{"id":7250,"date":"2020-08-06T07:20:16","date_gmt":"2020-08-06T12:20:16","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=7250"},"modified":"2020-08-07T06:09:06","modified_gmt":"2020-08-07T11:09:06","slug":"whats-new-in-ultrasonography-turkish-august-2020","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/tr\/whats-new-in-ultrasonography-turkish-august-2020\/","title":{"rendered":"What’s new in Ultrasonography (Turkish) – August 2020"},"content":{"rendered":"

Abdominal G\u00f6r\u00fcnt\u00fcleme<\/strong><\/span><\/h3>\n

 <\/p>\n

Primer Ara\u015ft\u0131rma<\/u><\/strong><\/em><\/p>\n

Karaci\u011fer Multiparametrik Ultrasonunun Non-Alkolik Steatohepatit De\u011ferlendirmesindeki Rol\u00fc<\/strong><\/span><\/h5>\n

Sugimoto, Katsutosh, et al. “The Role of Multiparametric US of the Liver for the Evaluation of Nonalcoholic Steatohepatitis.” Radiology (2020): 192665.<\/p>\n

https:\/\/doi.org\/10.1148\/radiol.2020192665<\/a><\/p>\n

Arka plan:<\/strong> Non-alkolik ya\u011fl\u0131 karaci\u011fer hastal\u0131\u011f\u0131 (NAFLD), artarak yayg\u0131nla\u015fan bir kronik\u00a0 karaci\u011fer hastal\u0131\u011f\u0131 olup non-alkolik steatohepatite (NASH) yol a\u00e7abilir. NASH, h\u0131zla fibrozise ve siroza d\u00f6n\u00fc\u015febilir.<\/p>\n

Soru:<\/strong> Shear Wave Elastografi (SWE) \u00f6l\u00e7\u00fcmleri NASH ve ili\u015fkili \u00f6zelliklerin tan\u0131s\u0131nda yard\u0131mc\u0131 olabilir mi?<\/p>\n

Konum: <\/strong>Tokyo\/JAPONYA<\/p>\n

Kat\u0131l\u0131mc\u0131lar ve dahil edilme kriterleri: <\/strong>NAFLD i\u00e7in karaci\u011fer biyopsisi olan 111 ki\u015fi (9 ki\u015fi hari\u00e7 tutuldu).<\/p>\n

Tasar\u0131m:<\/strong> Prospektif tasar\u0131m; karaci\u011fer biyopsisi olan hastalara da\u011f\u0131l\u0131m e\u011frisi, aten\u00fcasyon katsay\u0131s\u0131 ve shear-wave h\u0131z\u0131n\u0131 \u00f6l\u00e7en SWE ultrasonu yap\u0131ld\u0131. Bulgular patolojik skorla k\u0131yasland\u0131. Analiz i\u00e7in al\u0131c\u0131 i\u015fletim karakteristik (ROC) e\u011frisi kullan\u0131ld\u0131.<\/p>\n

Bulgular:<\/strong> E\u011fri alt\u0131ndaki alan (AUC) de\u011ferleri her bir SWE \u00f6l\u00e7\u00fcm\u00fcne g\u00f6re hesapland\u0131.<\/p>\n\n\n\n\n\n\n\n\n
Da\u011f\u0131l\u0131m E\u011frisi<\/strong><\/td>\nAten\u00fcasyon Katsay\u0131s\u0131<\/strong><\/td>\nShear-wave h\u0131z\u0131<\/strong><\/td>\n<\/tr>\n
\u0130nflamasyon derecesi<\/td>\nAUC<\/td>\nYa\u011flanma Derecesi<\/td>\nAUC<\/td>\nFibrozis derecesi<\/td>\nAUC<\/td>\n<\/tr>\n
A1 (hafif)<\/td>\n0,95<\/td>\nS1(hafif)<\/td>\n0,88<\/td>\nF1(portal fibrozis)<\/td>\n0.79<\/td>\n<\/tr>\n
A2 (orta)<\/td>\n0,81<\/td>\nS2 (orta)<\/td>\n0,86<\/td>\nF2(periportal fibrozis)<\/p>\n

 <\/td>\n

0.88<\/td>\n<\/tr>\n
A3 (belirgin)<\/td>\n0,85<\/td>\nS3(a\u011f\u0131r)<\/td>\n0,79<\/td>\nF3(septal fibrozis)<\/td>\n0.90<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/td>\nF4(siroz)<\/td>\n0.95<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

