{"id":8210,"date":"2020-09-10T04:26:03","date_gmt":"2020-09-10T09:26:03","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=8210"},"modified":"2020-09-10T04:26:03","modified_gmt":"2020-09-10T09:26:03","slug":"whats-new-in-cardiothoracic-imaging-turkish-september-2020","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/tr\/whats-new-in-cardiothoracic-imaging-turkish-september-2020\/","title":{"rendered":"What&#8217;s new in Cardiothoracic Imaging (Turkish) &#8211; September 2020"},"content":{"rendered":"<h5><span style=\"color: #3366ff;\"><strong>Subsolid Akci\u011fer Adenokarsinom Nod\u00fcllerinin Toraks BT\u2019de B\u00fcy\u00fcme H\u0131z\u0131<\/strong><\/span><\/h5>\n<p><span class=\"authors-list-item \">Constance de Margerie-Mellon<span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \">Long H Ngo<span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \">Ritu R Gill<span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \">Antonio C Monteiro Filho<span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \">Benedikt H Heidinger<span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \">Allison Onken<span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \">Mayra A Medina<span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \">Paul A VanderLaan<span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \">Alexander A Bankier<\/span><\/p>\n<p><a href=\"https:\/\/pubs.rsna.org\/doi\/10.1148\/radiol.2020192322\">https:\/\/pubs.rsna.org\/doi\/10.1148\/radiol.2020192322<\/a><\/p>\n<p>Harvard \u00dcniversitesi ve Viyana \u00dcniversitesi\u2019nden ara\u015ft\u0131rmac\u0131lar, patolojik olarak kan\u0131tlanm\u0131\u015f adenokarsinom hastalar\u0131ndan olu\u015fan kohortta k\u0131smen solid nod\u00fcller (PSN\u2019ler) ve buzlu cam nod\u00fclleri (BCN\u2019ler) i\u00e7in eksponansiyel b\u00fcy\u00fcme modelini do\u011frulamaya \u00e7al\u0131\u015f\u0131yorlar. Ara\u015ft\u0131rmac\u0131lar, olduk\u00e7a b\u00fcy\u00fck olan doku veritabanlar\u0131n\u0131 kullanarak toplamda 750 karsinomdan dahil\/etme d\u0131\u015flama kriterlerine uyan (3 farkl\u0131 zamandan BT taramas\u0131na sahip olma ve k\u0131smen solid nod\u00fcl ya da buzlu cam nod\u00fcl\u00fc olma) 74 nod\u00fcl tan\u0131mlad\u0131. Ara\u015ft\u0131rmac\u0131lar bu 74 nod\u00fclleri buzlu cam (50 adet- %68) ve k\u0131smi solid (24 adet- %32) olarak ikiye ay\u0131rd\u0131. Bu retrospektif incelemede, 2 radyolog total vol\u00fcm\u00fcn referans de\u011ferini tahmin etmek ve rezeksiyon \u00f6ncesinde en az 3 farkl\u0131 zaman boyunca nod\u00fcl b\u00fcy\u00fcmesini takip etmek amac\u0131yla piyasada mevcut olan bir yumu\u015fak doku kernel segmentasyon yaz\u0131l\u0131m\u0131n\u0131 buzlu cam ve k\u0131smi solid nod\u00fcllerin segmentasyonu i\u00e7in kulland\u0131. Verilerin ortalamas\u0131n\u0131 ve hacim b\u00fcy\u00fcme e\u011frilerinin varyans\/kovaryans\u0131n\u0131 sim\u00fcle etmek i\u00e7in lineer karma etki modeli kullan\u0131ld\u0131. Bu veriler