{"id":8234,"date":"2020-09-10T16:24:03","date_gmt":"2020-09-10T21:24:03","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=8234"},"modified":"2020-09-10T16:28:59","modified_gmt":"2020-09-10T21:28:59","slug":"whats-new-in-msk-imaging-turkish-september-2020","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/tr\/whats-new-in-msk-imaging-turkish-september-2020\/","title":{"rendered":"What&#8217;s new in MSK Imaging (Turkish) &#8211; September 2020"},"content":{"rendered":"<h5><span style=\"color: #3366ff;\"><strong>\u00d6n \u00c7apraz Ba\u011f Rekonstr\u00fcksiyonu Sonras\u0131 Ameliyat \u0130nsidans\u0131 ve Ameliyat\u0131 \u00d6ng\u00f6ren Etkenler: 6 Y\u0131ll\u0131k Takip \u00c7al\u0131\u015fmas\u0131<\/strong><\/span><\/h5>\n<p>MOON Knee Group Ara\u015ft\u0131rma Vanderbilt \u00dcniversitesi T\u0131p Merkezi, Nashville, Tennessee, ABD&#8217;de ger\u00e7ekle\u015ftirildi.<\/p>\n<p>American Journal of Sports Medicine<\/p>\n<p><strong>Giri\u015f <\/strong><\/p>\n<p>\u00d6n \u00e7apraz ba\u011f (\u00d6\u00c7B) rekonstr\u00fcksiyonundan sonra tekrarlanan ameliyat\u0131n nedenleri de\u011fi\u015fkendir, ancak bu cerrahi prosed\u00fcrler i\u00e7in risk fakt\u00f6rleri iyi tan\u0131mlanmam\u0131\u015ft\u0131r. Cerrahi veya klinik fakt\u00f6rler tekrar cerrahiye ihtiya\u00e7 duyulmas\u0131yla ba\u011flant\u0131l\u0131 ise, hastalar ve klinisyenler prognozu ve riski etkileyecek fakt\u00f6rleri daha do\u011fru bir \u015fekilde de\u011ferlendirebilirler.<\/p>\n<p><strong>Soru<\/strong><\/p>\n<p>Klinik veya cerrahi fakt\u00f6rler primer \u00d6\u00c7B rekonstr\u00fcksiyonundan sonraki tekrar eden ameliyat\u0131n oran\u0131n\u0131 etkiler mi? \u0130ndeks \u00d6\u00c7B rekonstr\u00fcksiyonundan sonra kohorttaki hastalarda ger\u00e7ekle\u015ftirilen sonraki ameliyatlar\u0131n insidans\u0131 ve t\u00fcrleri nelerdir? \u0130ndeks \u00d6\u00c7B rekonstr\u00fcksiyonundan sonra, tekrar eden ameliyata giren hastalar\u0131n insidans\u0131 ile hangi de\u011fi\u015fkenler ili\u015fkilendirilir?<\/p>\n<p><strong>\u00c7al\u0131\u015fma tasar\u0131m\u0131:<\/strong><\/p>\n<p>Prospektif kohort \u00e7al\u0131\u015fmas\u0131.<\/p>\n<p><strong>Kat\u0131l\u0131mc\u0131lar<\/strong><\/p>\n<p>2002 ve 2008 y\u0131llar\u0131 aras\u0131nda 17 cerrahtan biriyle tek tarafl\u0131 primer veya revize ama\u00e7l\u0131 \u00d6\u00c7B rekonstr\u00fcksiyonu yap\u0131lan 7 b\u00f6lgedeki hastalar. \u00c7oklu ligament\u00f6z yaralanmalar dahil edildi.<\/p>\n<p><strong>D\u0131\u015flama Kriterleri<\/strong><\/p>\n<p>E\u015f zamanl\u0131 bilateral \u00d6\u00c7B rekonstr\u00fcksiyonu.<\/p>\n<p><strong>Y\u00f6ntemler <\/strong><\/p>\n<p>Hastalar, indeks \u00d6\u00c7B ameliyat\u0131ndan \u00f6nce bir anket doldurdular ve 2. ve 6. y\u0131lda takip edildi. Ba\u015flang\u0131\u00e7tan bu yana herhangi birinin ek ameliyat ge\u00e7irip ge\u00e7irmedi\u011fini belirlemek i\u00e7in hastalarla temasa ge\u00e7ildi. Operasyon raporlar\u0131 al\u0131nd\u0131 ve t\u00fcm cerrahi prosed\u00fcrler kategorize edilerek kaydedildi. Hastalar\u0131n demografik ve cerrahi de\u011fi\u015fkenlerinden hangilerinin, indeks \u00d6\u00c7B rekonstr\u00fcksiyonu sonras\u0131nda tekrar ameliyata girme insidans\u0131 ile ili\u015fkili oldu\u011funu tahmin etmek i\u00e7in lojistik regresyon modelleri olu\u015fturuldu.