NASH tan\u0131s\u0131 i\u00e7in bu \u00fc\u00e7 e\u011fri alt\u0131nda kalan alanlar\u0131n kombinasyonu :<\/strong>0.81<\/p>\n

Sonu\u00e7 ve g\u00f6r\u00fc\u015f:<\/strong> Da\u011f\u0131l\u0131m e\u011frisi, aten\u00fcasyon katsay\u0131s\u0131 ve shear-wave h\u0131z\u0131 kullan\u0131ld\u0131\u011f\u0131nda SWE, NAFLD\u2019nin g\u00f6r\u00fcnt\u00fclenmesinde ve de\u011ferlendirilmesinde yard\u0131mc\u0131 olabilir.<\/p>\n

 <\/p>\n

Primer Ara\u015ft\u0131rma<\/u><\/strong><\/em><\/p>\n

\u0130diopatik Nefrotik Sendromun Tan\u0131s\u0131nda ve K\u00fcratif Etkinin De\u011ferlendirmesinde Ger\u00e7ek Zamanl\u0131 SWE\u2019nin Rol\u00fc<\/span> <\/strong><\/h5>\n

Yang, Xue, et al. “The role of real-time shear wave elastography in the diagnosis of idiopathic nephrotic syndrome and evaluation of the curative effect.” Abdominal Radiology (2020): 1-10.<\/p>\n

https:\/\/doi.org\/10.1007\/s00261-020-02460-3<\/a><\/p>\n

Arka plan:<\/strong> \u0130diopatik nefrotik sendrom (INS) minimal deg\u0306is\u0327iklik hastal\u0131g\u0306\u0131 ve fokal segmental glomeru\u0308losklerozu da i\u00e7eren bir grup glomer\u00fclopatidir. Glomer\u00fcloskleroz ve t\u00fcbulointersitisyel fibrozis SWE\u2019de azalm\u0131\u015f elastisiteye yol a\u00e7ar.<\/p>\n

Soru: <\/strong>Shear-wave elastografi (SWE) INS tan\u0131s\u0131nda yard\u0131mc\u0131 olabilir mi ve tedavi cevab\u0131n\u0131n de\u011ferlendirilmesinde ne kadar uygun?<\/p>\n

Konum: <\/strong>Qingdao Universitesi\u2019ne afiliye hastane, Shandong, \u00c7in<\/p>\n

Kat\u0131l\u0131mc\u0131lar ve dahil edilme kriterleri:<\/strong> Renal biyopsisi olan idiopatik nefrotik sendromlu 120 hasta ve kontrol grubu olarak 30 sa\u011fl\u0131kl\u0131 ki\u015fi<\/p>\n

Tasar\u0131m:<\/strong> Prospektif tasar\u0131m; INS ve kontrol grubunda renal parankimin Young mod\u00fcl\u00fcn\u00fc (YM) \u00f6l\u00e7mek i\u00e7in SWE kullan\u0131ld\u0131. YM, patoloji sonu\u00e7lar\u0131ndaki glomerular skleroz indeksi (GI) ve renal interstisyel fibrozis (RIF) ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131. Hastalar steroid duyarl\u0131 ve steroid diren\u00e7li olmak \u00fczere 2 gruba ayr\u0131ld\u0131. Analiz i\u00e7in al\u0131c\u0131 i\u015fletim karakteristik e\u011frisi (ROC) kullanld\u0131.<\/p>\n