kullan\u0131larak standart b\u00fcy\u00fcme modelleri b\u00fcy\u00fcmenin lineer, eksponansiyel, kuadratik ve g\u00fc\u00e7 yasas\u0131 modellerini elde etmek i\u00e7in kullan\u0131ld\u0131. Analiz en y\u00fcksek r2 (ayarlanm\u0131\u015f R2) ve en d\u00fc\u015f\u00fck ortalama hata kareleri k\u00f6k\u00fc (RMSE)\u2019ne sahip olacak en iyi model kullan\u0131larak yap\u0131ld\u0131. Eksponansiyel b\u00fcy\u00fcme e\u011frisi, hem buzlu cam nod\u00fcllerinin b\u00fcy\u00fcmesinin (r2= 0.89, RSME= 688) hem de k\u0131smi solid nod\u00fclerinin b\u00fcy\u00fcmesinin (r2=0.95, RSME=146) modellenmesinde en iyi uyan e\u011friyi verdi. Ard\u0131\u015f\u0131k BT muayenelerinin kullan\u0131lmas\u0131, BCN ve PSN\u2019ler i\u00e7in b\u00fcy\u00fcme h\u0131zlar\u0131n\u0131n tahmin edilebilmesini sa\u011flad\u0131 ve b\u00f6ylece BT morfolojisi, klinik ve histolojik karakterlerle ilgili ilgin\u00e7 ba\u011flant\u0131lar ortaya \u00e7\u0131kt\u0131. \u00d6rne\u011fin, BCN\u2019lerin PSN\u2019lerden daha y\u00fcksek bir h\u0131zda b\u00fcy\u00fcd\u00fc\u011f\u00fc, BCN\u2019nin b\u00fcy\u00fcme h\u0131z\u0131 e\u011frisinin e\u011fiminin PSN\u2019nin yakla\u015f\u0131k iki kat\u0131 oldu\u011fu g\u00f6zlendi. In situ adenokarsinomun iki kat\u0131na \u00e7\u0131kma s\u00fcresinin, invaziv adenokarsinoma g\u00f6re kayda de\u011fer d\u00fczeyde daha uzun oldu\u011fu g\u00f6zlendi (939 g\u00fcn vs 679 g\u00fcn, P=.01). Ba\u015fka bir\u00e7ok ilgin\u00e7 ba\u011flant\u0131 g\u00f6zlemlendi. Ara\u015ft\u0131rmac\u0131lar, hi\u00e7bir b\u00fcy\u00fcme modelin sorgulanan t\u00fcm\u00f6rlere m\u00fckemmel bir \u015fekilde uymad\u0131\u011f\u0131n\u0131 belirtti. Bunun mant\u0131kl\u0131 bir a\u00e7\u0131klamas\u0131 olarak da t\u00fcm\u00f6rlerin do\u011fas\u0131n\u0131n heterojen oldu\u011funu, herhangi iki t\u00fcm\u00f6r\u00fcn tam olarak benzer b\u00fcy\u00fcme g\u00f6steremeyece\u011fini ileri s\u00fcrd\u00fcler. Bazal agresif \u00f6zelliklerin veya yap\u0131sal b\u00fcy\u00fcme paternindeki farkl\u0131l\u0131klar\u0131n bu durumun nedenlerinden olabilece\u011fini s\u00f6ylediler. Eksponansiyel model en iyi performans\u0131 g\u00f6sterdi\u011fi i\u00e7in ara\u015ft\u0131rmac\u0131lar bu modelin t\u00fcm\u00f6r b\u00fcy\u00fcmesini tahmin etmek i\u00e7in kullan\u0131lmas\u0131n\u0131 tavsiye etseler de t\u00fcm\u00f6r\u00fcn do\u011fas\u0131ndaki heterojenlikten \u00f6t\u00fcr\u00fc k\u00fc\u00e7\u00fck farkl\u0131l\u0131klar\u0131n beklenece\u011finin ve bu adenokarsinomalar\u0131n in situ\u2019daki davran\u0131\u015flar\u0131n\u0131n daha b\u00fct\u00fcnc\u00fcl bir g\u00f6r\u00fcnt\u00fcs\u00fcn\u00fc elde etmek i\u00e7in analog \u00f6zellikleri kullanman\u0131n gerekece\u011finin alt\u0131n\u0131 \u00e7iziyorlar.