<\/p>\n<p><strong>Bulgular \u00a0<\/strong><\/p>\n<p>Grup, medyan ya\u015f\u0131 23 olan 3276 hastadan (% 56,3 erkek) olu\u015fuyordu. Sonraki ameliyat\u0131n insidans\u0131 ve s\u0131kl\u0131\u011f\u0131na ili\u015fkin bilgilerle ilgili olarak grubun % 91,5\u2019i (2999\/3276) \u00fczerinden 6 y\u0131ll\u0131k bir takip elde edildi. Genel olarak, kohortun % 20,4&#8217;\u00fcn\u00fcn (612\/2999) indeks prosed\u00fcr\u00fcnden sonraki 6 y\u0131l i\u00e7inde ipsilateral dizde en az 1 ek ameliyat ge\u00e7irdi\u011fi belgelendi.<\/p>\n<p>\u00d6n \u00e7apraz ba\u011f rekonstr\u00fcksiyonunu takip eden en yayg\u0131n cerrahi i\u015flemler menisk\u00fcs (% 11,9), revizyon \u00d6\u00c7B rekonstr\u00fcksiyonu (% 7,5), hareket kayb\u0131 (% 7,8) ve eklem k\u0131k\u0131rda\u011f\u0131 (% 6,7) ile ili\u015fkiliydi.<\/p>\n<p>\u00d6\u00c7B rekonstr\u00fcksiyonu sonras\u0131nda ger\u00e7ekle\u015ftirilen menisk\u00fcsle ili\u015fkili cerrahiye maruz kalman\u0131n \u00f6nemli risk fakt\u00f6rleri; indeks cerrahisi s\u0131ras\u0131nda medial menisk\u00fcs onar\u0131m\u0131, hamstring otogreft veya allogreft ile rekonstr\u00fcksiyon, y\u00fcksek bazal Marx aktivite seviyesi, gen\u00e7 ya\u015f ve sigaray\u0131 b\u0131rakma olarak saptand\u0131.<\/p>\n<p>\u00d6\u00c7B rekonstr\u00fcksiyonu sonras\u0131nda eklem k\u0131k\u0131rda\u011f\u0131 ile ili\u015fkili ameliyat\u0131n \u00f6nemli belirleyicileri; y\u00fcksek v\u00fccut kitle indeksi, y\u00fcksek Marx aktivite seviyesi, hamstring otogrefti veya allogreft ile rekonstr\u00fcksiyon, indeks cerrahisi s\u0131ras\u0131nda menisk\u00fcs onar\u0131m\u0131 veya grade 3\/4 eklem k\u0131k\u0131rdak anormalli\u011fiydi.<\/p>\n<p>\u00d6\u00c7B rekonstr\u00fcksiyonu sonras\u0131nda hareket kayb\u0131 ile ili\u015fkili cerrahi i\u00e7in risk fakt\u00f6rleri, gen\u00e7 ya\u015f, kad\u0131n cinsiyet, d\u00fc\u015f\u00fck ba\u015flang\u0131\u00e7 diz yaralanmas\u0131(low baseline knee injury) ve Osteoartrit Sonu\u00e7 Skoru semptom alt skoru ve yumu\u015fak doku allogreftiyle rekonstr\u00fcksiyondur.<\/p>\n<p><strong>Sonu\u00e7 <\/strong><\/p>\n<p>Hastalar\u0131 \u00d6\u00c7B rekonstr\u00fcksiyonundan sonra tekrar cerrahiye ihtiya\u00e7 duymaya yatk\u0131n hale getiren risk fakt\u00f6rleri; daha gen\u00e7 hastalar, kad\u0131n hastalar, d\u00fc\u015f\u00fck Diz Yaralanma ve Osteoartrit Sonu\u00e7 Skoru (Knee Injury\u00a0and\u00a0Osteoarthritis Outcome Score\u00a0= KOOS) ve yumu\u015fak doku allogreftiyle rekonstr\u00fcksiyonuydu.