Bulgular:<\/strong>YM, INS grubunda kontrol grubuna oranla \u00f6nemli \u00f6l\u00e7\u00fcde y\u00fcksekti (p<0.05). Ek olarak, steroid duyarl\u0131 ve steroid diren\u00e7li gruplarda, YM de\u011ferlerleri steroid diren\u00e7li grupta daha y\u00fcksek olacak \u015fekilde bir fark g\u00f6zlemlendi (p<0.05). YM de\u011ferleri gruplar aras\u0131nda kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131 (a\u015fa\u011f\u0131daki tablo). INS hastalar\u0131nda YM, GI (r= 0.631) ve RIF (0.606) ile pozitif korele bulundu(p<0.05).<\/p>\n\n\n\n\n\n
Kar\u015f\u0131la\u015ft\u0131rma \u00a0gruplar\u0131<\/strong><\/td>\nE\u011fri alt\u0131ndaki alan<\/strong><\/td>\nE\u011fri alt\u0131ndaki alan i\u00e7in optimal e\u015fik de\u011fer<\/strong><\/td>\nDuyarl\u0131l\u0131k<\/strong><\/td>\n\u00d6zg\u00fcll\u00fck<\/strong><\/td>\n<\/tr>\n
INS vs Kontrol<\/td>\n0.871<\/td>\n7.96 m\/s<\/td>\n81.7%<\/td>\n93.3%<\/td>\n<\/tr>\n
Steroid duyarl\u0131 vs. Steroid diren\u00e7li<\/td>\n0.836<\/td>\n10.73 m\/s<\/td>\n86.0%<\/td>\n77.9%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Sonu\u00e7 ve g\u00f6r\u00fc\u015f:<\/strong> SWE, INS\u2019yi de\u011ferlendirebilir ve steroide yan\u0131t\u0131 g\u00f6sterebilir.<\/p>\n

 <\/p>\n

Primer Ara\u015ft\u0131rma<\/u><\/strong><\/em><\/p>\n

3 cm\u2019den K\u00fc\u00e7\u00fck Renal T\u00fcm\u00f6rlerin Ultrasonografi ile Ay\u0131r\u0131c\u0131 Tan\u0131s\u0131: Taraman\u0131n \u00d6tesinde H\u0131zl\u0131, Kantitatif, Elastografi ile Self-corrected Kontrastl\u0131 Ultrason G\u00f6r\u00fcnt\u00fcleme Modu.<\/strong><\/span><\/h5>\n

Sun, Di, et al. “Differential diagnosis of< 3 cm renal tumors by ultrasonography: A rapid, Quantitative, Elastography Self-corrected Contrast-enhanced Ultrasound Imaging Mode beyond Screening.” The British Journal of Radiology 93 (2020): 20190974.<\/p>\n

https:\/\/doi.org\/10.1259\/bjr.20190974<\/a><\/p>\n

Arka plan:<\/strong> 3 cm\u2019den k\u00fc\u00e7\u00fck renal t\u00fcm\u00f6rleri karakterize etmek boyutlar\u0131ndan dolay\u0131 genellikle zordur. Daha \u00f6nceden, kontrastl\u0131 US (CEUS) ve SWE (Shear-vawe elastography) di\u011fer organlardaki maligniteleri karakterize etmede ve tan\u0131 koymada ba\u015far\u0131yla kullan\u0131ld\u0131.<\/p>\n

Soru: <\/strong>CEUS ve SWE kombinasyonu berrak h\u00fccreli renal h\u00fccreli karsinomu (clear cell renal cell ca\/ ccRCC), renal pelvisin \u00fcrotelyal karsinomunu (UCRP) ve di\u011fer k\u00fc\u00e7\u00fck t\u00fcm\u00f6rleri ay\u0131rt etmede yard\u0131mc\u0131 olabilir mi?<\/p>\n

Konum:<\/strong> Shanghai Jiao Tong \u00dcniversitesi\u2019ne afiliye Sixth People\u2019s Hastanesi & Shanghai T\u0131p Ultrason Enstit\u00fcs\u00fc, Shanghai, China<\/p>\n

Kat\u0131l\u0131mc\u0131lar ve dahil edilme kriterleri:<\/strong> 37 renal t\u00fcm\u00f6r\u00fc olan renal biyopsi yap\u0131lm\u0131\u015f 35 hasta.<\/p>\n

Tasar\u0131m<\/strong>: Prospektif tasar\u0131m; t\u00fcm\u00f6rlerin belirlenmesi i\u00e7in elastografi\u00a0 self-corrected \u00a0kontrastl\u0131 ultrason modu olu\u015fturuldu.\u00a0 ESC ve SWE de\u011ferleri her bir t\u00fcm\u00f6r i\u00e7in kaydedildi ve patolojik tan\u0131yla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131.<\/p>\n