<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Koronavir\u00fcs (COVID-19) Pn\u00f6monisinin Zaman\u0131nda Tan\u0131 ve Tedavisi <\/strong><strong>\u0130yile\u015fme S\u00fcresini K\u0131salt\u0131r ve Ard\u0131\u015f\u0131k Toraks BT&#8217;sindeki En Y\u00fcksek Skoru ve Son BT\u2019deki Skoru D\u00fc\u015f\u00fcr\u00fcr<\/strong><\/span><\/h5>\n<p>Guoquan Huang, Tao Gong, Guangbin Wang, Jianwen Wang, Xinfu Guo, Erpeng Cai, Shirong Li, Xiaohu Li, Yongqiang Yu, and Liangjie Lin<\/p>\n<p>American Journal of Roentgenology 2020 215:2, 367-373<\/p>\n<p>Read More: <a href=\"https:\/\/www-ajronline-org.liboff.ohsu.edu\/doi\/full\/10.2214\/AJR.20.23078\">https:\/\/www-ajronline-org.liboff.ohsu.edu\/doi\/full\/10.2214\/AJR.20.23078<\/a><\/p>\n<p>\u00c7in&#8217;in Wuhu kentinden ara\u015ft\u0131rmac\u0131lar, yeni Koronavir\u00fcs ile enfekte olmu\u015f hastalar\u0131 takip etmek i\u00e7in y\u00fckseltilmi\u015f bir BT s\u0131n\u0131fland\u0131rma sistemi ortaya koydu. COVID-19&#8217;un tipik BT belirtilerinin periferik buzlu cam opasiteleri (GGO&#8217;lar) oldu\u011fu yayg\u0131n olarak bilinmektedir. Hastal\u0131k ilerledik\u00e7e, buzlu cam alanlar\u0131 aras\u0131nda \u201ckald\u0131r\u0131m ta\u015f\u0131\u201d g\u00f6r\u00fcn\u00fcm\u00fc belirir ve bu daha sonra konsolidasyona do\u011fru ilerler. Bu yeni sistem, bu beklenen klinik seyri hesaba katmak i\u00e7in standart s\u0131n\u0131fland\u0131rma sistemini, \u201ckald\u0131r\u0131m ta\u015f\u0131\u201d g\u00f6r\u00fcn\u00fcm\u00fcn\u00fcn varl\u0131\u011f\u0131 i\u00e7in +1, konsolidasyon i\u00e7in +2 art\u0131rarak, maksimum lober puan\u0131n\u0131 5&#8217;ten 7&#8217;ye ve dolay\u0131s\u0131yla toplam puan\u0131 25&#8217;den 35&#8217;e kadar art\u0131r\u0131r.\u00a0 Retrospektif olarak bu yeni sistemi kullanarak 30 COVID-19 pozitif hastadan olu\u015fan bir hasta pop\u00fclasyonu iki farkl\u0131 gruba ayr\u0131ld\u0131. Grup A erken te\u015fhis ve tedavi edilenler (ilk semptom ba\u015flang\u0131c\u0131ndan sonra 3 g\u00fcn i\u00e7inde), Grup B ise ilk semptom ba\u015flang\u0131c\u0131ndan 3 g\u00fcn sonra te\u015fhis edilenlerdir. Gruplar aras\u0131nda cinsiyet veya ya\u015f a\u00e7\u0131s\u0131ndan istatistiksel bir fark yoktu. Ayr\u0131ld\u0131ktan sonra, Grup A ve B\u2019nin ard\u0131\u015f\u0131k BT taramalar\u0131na bu de\u011fi\u015ftirilmi\u015f puanlama sistemi uyguland\u0131; hastal\u0131k hafifleme s\u00fcresi, maksimum BT skoru ve son BT skoru \u00e7al\u0131\u015fma sonu\u00e7 noktalar\u0131 olarak kullan\u0131ld\u0131. Her hasta i\u00e7in arda\u015f\u0131k BT skorlar\u0131 enterpolasyona tabi tutuldu ve hastal\u0131\u011f\u0131n hafiflemesine kadar ge\u00e7en s\u00fcre, e\u011fri \u00fczerindeki en y\u00fcksek de\u011ferin zaman noktas\u0131 kullan\u0131larak tahmin edildi. Grup A ve Grup B i\u00e7in ard\u0131\u015f\u0131k BT skorlar\u0131n\u0131n varyasyon e\u011filimleri, her grubun ortalama BT skorlar\u0131na uyan Lorentzian \u00e7izgi \u015fekli kullan\u0131larak \u00e7izildi. Grup A ve B i\u00e7in son BT skorlar\u0131, Mann Whitney testi kullan\u0131larak analiz edildi. \u00c7al\u0131\u015fmaya kaydedilen 25 hastada (Grup A&#8217;da 14 ve Grup B&#8217;de 11) erken tan\u0131 ve tedavi, maksimum BT