<\/p>\n<p><strong>Link <\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1177\/0363546520935867\">https:\/\/doi.org\/10.1177\/0363546520935867<\/a><\/p>\n<p><strong>K\u0131demli Edit\u00f6r Yorumu <\/strong><\/p>\n<p>\u00c7al\u0131\u015fma, \u00e7ok say\u0131da hastayla yap\u0131lm\u0131\u015f \u00f6nemli bir \u00e7al\u0131\u015fmad\u0131r ve \u00d6\u00c7B revizyonlar\u0131 ile ilgili baz\u0131 bilgi bo\u015fluklar\u0131n\u0131 doldurmaktad\u0131r. Ancak, retrospektif olarak hat\u0131rlamaya dayal\u0131 bu t\u00fcrde bir \u00e7al\u0131\u015fman\u0131n s\u0131n\u0131rlamalar\u0131 vard\u0131r. Yeniden yaralanmalar, hasta aktivitesi veya diz dengesizli\u011fi durumu, hastan\u0131n ihtiya\u00e7lar\u0131 veya birincil cerrahiden memnuniyetsizli\u011fi ve \u00f6zel sigorta durumu gibi di\u011fer bir\u00e7ok fakt\u00f6r, bariz kar\u0131\u015f\u0131kl\u0131\u011fa neden olan fakt\u00f6rlerdir.<\/p>\n<p><strong>Radyoloji Stajyerleri \u0130\u00e7in \u00d6nemli Mesajlar:<\/strong><\/p>\n<p>Postoperatif revize edilmi\u015f \u00d6\u00c7B MRI\u2019\u0131 g\u00f6zden ge\u00e7irirken, gelecekteki \u00d6\u00c7B greft revizyonlar\u0131n\u0131 etkileyebilecek etkenlere daha dikkat edin:<\/p>\n<ul>\n<li>Medial menisk\u00fcs onar\u0131m\u0131<\/li>\n<li>K\u0131k\u0131rdak yaralanmas\u0131 (\u00f6zellikle grade 3\/4)<\/li>\n<li>K\u0131k\u0131rdak onar\u0131m alanlar\u0131<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Gen\u00e7 Aktif Pop\u00fclasyonda, \u00d6n \u00c7apraz Ba\u011f Rekonstr\u00fcksiyonu Sonras\u0131nda, Allograft Don\u00f6r Karakteri Graft R\u00fcpt\u00fcr\u00fcne \u00d6nemli \u00d6l\u00e7\u00fcde Etki Eder<\/strong><\/span><\/h5>\n<p>Sarah Shumborski, BSc, MD, Lucy J. Salmony BAppSci (Physio), PhD,Claire Monk, BAppSci (ExPhys), Emma Heath, MPhty, Justin P. Roe MBBS, and Leo A. Pinczewski, AM, MBBS<\/p>\n<p><em>American Journal of Sports Medicine<\/em><\/p>\n<p><strong>Giri\u015f <\/strong><\/p>\n<p>\u00d6n \u00e7apraz ba\u011f (\u00d6\u00c7B) cerrahisinde greft se\u00e7imi, yeniden yaralanma oranlar\u0131n\u0131n y\u00fcksek olmas\u0131 nedeniyle gen\u00e7 aktif pop\u00fclasyonda zor olabilir. Allogreftler, greft boyutu \u00fczerinde kontrole izin verir ve otogreft mataryelinin morbiditesini azalt\u0131r. Literat\u00fcrde allogreft kullan\u0131m\u0131 ile ilgili kar\u0131\u015f\u0131k sonu\u00e7lar vard\u0131r; ancak, allogreft \u00f6zelliklerinin sonu\u00e7lar \u00fczerindeki etkisi \u00fczerinde \u00e7ok durulmam\u0131\u015ft\u0131r.<\/p>\n<p><strong>Soru <\/strong><\/p>\n<p>Ya\u015fl\u0131 don\u00f6rlerden al\u0131nan allogreftlerle \u00d6\u00c7B rekonstr\u00fcksiyonu, gen\u00e7 don\u00f6rlerden al\u0131nan allogreft ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda daha y\u00fcksek greft r\u00fcpt\u00fcr\u00fc oran\u0131na sahip olacak m\u0131?<\/p>\n<p><strong>\u00c7al\u0131\u015fma tasar\u0131m\u0131:<\/strong><\/p>\n<p>Prospektif kohort \u00e7al\u0131\u015fmas\u0131<\/p>\n<p><strong>Kat\u0131l\u0131mc\u0131lar<\/strong><\/p>\n<p>13-25 ya\u015f aras\u0131 hastalara (N = 211) 3,5 y\u0131l\u0131n \u00fczerimde taze dondurulmu\u015f, \u0131\u015f\u0131nlanmam\u0131\u015f allogreft ile primer \u00d6\u00c7B rekonstr\u00fcksiyonu yap\u0131ld\u0131.