Bulgular:<\/strong> T\u00fcm\u00f6rlerin elastografik \u00f6zelliklerinde ccRCC\u2019de y\u00fcksek elastisite, UCRP\u2019de d\u00fc\u015f\u00fck elastisite olmak \u00fczere de\u011fi\u015fkenlik vard\u0131. ESC %94.6 do\u011fruluk oran\u0131yla ccRCC, UCRP ve k\u00fc\u00e7\u00fck renal t\u00fcm\u00f6rleri ay\u0131rabiliyordu.<\/p>\n

Sonu\u00e7 ve g\u00f6r\u00fc\u015f: <\/strong>Kurum i\u00e7i tasarlanm\u0131\u015f CESU (ESC) kullan\u0131larak ccRCC, UCRP ve k\u00fc\u00e7\u00fck renal t\u00fcm\u00f6rler %94.6 \u2018l\u0131k y\u00fcksek do\u011fruluk pay\u0131yla birbirinden ay\u0131rt edilebiliyor.<\/p>\n

 <\/p>\n

Vask\u00fcler ve giri\u015fimsel US<\/strong><\/span><\/h3>\n

 <\/p>\n

Primer Ara\u015ft\u0131rma<\/u><\/strong><\/em><\/p>\n

\u00dcst Abdominal Kanser Hastalar\u0131nda Kontrastl\u0131 US E\u015fli\u011finde \u00c7\u00f6lyak Pleksus N\u00f6rolizi: Ba\u015flang\u0131\u00e7 Deneyimi\u00a0<\/span> <\/strong><\/h5>\n

Wang, Lu, et al. “Contrast-enhanced ultrasound\u2013guided celiac plexus neurolysis in patients with upper abdominal cancer pain: initial experience.” European Radiology (2020): 1-10.<\/p>\n

https:\/\/doi.org\/10.1007\/s00330-020-06705-z<\/a><\/p>\n

Arka plan:<\/strong> \u00c7\u00f6lyak pleksus n\u00f6rolizi, a\u011fr\u0131y\u0131 dindirmek i\u00e7in \u00e7\u00f6lyak pleksusa alkol enjekte edilmesi tekni\u011fidir.<\/p>\n

Soru:<\/strong>\u00a0 Kontrastl\u0131 ultrasonografi (CEUS) e\u015fli\u011finde \u00e7\u00f6lyak pleksus n\u00f6rolizi g\u00fcvenli ve etkili midir?<\/p>\n

Konum:<\/strong> \u00c7in Elektronik Bilim ve Teknoloji \u00dcniversitesi, Chengdu, \u00c7in<\/p>\n

Kat\u0131l\u0131mc\u0131lar ve dahil edilme kriterleri:<\/strong> Abdominal kanserli ve kontrol edilemeyen (\u22657\/10) a\u011fr\u0131s\u0131 olan 35 hasta<\/p>\n

Tasar\u0131m: <\/strong>Prospektif tasar\u0131m; \u00e7\u00f6lyak pleksus n\u00f6rolizi yap\u0131ld\u0131ktan sonra i\u015flem sonras\u0131 a\u011fr\u0131 ve opioid kullan\u0131m\u0131 g\u00f6zlemlendi. Aort \u00e7evresinde alkol da\u011f\u0131l\u0131m\u0131n\u0131 g\u00f6r\u00fcnt\u00fclemek ve desteklemek i\u00e7in 3D CEUS kullan\u0131ld\u0131.<\/p>\n

Bulgular:<\/strong> Her hasta i\u00e7in farkl\u0131 zamanlarda a\u011fr\u0131da azalma g\u00f6zlemlendi. 28 (80%) hasta \u00e7abuk rahatlama ya\u015farken, 27 hasta (77.1%) 1 ay, 10(29.4%) hasta ise 3 ayl\u0131k s\u00fcrede rahatlama ya\u015fad\u0131. Rahatlama s\u00fcresinin median de\u011feri 2.7 ayd\u0131. Rahatlama ya\u015fayan t\u00fcm hastalarda alkol, aort \u00e7evresinde 90\u00b0\u2019lik da\u011f\u0131l\u0131m g\u00f6sterdi.<\/p>\n

Sonu\u00e7 ve g\u00f6r\u00fc\u015f:<\/strong> CEUS e\u015fli\u011finde \u00e7\u00f6lyak pleksus n\u00f6rolizi \u00fcst abdominal malignite kaynakl\u0131 a\u011fr\u0131y\u0131 tedavi etmede etkili bir y\u00f6ntemdir.<\/p>\n