skoru, hastal\u0131k iyile\u015fme s\u00fcresi ve son BT skoru ile pozitif korelasyon g\u00f6sterdi. Tan\u0131 ve tedavinin semptom ba\u015flang\u0131c\u0131ndan 3 g\u00fcnden daha k\u0131sa s\u00fcrede yap\u0131ld\u0131\u011f\u0131 hastalar i\u00e7in, hastan\u0131n istatistiksel olarak farkl\u0131 daha d\u00fc\u015f\u00fck maksimum BT skoru (16&#8217;ya k\u0131yasla 10), hastal\u0131\u011f\u0131n iyile\u015fmesi i\u00e7in daha k\u0131sa bir s\u00fcre (13 g\u00fcne k\u0131yasla 6 g\u00fcn) ve daha d\u00fc\u015f\u00fck bir son BT skoru (3.14 +\/- 2.41 ve 5.54 +\/- 1.20) g\u00f6r\u00fcld\u00fc. Bu sonu\u00e7lar, erken te\u015fhis ve tedavinin, bu sadece destekleyici bak\u0131m olsa bile, hastal\u0131\u011f\u0131n ciddiyetini ve s\u00fcresini s\u0131n\u0131rlamak i\u00e7in kritik oldu\u011funu g\u00f6stermektedir. Ara\u015ft\u0131rmac\u0131lar, ard\u0131\u015f\u0131k BT taramalar\u0131n\u0131 ve yeni puanlama sistemlerini kullanarak, COVID-19 pn\u00f6monisinin buzlu camdan, kald\u0131r\u0131m ta\u015f\u0131 g\u00f6r\u00fcnt\u00fcs\u00fcne ve konsolidasyona evrimini nicel ve do\u011fru bir \u015fekilde tan\u0131mlayabildiler ve daha erken te\u015fhis ve tedavinin, hastal\u0131\u011f\u0131n \u015fiddeti ve zaman s\u00fcreci ile pozitif bir \u015fekilde ili\u015fkili oldu\u011funu do\u011frulayabildiler. \u00a0Bu bulgular\u0131 daha b\u00fcy\u00fck bir kohortta do\u011frulayabilen daha g\u00fc\u00e7l\u00fc bir \u00e7al\u0131\u015fma yap\u0131labilir.<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Ya\u015fl\u0131 ve Gen\u00e7ler Yeti\u015fkinlerde Coronavir\u00fcs\u00fcn Kar\u015f\u0131la\u015ft\u0131rmal\u0131 \u00c7al\u0131\u015fmas\u0131<\/strong><\/span><\/h5>\n<p>Zhu, Tingting MD, PhD*; Wang, Yujin MD*; Zhou, Shuchang MD, PhD*; Zhang, Na PhD\u2020; Xia, Liming MD, PhD*<\/p>\n<p>Journal of Thoracic Imaging: July 2020 &#8211; Volume 35 &#8211; Issue 4 &#8211; p W97-W101<\/p>\n<p><a href=\"https:\/\/journals.lww.com\/thoracicimaging\/Fulltext\/2020\/07000\/A_Comparative_Study_of_Chest_Computed_Tomography.13.aspx\">https:\/\/journals.lww.com\/thoracicimaging\/Fulltext\/2020\/07000\/A_Comparative_Study_of_Chest_Computed_Tomography.13.aspx<\/a><\/p>\n<p>Hubei ilindeki ara\u015ft\u0131rmac\u0131lar; hastaneye yat\u0131r\u0131lan kan\u0131tlanm\u0131\u015f 72 COVID-19 hastas\u0131 \u00fczerinde geriye d\u00f6n\u00fck bir inceleme ger\u00e7ekle\u015ftirdi. Bu 72 hasta, &gt;60 ya\u015f olarak tan\u0131mlanan \u201cya\u015fl\u0131 yeti\u015fkinler\u201d ve &lt;60 ya\u015f olarak tan\u0131mlanan \u201cgen\u00e7 yeti\u015fkinler\u201d olmak \u00fczere iki gruba ayr\u0131ld\u0131. Bu iki grupta y\u00fcksek ate\u015f (%81.9) ve \u00f6ks\u00fcr\u00fck (%38.9) en yayg\u0131n semptomlar olarak raporlan\u0131rken solunum g\u00fc\u00e7l\u00fc\u011f\u00fc ve yorgunluk iki grupta benzer say\u0131da raporland\u0131. Toraks BT incelemeleri \u00a01) hastal\u0131\u011f\u0131n da\u011f\u0131l\u0131m\u0131 (merkezi-periferal) 2) lingulay\u0131 ayr\u0131 bir lob kabul