<\/p>\n<p><strong>D\u0131\u015flama Kriterleri<\/strong><\/p>\n<p>25 ya\u015f\u0131ndan b\u00fcy\u00fck, dizinde ek olarak \u00f6nemli ba\u011f yaralanmas\u0131 olan, dizlerinden birinde \u00f6n \u00e7apraz ba\u011f yaralanmas\u0131 \u00f6yk\u00fcs\u00fc olan veya yaralanmalar\u0131 i\u00e7in tazminat arayan hastalar hari\u00e7 tutuldu.<\/p>\n<p><strong>Y\u00f6ntemler <\/strong><\/p>\n<p>D\u00f6rt greft tipi kullan\u0131ld\u0131: patellar tendon, A\u015fil tendonu, tibialis anterior ve tibialis posterior. Allogreft don\u00f6r ya\u015f\u0131 ve cinsiyeti hakk\u0131nda ayr\u0131nt\u0131lar topland\u0131. Hastalar, en az 24 ay boyunca herhangi bir ba\u015fka yaralanma ve Uluslararas\u0131 Diz Dok\u00fcmantasyon Komitesi (International Knee Documentation Committee &#8211; IKDC) anketi ile ki\u015fisel analiz a\u00e7\u0131s\u0131ndan de\u011ferlendirildi. De\u011fi\u015fkenlerin gruplar aras\u0131 kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 kategorik veriler i\u00e7in x2 testleri ile analiz edilmi\u015f ve s\u00fcrekli de\u011fi\u015fkenlerin kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 Student t-testi ile belirlenmi\u015ftir.<\/p>\n<p><strong>Bulgular<\/strong><\/p>\n<p>\u00d6\u00c7B greft rupt\u00fcr\u00fc % 23.5 oran\u0131nda meydana geldi. Greftler tek sarmal (patellar ve A\u015fil tendonu) ve \u00e7ok sarmall\u0131 (tibialis anterior ve posterior) olarak ayr\u0131ld\u0131\u011f\u0131nda, tek sarmal greftlerde anlaml\u0131 derecede daha y\u00fcksek tekrar yaralanma oran\u0131 vard\u0131 (% 29,9&#8217;a kar\u015f\u0131 % 11; P = .014).<\/p>\n<p>50 ya\u015f\u0131ndaki kad\u0131n vericilerden al\u0131nan greftler, &lt;50 ya\u015f\u0131ndaki erkek don\u00f6rlerden al\u0131nan greftlere k\u0131yasla, 6.7 kat artm\u0131\u015f olas\u0131l\u0131kla, anlaml\u0131 olarak daha y\u00fcksek \u00d6\u00c7B greft rupt\u00fcr\u00fc oranlar\u0131na (% 52.6; P = .003) sahipti. \u00a0Allogreft don\u00f6r ya\u015f\u0131na ve cinsiyetine g\u00f6re gruplar aras\u0131nda ortalama IKDC skorlar\u0131nda anlaml\u0131 bir fark yoktu.<\/p>\n<p><strong>Sonu\u00e7<\/strong><\/p>\n<p>Allogreft vericinin ya\u015f\u0131 ve cinsiyeti ve greftin morfolojisi, gen\u00e7 aktif hastalarda ACL greft rupt\u00fcr\u00fc oran\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde etkiledi. \u226550 ya\u015f\u0131ndaki kad\u0131n don\u00f6rlerden gelen tendonlar, her ya\u015ftaki erkek don\u00f6rlere ve daha gen\u00e7 kad\u0131nlara k\u0131yasla daha y\u00fcksek yeniden rupt\u00fcr oranlar\u0131na sahiptir.