 <\/p>\n

Kas-\u0130skelet Ultrasonografisi<\/strong><\/span><\/h3>\n

 <\/p>\n

Primer Ara\u015ftrma<\/u><\/em><\/strong><\/p>\n

Kas-\u0130skelet <\/strong><\/span>Hematomlar\u0131n\u0131n Ultrasonu: Sonografik G\u00f6r\u00fcn\u00fcm\u00fcn Ya\u015f ve Aspirasyon Kolayl\u0131\u011f\u0131 ile \u0130li\u015fkisi<\/span>
\n<\/strong><\/h5>\n

Yoon, Edward, Bin Lin, and Theodore T. Miller. “Ultrasound of Musculoskeletal Hematomas: Relationship of Sonographic Appearance to Age and Ease of Aspiration.” American Journal of Roentgenology (2020).
\nhttps:\/\/doi.org\/10.2214\/AJR.19.22752<\/a><\/p>\n

Arka plan: <\/strong>Kas-iskelet sistemi hematomlar\u0131 a\u011fr\u0131 kayna\u011f\u0131 olabilir ve aspirasyonun a\u011fr\u0131 ve komplikasyonlar\u0131 azaltt\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir.
\nSoru: <\/strong>Ultrason e\u015fli\u011finde aspirasyon intramusk\u00fcler hematomlar i\u00e7in g\u00fcvenli ve etkili midir?
\nKonum: <\/strong>\u00d6zel Cerrahi Hastanesi, New York, NY
\nKat\u0131l\u0131mc\u0131lar ve kat\u0131l\u0131m kriterleri: <\/strong>148 hastada 165 aspirasyon
\nTasar\u0131m: <\/strong>Retrospektif tasar\u0131m; hematomlar\u0131n eko yap\u0131s\u0131, ya\u015f\u0131, yerle\u015fim yeri dahil olmak \u00fczere ultrasonografik \u00f6zellikleri ile i\u011fne kal\u0131nl\u0131\u011f\u0131 incelendi ve bunlar aspirasyon kolayl\u0131\u011f\u0131 ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131. Hematomlar\u0131n eko yap\u0131s\u0131 hipoekoik, kompleks, heterojen veya ekojenik olarak kategorize edildi. \u0130ntramusk\u00fcler hematomlar\u0131 aspire etmek i\u00e7in ultrasonografi k\u0131lavuzlu\u011fu kullan\u0131ld\u0131.
\nSonu\u00e7lar: <\/strong>100 hasta takip i\u00e7in geri d\u00f6nd\u00fc ve hastalar\u0131n hepsinde aspirasyon sonras\u0131 komplikasyonsuz semptomatik iyile\u015fme g\u00f6r\u00fcld\u00fc. Aspirasyon kolayl\u0131\u011f\u0131nda, hipoekoik hematomlar ile di\u011fer eko yap\u0131s\u0131na sahip hematomlar\u0131n kombinasyonunun kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131nda 3.64 odds oran\u0131 vard\u0131 (P = 0.01). Di\u011fer bulgular\u0131n (hematom ya\u015f\u0131, yerle\u015fim yeri ve i\u011fne kal\u0131nl\u0131\u011f\u0131) aspirasyon kolayl\u0131\u011f\u0131 ile istatistiksel olarak anlaml\u0131 ili\u015fkisi bulunmad\u0131.
\nSonu\u00e7 ve g\u00f6r\u00fc\u015f: <\/strong>Ultrasonografi e\u015fli\u011finde intramusk\u00fcler hematom aspirasyonu, semptomlar\u0131 hafifletmede g\u00fcvenli ve etkilidir. Hipoekoik hematomlarda aspirasyon; kompleks, heterojen ve\/veya ekojenik hematomlara g\u00f6re daha kolayd\u0131r.<\/p>\n

 <\/p>\n

Primer Ara\u015ftrma<\/u><\/em><\/strong><\/p>\n

Ultrasonografi E\u015fli\u011finde Yap\u0131lan Subakromiyal Bursa Enjeksiyonlar\u0131nda Enjeksiyon Hacminin Uzun D\u00f6nem Sonu\u00e7lar \u00dczerine Etkisi<\/span>
\n<\/strong><\/h5>\n

