitesi bulunan hastalarda metastaz dikkate al\u0131nmal\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"&nbsp; Abdomen ve Pelviste IgG4 \u0130li\u015fkili Hastal\u0131k: Atipik Bulgular, Tuzaklar ve Taklit Eden Durumlar Zheng [&hellip;]","protected":false},"author":3,"featured_media":3037,"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-7244","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What&#039;s new in Gastrointestinal Imaging (Turkish) - August 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-gastrointestinal-imaging-august-2020\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What&#039;s new in Gastrointestinal Imaging (Turkish) - August 2020 - ACORE\" \/>\n<meta property=\"og:description\" content=\"&nbsp; Abdomen ve Pelviste IgG4 \u0130li\u015fkili Hastal\u0131k: Atipik Bulgular, Tuzaklar ve Taklit Eden Durumlar Zheng [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/staging-hub.acoredu.com\/whats-new-in-gastrointestinal-imaging-august-2020\/\" \/>\n<meta property=\"og:site_name\" content=\"ACORE\" \/>\n<meta property=\"article:published_time\" content=\"2020-08-06T12:04:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-08-07T11:11:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/doctors-discussing-report-about-a-patient-at-table-2PL7TGF-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1707\" \/>\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=\"11 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-gastrointestinal-imaging-august-2020\/\",\"url\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-gastrointestinal-imaging-august-2020\/\",\"name\":\"What's new in Gastrointestinal Imaging (Turkish) - August 2020 - ACORE\",\"isPartOf\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-gastrointestinal-imaging-august-2020\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-gastrointestinal-imaging-august-2020\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/doctors-discussing-report-about-a-patient-at-table-2PL7TGF-scaled.jpg\",\"datePublished\":\"2020-08-06T12:04:38+00:00\",\"dateModified\":\"2020-08-07T11:11:43+00:00\",\"author\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/#\/schema\/person\/75293c6e4870f3aa293e1394c53df6b7\"},\"breadcrumb\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-gastrointestinal-imaging-august-2020\/#breadcrumb\"},\"inLanguage\":\"tr\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/staging-hub.acoredu.com\/whats-new-in-gastrointestinal-imaging-august-2020\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"tr\",\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-gastrointestinal-imaging-august-2020\/#primaryimage\",\"url\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/doctors-discussing-report-about-a-patient-at-table-2PL7TGF-scaled.jpg\",\"contentUrl\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/doctors-discussing-report-about-a-patient-at-table-2PL7TGF-scaled.jpg\",\"width\":2560,\"height\":1707,\"caption\":\"Doctors standing and discussing reports or x-ray image about a patient at tablet computer in hospital. 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