<\/p>\n<p><strong>Link <\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1177\/0363546520938777\">https:\/\/doi.org\/10.1177\/0363546520938777<\/a><\/p>\n<p><strong>K\u0131demli Edit\u00f6r Yorumu<\/strong><\/p>\n<p>Yazarlar\u0131 bu \u00f6nemli \u00e7al\u0131\u015fma i\u00e7in tebrik ediyoruz. D\u00f6rt grup greft farkl\u0131 gruplarda say\u0131lar\u0131 k\u00fc\u00e7\u00fcltse de, \u00e7al\u0131\u015fma birka\u00e7 \u00f6nemli noktay\u0131 ortaya \u00e7\u0131karmaktad\u0131r. Ba\u015far\u0131s\u0131zl\u0131k oranlar\u0131, di\u011fer fakt\u00f6rlerin yan\u0131 s\u0131ra hasta aktivitesi seviyesi, yeniden yaralanma nedenleri, BMI, Diyabet, sigara vb. gibi di\u011fer fakt\u00f6rler i\u00e7in de kontrol edilmi\u015f olsayd\u0131 daha da iyi olabilirdi.<\/p>\n<p><strong>Radyoloji Stajyerleri \u0130\u00e7in \u00d6nemli Mesajlar:<\/strong><\/p>\n<p>Dizin ameliyat sonras\u0131 revizyon \u00d6\u00c7B MRG\u2019sini g\u00f6zden ge\u00e7irdi\u011finizde:<\/p>\n<ul>\n<li>Patelladan greft toplama b\u00f6lgesi: kemik tendon-kemik grefti \/ tek sarmal bir greft.<\/li>\n<li>Kuadriseps ve hamstring kaslar\u0131nda yara izi: bu b\u00f6lgelerden greft al\u0131nd\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcn \/ \u00e7ok sarmall\u0131 greft.<\/li>\n<li>Tek sarmal greftler i\u00e7in daha y\u00fcksek kopma ihtimali<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5><strong><span style=\"color: #3366ff;\">Trokleoplasti \u00d6ncesi Kesitsel G\u00f6r\u00fcnt\u00fclemede Femoral Troklear Morfolojik \u00d6zelliklerin De\u011ferlendirilmesi: Dejour S\u0131n\u0131fland\u0131rmas\u0131na Kar\u015f\u0131 Kantitatif \u00d6l\u00e7\u00fcm<\/span> <\/strong><\/h5>\n<p>Nicholas C. Nacey, Michael G. Fox, Barrett N. Luce, Dustin M. Boatman, and David R. Diduch<\/p>\n<p><em>American Journal of Roentgenology<\/em><\/p>\n<p><strong>Giri\u015f<\/strong><\/p>\n<p>Dejour s\u0131n\u0131fland\u0131rmas\u0131 troklear displazi i\u00e7in kalitatif bir de\u011ferlendime sunar. Bu \u00e7al\u0131\u015fmada, troklear displazinin kantitatif ve kalitatif de\u011ferlendirmesini ili\u015fkilendirmek i\u00e7in kesitsel g\u00f6r\u00fcnt\u00fclemenin kullan\u0131m\u0131 incelendi.<\/p>\n<p><strong>Sorular<\/strong><\/p>\n<p>Kesitsel g\u00f6r\u00fcnt\u00fcleme tekni\u011fi, troeklar displaziyi kalitatif ve kantitatif olarak Dejour s\u0131n\u0131fland\u0131rmas\u0131na g\u00f6re d\u00fc\u015f\u00fck dereceli (A tipi) veya y\u00fcksek dereceli (B-D tipleri) olacak \u015fekilde iyi bir g\u00f6zlemciler aras\u0131 uyumla s\u0131n\u0131fland\u0131rabilir mi?<\/p>\n<p><strong>Dizayn<\/strong><\/p>\n<p>Retrospektif \u00e7al\u0131\u015fma<\/p>\n<p><strong>Kat\u0131l\u0131mc\u0131lar<\/strong><\/p>\n<p>Deepening trokleoplasti \u00f6ncesindeki 9 y\u0131ll\u0131k s\u00fcre i\u00e7erisinde BT veya MRG \u00e7ekilmi\u015f hastalar.<\/p>\n<p><strong>D\u0131\u015flama Kriterleri<\/strong><\/p>\n<p>\u00c7al\u0131\u015fma d\u0131\u015f\u0131\u00a0 tutulan hasta yoktur.