etmek \u00fczere dahil olan lob say\u0131s\u0131 3) lezyon dansitesi (saf buzlu cam opasiteleri, konsolidasyon i\u00e7eren buzlu cam opasiteleri, ya da konsolidatif opasiteler) 4) interstisyel de\u011fi\u015fiklikler (retik\u00fclasyonlar, interlob\u00fclar septal kal\u0131nla\u015fma, subplevlar \u00e7izgiler vb.) 5) vakuolasyon, hava bronkogramlar\u0131 ya da vask\u00fcler geni\u015flemeler gibi e\u015flik eden radyolojik bulgular 6) plevral reaksiyonlar (plevral kal\u0131nla\u015fma, plevral traksiyon ve plevral kal\u0131nla\u015fma) i\u00e7in de\u011ferlendirildi. Yaln\u0131zca 72 hastal\u0131k bir kohortla \u00e7al\u0131\u015fma pek g\u00fc\u00e7l\u00fc olmasa da ara\u015ft\u0131rmac\u0131lar yeti\u015fkinlerde semptomatik COVID-19\u2019un en yayg\u0131n g\u00f6r\u00fclen \u00f6zelliklerini g\u00f6zlemlediler. Ya\u015fl\u0131 yeti\u015fkinler grubu, %67.9\u2019unun 6 lobun tamam\u0131n\u0131n i\u00e7ermesi ile gen\u00e7 yeti\u015fkinlerdeki %36.4 oran\u0131ndan istatistiksel olarak kayda de\u011fer bir farkl\u0131l\u0131k g\u00f6sterdi. \u0130ki grup, hastalar\u0131n b\u00fcy\u00fck bir b\u00f6l\u00fcm\u00fcn\u00fcn (%81.9) kar\u0131\u015f\u0131k konsolidasyon ile buzlu cam opasitelerine sahip olmas\u0131yla benzer lezyon dansiteleri g\u00f6sterdiler. Vakalar\u0131n %70.3\u2019\u00fcnde bask\u0131n olarak periferal desen ile iki grup benzer hastal\u0131k da\u011f\u0131l\u0131m\u0131 g\u00f6sterdi. Ya\u015fl\u0131 yeti\u015fkinlerin BT taramalar\u0131nda subplevral \u00e7izgiler (%50) ve plevral kal\u0131nla\u015fma (%71.4) gen\u00e7 yeti\u015fkinlere g\u00f6re daha s\u0131k g\u00f6zlendi. Veriler; semptomatik bireylerde bask\u0131n olarak periferal da\u011f\u0131l\u0131m\u0131n ve kar\u0131\u015f\u0131k buzlu cam-konsolidatif opasitelerin en yayg\u0131n g\u00f6r\u00fclen BT bulgular\u0131 oldu\u011funu do\u011frulad\u0131. Ya\u015fl\u0131 yeti\u015fkinler, gen\u00e7 grupla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda rutin olarak daha yayg\u0131n bir akci\u011fer tutulumu g\u00f6sterdi, bu da COVID-19 ile enfekte olmu\u015f ya\u015fl\u0131 hastalardaki mortalite ve morbiditedeki farkl\u0131l\u0131k i\u00e7in bir a\u00e7\u0131klama sunmu\u015f oldu. \u00a0Yazarlar, ya\u015fl\u0131 hasta pop\u00fclasyonlar\u0131nda bulunan di\u011fer istatistiksel olarak anlaml\u0131 plevral kal\u0131nla\u015fma ve subplevral \u00e7izgi bulgular\u0131n\u0131n, daha ya\u015fl\u0131 kohortta akci\u011fer parankim inflamasyonuna yan\u0131t farkl\u0131l\u0131klar\u0131 ile ili\u015fkili olabilece\u011fini ve hastal\u0131\u011f\u0131n ilerlemesinin bir g\u00f6stergesi olabilece\u011fini \u00f6ne s\u00fcr\u00fcyorlar.