Klontzas, Michail E., et al. “The effect of injection volume on long-term outcomes of US-guided subacromial bursa injections.” European Journal of Radiology (2020): 109113.
\nhttps:\/\/doi.org\/10.1016\/j.ejrad.2020.109113<\/a><\/p>\n

Arka plan:<\/strong> Subakromiyal-subdeltoid (SA-SD) bursaya ultrasonografi e\u015fli\u011finde kortikosteroid enjeksiyonu a\u011fr\u0131y\u0131 hafifletmek i\u00e7in etkili bir y\u00f6ntemdir.
\nSoru: <\/strong>SA-SD bursa’da y\u00fcksek hacimli steroid enjeksiyonu, d\u00fc\u015f\u00fck hacimle kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda k\u0131sa ve uzun vadede daha etkili midir?
\nKonum: <\/strong>Girit, Yunanistan
\nKat\u0131l\u0131mc\u0131lar ve dahil edilme kriterleri: <\/strong>SA-SD bursaya US k\u0131lavuzlu\u011funda steroid enjeksiyonu yap\u0131lan 136 hasta
\nTasar\u0131m:<\/strong> Prospektif tasar\u0131m; hastalar d\u00fc\u015f\u00fck hacimli ve y\u00fcksek hacimli steroid gruplar\u0131na ayr\u0131ld\u0131. D\u00fc\u015f\u00fck hacimli gruba 1 mL triamsinolon asetonid\/40mg verilirken, y\u00fcksek hacimli grup 1 mL triamsinolon asetonid\/40mg + 9 mL anestezik ald\u0131. A\u011fr\u0131 bir y\u0131la kadar \u00e7oklu zaman noktalar\u0131nda kaydedildi.
\nSonu\u00e7lar: <\/strong>Enjeksiyon hacmi ile a\u011fr\u0131n\u0131n ge\u00e7mesi aras\u0131nda ili\u015fki g\u00f6r\u00fclm\u00fc\u015f olup y\u00fcksek vol\u00fcm\u00fcn a\u011fr\u0131da daha erken rahatlamaya yard\u0131mc\u0131 oldu\u011fu sonucuna var\u0131lm\u0131\u015ft\u0131r. Y\u00fcksek doz ve d\u00fc\u015f\u00fck doz gruplar\u0131nda a\u011fr\u0131 aras\u0131nda istatistiksel olarak anlaml\u0131 fark vard\u0131 (p<0.001). A\u011fr\u0131, 3.haftada y\u00fcksek hacimde 2.2\/10 ve d\u00fc\u015f\u00fck hacimde 4.7\/10, 6. ayda 1.6\/10 ve 2.5\/10, 1 y\u0131lda 1.6\/10 ve 1.8\/10 idi. Kadaverik SA-SD bursa’n\u0131n hacim \u00f6l\u00e7\u00fcmleri 6.9 mL idi.
\nSonu\u00e7 ve g\u00f6r\u00fc\u015f: <\/strong>Subakromiyal-subdeltoid bursaya ultrasonografi e\u015fli\u011finde y\u00fcksek hacimli (steroid+9 mL anestezik) enjeksiyon, erken a\u011fr\u0131n\u0131n giderilmesinde d\u00fc\u015f\u00fck hacimli (sadece steroid) enjeksiyona g\u00f6re daha \u00fcst\u00fcnd\u00fcr.<\/p>\n

 <\/p>\n

Derleme<\/u><\/em><\/strong><\/p>\n

\u0130leri Kas-\u0130skelet Ultrason Teknikleri: Uygulamalar nelerdir?<\/strong><\/span>
\n<\/strong><\/h5>\n

Van Holsbeeck, Marnix T., et al. “Advanced Musculoskeletal Ultrasound Techniques: What are the applications?.” American Journal of Roentgenology.
\nhttps:\/\/doi.org\/10.2214\/AJR.20.22840<\/a><\/p>\n

Genel Bak\u0131\u015f: <\/strong>Kas-iskelet ultrasonundaki yeni teknikler ve ilerlemeler hakk\u0131nda olduk\u00e7a kapsaml\u0131 bir derleme. Ayr\u0131ca karpal t\u00fcnel sendromunun de\u011ferlendirilmesi gibi geleneksel kullan\u0131mlar\u0131 ele al\u0131yor. Daha yeni uygulamalar aras\u0131nda patolojinin belirlenmesine ve potansiyel olarak tedavi edilmesine yard\u0131mc\u0131 olmak i\u00e7in ultra y\u00fcksek frekansl\u0131 transd\u00fcserlerin kullan\u0131m\u0131, inflamatuar ve neoplastik hastal\u0131klarda mikrovask\u00fcler g\u00f6r\u00fcnt\u00fcleme ve elastografi yer al\u0131yor.<\/p>\n