<\/p>\n<p><strong>Y\u00f6ntem<\/strong><\/p>\n<p>Hastalar\u0131n deepening trokleoplasti ameliyat\u0131na girmeden \u00f6nceki BT ve MRG g\u00f6r\u00fcnt\u00fcleri retrospektif olarak birbirinden ba\u011f\u0131ms\u0131z olarak iki kas-iskelet radyologu taraf\u0131ndan de\u011ferlendirildi. Her troklear displazi vakas\u0131na kalitatif olarak bir Dejour tipi atand\u0131. Ard\u0131ndan sulkus a\u00e7\u0131s\u0131, tibial t\u00fcberk\u00fclden troklear olu\u011fa olan mesafe, troklear derinlik, lateral troklear e\u011fim, troklear faset asimetrisi ve patellar lateralizasyon derecesi kantitatif olarak \u00f6l\u00e7\u00fcld\u00fc. Kantitatif veriler, asimetri varl\u0131\u011f\u0131n\u0131n var veya yok \u015feklinde kaydedildi\u011fi troklear faset asimetrisi d\u0131\u015f\u0131ndaki t\u00fcm parametreler i\u00e7in her iki radyolo\u011fun ortalama \u00f6l\u00e7\u00fcmleri kullan\u0131larak analiz edildi ve asimetri bulunan dizlerin y\u00fczdesi kaydedildi. Farkl\u0131 Dejour kategorilerinin ortalama de\u011ferlerini kar\u015f\u0131la\u015ft\u0131rmak i\u00e7in tek de\u011fi\u015fkenli analiz kullan\u0131ld\u0131.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong><\/p>\n<p>Toplamda 39 etkilenmi\u015f dizin bulundu\u011fu 35 ki\u015filik hasta populasyonun t\u00fcm\u00fc (29 kad\u0131n ve 6 erkek olmak \u00fczere; ya\u015f ortalamas\u0131 21.1) \u00e7al\u0131\u015fmaya dahil edildi. Okuyucular, 39 dizden 30&#8217;u (% 77 [\u03ba = 0.77; % 95 CI, 0.62-0.91]) i\u00e7in Dejour s\u0131n\u0131fland\u0131rmas\u0131 kullanarak kalitatif bir konsensus sa\u011flad\u0131lar. Ayr\u0131ca 39 dizden 36\u2019s\u0131n\u0131 (%92) d\u00fc\u015f\u00fck dereceli ile y\u00fcksek dereceli olarak s\u0131n\u0131fland\u0131rma \u00fczerinde uzla\u015ft\u0131lar. Bu 36 diz i\u00e7in, d\u00fc\u015f\u00fck dereceli ve y\u00fcksek dereceli displazi \u00f6l\u00e7\u00fcmlerindeki ortala de\u011ferler s\u0131ras\u0131yla, sulkus a\u00e7\u0131s\u0131 i\u00e7in 153\u00b0\u2019e kar\u015f\u0131n 168\u00b0 (<em>p<\/em> &lt; 0.001); troklear derinlik i\u00e7in 4mm\u2019ye kar\u015f\u0131n 1mm (<em>p<\/em> &lt; 0.001); lateral troklear e\u011fim i\u00e7in 12mm\u2019ye kar\u015f\u0131n 7mm (<em>p<\/em> &lt; 0.02); troklear faset asimetrisi i\u00e7in %13\u2019e kar\u015f\u0131n %92 (<em>p<\/em> &lt; 0.001) olarak hesapland\u0131. Dejour tib B ve C troklear displazi bulunan dizler ile Dejour tip B ve D bulunanlar k\u0131yasland\u0131\u011f\u0131nda troklear derinlik, lateral troklear e\u011fim ve troklear faset asimetrisinin farkl\u0131 oldu\u011fu ortaya kondu (t\u00fcm\u00fc i\u00e7in <em>p<\/em> &lt; 0.05). Dejour tip C ve D troklear displazileri aras\u0131nda kantitatif \u00f6l\u00e7\u00fcmlerinde farkl\u0131l\u0131k saptanmad\u0131. Tibial t\u00fcberk\u00fclden troklear olu\u011fa olan mesafe ve patellar lateralizasyon derecesi, d\u00fc\u015f\u00fck ve y\u00fcksek dereceli displazi aras\u0131nda istatistiksel olarak farkl\u0131 sonu\u00e7 vermedi.