<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Atriyal Fibrilasyonlu Hastalarda Rastlant\u0131sal Koroner Arter Kalsifikasyonu ve \u0130nme Riski<\/strong><\/span><\/h5>\n<p>Dustin Hillerson, Thomas Wool, Gbolahan O. Ogunbayo, Vincent L. Sorrell, and Steve W. Leung<\/p>\n<p>American Journal of Roentgenology 2020 215:2, 344-350<\/p>\n<p><a href=\"https:\/\/www.ajronline.org\/doi\/abs\/10.2214\/AJR.19.22298\">https:\/\/www.ajronline.org\/doi\/abs\/10.2214\/AJR.19.22298<\/a><\/p>\n<p>Kentucky \u00dcniversitesi&#8217;nden ara\u015ft\u0131rmac\u0131lar, atriyal fibrilasyon (Afib) olan hastalarda rutin toraks BT&#8217;lerinde tespit edilen rastlant\u0131sal koroner arter kalsifikasyonlar\u0131n varl\u0131\u011f\u0131n\u0131n, CHA2DS2-VASc risk de\u011ferlendirmesinden ba\u011f\u0131ms\u0131z olarak inme ile ili\u015fkili olup olmad\u0131\u011f\u0131n\u0131 belirlemeyi ama\u00e7lad\u0131. Afib hastalar\u0131nda koroner arter kalsifikasyonlar\u0131n\u0131n (KAK) koroner arter hastal\u0131\u011f\u0131 (KAH) i\u00e7in bir g\u00f6sterge olabilece\u011fi varsay\u0131ld\u0131. \u00a0Bu retrospektif derlemede, A-fib tan\u0131s\u0131 alan ve daha sonra fel\u00e7 ge\u00e7iren 203 hasta ve fel\u00e7 olmayan 203 Afib hastas\u0131 olmak \u00fczere iki kohort olu\u015fturulmu\u015ftur; daha da \u00f6nemlisi, her bir inme vakas\u0131, inme olmayan bir vaka ile ayn\u0131 risk fakt\u00f6rlerine sahip olacak \u015fekilde bire bir e\u015fle\u015ftirilmi\u015ftir. KAK&#8217;lar\u0131n\u0131n varl\u0131\u011f\u0131n\u0131 tespit etmek i\u00e7in her iki grup i\u00e7in rutin toraks BT&#8217;leri g\u00f6zden ge\u00e7irildi ve KAK&#8217;lar\u0131 yok, hafif, orta veya \u015fiddetli olarak derecelendirildi. KAK&#8217;lar\u0131 inme ge\u00e7iren 129 hastada (% 63,5) ve inme ge\u00e7irmeyen 121 hastada (% 59,6) 0,46 P de\u011feri ile tan\u0131mland\u0131. Ancak, COX regresyon analizi, KAK&#8217;lar\u0131n\u0131n varl\u0131\u011f\u0131 ile inme olas\u0131l\u0131\u011f\u0131 aras\u0131nda 1,47&#8217;lik bir Tehlike Oran\u0131 (HR) (% 95 CI, 1,1-1,97 p &lt;0,01) ile \u00f6nemli bir zamansal ili\u015fki tan\u0131mlad\u0131. KAK grubundaki 203 hastadan 124&#8217;\u00fc takip s\u0131ras\u0131nda \u00f6l\u00fcrken, KAK&#8217;suz hastalar\u0131n sadece 60&#8217;\u0131 ayn\u0131 zaman diliminde 1.6&#8217;l\u0131k bir HR \u00fcreterek (% 95 CI 1.17-2.18, p &lt;0.01) hayat\u0131n\u0131 kaybetti. Yazarlar, inme ve mortalite ile orta d\u00fczeyde bir ili\u015fki g\u00f6sterdiklerinden, olas\u0131 KAK&#8217;n\u0131n CHA2DS2VASc risk de\u011ferlendirme arac\u0131na eklenebilece\u011fini varsaymaktad\u0131r. Bu \u00e7al\u0131\u015fman\u0131n s\u0131n\u0131rlamalar\u0131, geriye d\u00f6n\u00fck incelemeden kaynaklanan olas\u0131 yanl\u0131l\u0131k ve di\u011fer kar\u0131\u015ft\u0131r\u0131c\u0131 fakt\u00f6rlerden kaynaklanan \u00f6l\u00fcm oran\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"Subsolid Akci\u011fer Adenokarsinom Nod\u00fcllerinin Toraks BT\u2019de B\u00fcy\u00fcme H\u0131z\u0131 Constance de Margerie-Mellon,\u00a0Long H Ngo,\u00a0Ritu R Gill,\u00a0Antonio [&hellip;]","protected":false},"author":3,"featured_media":7182,"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-8210","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 - 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