 <\/p>\n

Ba\u015f-Boyun Ultrasonografisi<\/strong><\/span><\/h3>\n

 <\/p>\n

Meta-analiz<\/u><\/em><\/strong><\/p>\n

Tiroid Nod\u00fcllerinin De\u011ferlendirilmesinde Gri Skala Ultrason \u00d6zelliklerinin Yorumlanmas\u0131ndaki De\u011fi\u015fkenlik: Sistematik Derleme ve Meta-analiz<\/strong><\/span><\/h5>\n

Liu, Huan ve ark. “Variability in the interpretation of grey-scale ultrasound features in assessing thyroid nodules: A systematic review and meta-analysis.” European Journal of Radiology (2020): 109050.<\/p>\n

https:\/\/doi.org\/10.1016\/j.ejrad.2020.109050<\/a><\/p>\n

Arka plan:<\/strong>\u00a0TI-RADS (The Thyroid Imaging Reporting and Data System), tiroit nod\u00fcllerini malignite riski a\u00e7\u0131s\u0131ndan ultrasonografi \u00f6zelliklerine g\u00f6re s\u0131n\u0131fland\u0131rmak i\u00e7in kullan\u0131l\u0131r.<\/p>\n

Soru:<\/strong>\u00a0TI-RADS kullanarak ultrasonografideki tiroid nod\u00fcllerini de\u011ferlendirirken radyologlar aras\u0131ndaki uyum nas\u0131ld\u0131r?<\/p>\n

Tasar\u0131m: <\/strong>Ekim 1972- Aral\u0131k 2018 aras\u0131nda literat\u00fcr tarand\u0131. 927 hastay\u0131 i\u00e7eren 7 \u00e7al\u0131\u015fma al\u0131nd\u0131.<\/p>\n

Sonu\u00e7lar:<\/strong>\u00a0\u00c7al\u0131\u015fmalarda TI-RADS kullanan radyologlar aras\u0131ndaki de\u011fi\u015fkenlik 0.54 idi. \u00d6zellikler aras\u0131nda, kalsifikasyon g\u00f6zlemciler aras\u0131nda en az de\u011fi\u015fkenli\u011fe sahipken (0.71), nod\u00fcl kenar\u0131 en fazla (0.40) de\u011fi\u015fkenli\u011fe sahipti. \u0130ncelenen di\u011fer \u00f6zellikler s\u0131ras\u0131yla 0.61, 0.58, 0.53 ve 0.43 de\u011fi\u015fkenleri olan i\u00e7 yap\u0131, ekojenite, \u015fekil ve ekojenik odaklard\u0131.<\/p>\n

Sonu\u00e7 ve g\u00f6r\u00fc\u015f:<\/strong> G\u00f6zlemciler aras\u0131 genel uyum orta d\u00fczeydeydi. \u00d6zelliklerdeki de\u011fi\u015fkenlik olduk\u00e7a de\u011fi\u015fken (nod\u00fcl s\u0131n\u0131r\u0131) ile biraz de\u011fi\u015fken (kalsifikasyon) aras\u0131nda da\u011f\u0131l\u0131m g\u00f6steriyordu.<\/p>\n

 <\/p>\n

Genel K\u0131saltmalar:<\/p>\n

*US: Ultrasound
\n*CEUS: Contrast Enhanced Ultrasound
\n*SWE: Shear-Wave Elastography<\/p>\n","protected":false},"excerpt":{"rendered":"Abdominal G\u00f6r\u00fcnt\u00fcleme   Primer Ara\u015ft\u0131rma Karaci\u011fer Multiparametrik Ultrasonunun Non-Alkolik Steatohepatit De\u011ferlendirmesindeki Rol\u00fc Sugimoto, Katsutosh, et […]","protected":false},"author":3,"featured_media":2147,"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-7250","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr"],"yoast_head":"\nWhat's new in Ultrasonography (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-ultrasonography-august-2020\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What's new in Ultrasonography (Turkish) - 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