<\/p>\n<p><strong>\u00c7\u0131kar\u0131m<\/strong><\/p>\n<p>Dejour s\u0131n\u0131fland\u0131rmas\u0131n\u0131n kalitatif kullan\u0131m\u0131, troklear displaziyi d\u00fc\u015f\u00fck dereceli ve y\u00fcksek dereceli olarak %77\u2019sinde kesin uyumla olmak \u00fczere vakalar\u0131n %92&#8217;sinde do\u011fru bir \u015fekilde kategorize eder. Bunun yan\u0131 s\u0131ra troklear derinlik, lateral troklear e\u011fim, troklear faset asimetrisi ve sulkus a\u00e7\u0131s\u0131, d\u00fc\u015f\u00fck dereceli ve y\u00fcksek dereceli displazi aras\u0131nda; troklear derinlik, lateral troklear e\u011fim ve troklear faset asimetrisi ise Dejour tip B-C ve tip B-D aras\u0131nda ayr\u0131m yapmak i\u00e7in kullan\u0131labilir.<\/p>\n<p><strong>Ba\u011flant\u0131<\/strong><\/p>\n<p>https:\/\/doi.org\/10.2214\/ajr.19.22400<\/p>\n<p><strong>K\u0131demli Edit\u00f6r Yorumu<\/strong><\/p>\n<p>Bu \u00e7al\u0131\u015fma g\u00fczel g\u00f6r\u00fcnt\u00fclerin ve \u00f6l\u00e7\u00fcm ill\u00fcstrasyonlar\u0131n\u0131n kullan\u0131ld\u0131\u011f\u0131 ilgi \u00e7ekici bir \u00e7al\u0131\u015fma olmu\u015f. Buna kar\u015f\u0131n, d\u00fc\u015f\u00fck dereceli ve y\u00fcksek dereceli troklear s\u0131n\u0131fland\u0131rman\u0131n klinik do\u011frulu\u011fu ve ili\u015fkisi ortaya konmad\u0131\u011f\u0131 i\u00e7in; ayr\u0131ca referans standard\u0131 veya kohorttaki ger\u00e7ek negatif vakalar olmadan tan\u0131mland\u0131\u011f\u0131 i\u00e7in suni g\u00f6z\u00fckmektedir. G\u00f6zlemciler aras\u0131 uyumun g\u00f6sterilmesi ortaya koydu\u011funuz bilgilere katk\u0131da bulunur.<\/p>\n<p><strong>Radyoloji Stajyerlerine Notlar:<\/strong><\/p>\n<p>Diz displazisi i\u00e7in BT veya MRG incelemesi yaparken Dejour displazi s\u0131n\u0131fland\u0131rmas\u0131na a\u015fina olmak gerekmektedir. <em>Daha y\u00fcksek derece = trokleplasti i\u00e7in muhtemel adaylar<\/em><\/p>\n<p>Tip A: s\u0131\u011f troklea (sulkus a\u00e7\u0131\u015f\u0131 &gt; 145\u00b0)<\/p>\n<p>Tip B: d\u00fcz veya s\u0131\u011f troklea ve femoral \u015faftta \u00f6nden \u00e7\u0131k\u0131nt\u0131 yapan belirgin bir supratroklear spur veya \u00e7\u0131k\u0131nt\u0131<\/p>\n<p>Tip C: lateral faset konveksitesi ve medial faset hipoplazisi bulunan d\u00fczle\u015fmi\u015f troklear faset.<\/p>\n<p>Tip D: belirgin bir supratroklear spura biti\u015fik medial tarafta ani bir sonlan\u0131m <strong>\u00a0<\/strong>bulunan d\u00fczle\u015fmi\u015f troklea.<\/p>\n<ul>\n<li>\u00d6l\u00e7\u00fcmlerinizi medial tibiofemoral eklem hatt\u0131n\u0131n 3 cm proksimalinde yani medial femoral epifiz skar\u0131na kar\u015f\u0131l\u0131k gelen b\u00f6lgede yap\u0131n.<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Kal\u00e7a \/ pelvik a\u011fr\u0131s\u0131 olan transplante multipl miyelom hastalar\u0131nda manyetik rezonans g\u00f6r\u00fcnt\u00fcleme bulgular\u0131n\u0131n spektrumu (MY-RADS de\u011ferlendirmesine g\u00f6re): Tek merkez deneyimi<\/strong><\/span><\/h5>\n<p>Federica Rosi, Lorenzo Torri, Alida Dominietto, Alberto Stefano Tagliafico<\/p>\n<p><em>European Journal of Radiology<\/em><\/p>\n<p><strong>Giri\u015f<\/strong><\/p>\n<p>Standardize edilmi\u015f multipl miyelom raporlama MY-RADS (Miyelom Yan\u0131t De\u011ferlendirme ve Tan\u0131 Sistemi) ile geli\u015ftirilmi\u015ftir. Bu \u00e7al\u0131\u015fmada MY-RADS raporlama kriterleri hem etkilenme paternlerini belirlemek hem de bulgular\u0131 a\u011fr\u0131\/klinik parametrelerinin nedenleriyle ili\u015fkilendirmek i\u00e7in a\u011fr\u0131s\u0131 bulunan transplante hastalara uygulanm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Soru<\/strong><\/p>\n<p>Kal\u00e7a\/pelvik a\u011fr\u0131s\u0131 olan transplante Multipl Miyelom (MM) hastalar\u0131nda beklenen MRG bulgular\u0131n\u0131n spektrumu nedir? Spesifik MR bulgular\u0131 standart prognostik klinik sonu\u00e7lar\u0131 ile ili\u015fkilendirilebilir mi?<\/p>\n<p><strong>\u00c7al\u0131\u015fma Dizayn\u0131<\/strong><\/p>\n<p>Retrospektif \u00e7al\u0131\u015fma<\/p>\n<p><strong>Kat\u0131l\u0131mc\u0131lar<\/strong><\/p>\n<p>Ocak 2017-Aral\u0131k 2019 aral\u0131\u011f\u0131nda kal\u00e7a\/pelvik a\u011fr\u0131s\u0131 i\u00e7in MRG \u00e7ekilen ve \u00f6ncesinde kemik ili\u011fi nakledilmi\u015f toplam 54 MM hastas\u0131 \u00e7al\u0131\u015fmaya dahil edildi.<\/p>\n<p><strong>D\u0131\u015flama Kriterleri<\/strong><\/p>\n<p>Artefakt i\u00e7eren g\u00f6r\u00fcnt\u00fclemeler, bilinen di\u011fer maligniteleri bulunan hastalar ve ba\u015fka b\u00f6lgelerden kaynaklanan a\u011fr\u0131s\u0131 olan hastalar \u00e7al\u0131\u015fma d\u0131\u015f\u0131 b\u0131rak\u0131ld\u0131.<\/p>\n<p><strong>Y\u00f6ntem<\/strong><\/p>\n<p>Kal\u00e7a\/pelvik a\u011fr\u0131s\u0131 olan 54 MM hastas\u0131n\u0131n retrospektif MRG yorumu MY-RADS y\u00f6nergesine g\u00f6re yap\u0131ld\u0131. Kemik ili\u011fi tutulumunun tipi ve insidental bulgular (osteonekroz ve frakt\u00fcrler) MR\u2019da kaydedildi. Okuyucular aras\u0131 ve okuyucular i\u00e7i uyum Cohen\u2019s kappa testi kullan\u0131larak hesapland\u0131. Sa\u011f kal\u0131m ve n\u00fcksetme oranlar\u0131 ile transplantasyon tipi ve hospitalizasyon s\u00fcreleri MRG bulgular\u0131 ile ili\u015fkilendirildi.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong><\/p>\n<p>MY-RADS tan\u0131mlar\u0131na g\u00f6re 52 hastadan 1 tanesi normal kemik ili\u011fi paterni, 10 tanesi fokal \u00a0patern, 26 tanesi diff\u00fcz patern, 15 tanesi ise kar\u0131\u015f\u0131k patern g\u00f6sterdi. Hi\u00e7bir mikronod\u00fcler patern vakas\u0131 bildirilmedi. Tesad\u00fcfi bulgular aras\u0131nda, ortalama hospitalizasyon s\u00fcresi daha uzun olan 6 tane (n=6) osteonekroz ve 5 tane (n=5) patolojik frakt\u00fcr bulundu. MY-RADS de\u011ferlendirmesinde okuyucular i\u00e7i ve okuyucular aras\u0131 uyum iyiydi (k de\u011feri 0.61 &#8211; 0.8 aras\u0131nda). Osteonekroz izlenen hastalarda g\u00f6r\u00fclen en s\u0131k patern fokal tutulumdu ve sa\u011fkal\u0131m oran\u0131 en k\u00f6t\u00fc gruptu.\u00a0 N\u00fckseden vakalarda diff\u00fcz patern g\u00f6zlemlenmedi. Kemik ili\u011fi infiltrasyon paternleri ve transplantasyon tipi aras\u0131nda istatistiksel olarak \u00f6nemli bir ili\u015fki g\u00f6zlemlenmedi.<\/p>\n<p><strong>\u00c7\u0131kar\u0131m<\/strong><\/p>\n<p>MRG kullan\u0131larak kal\u00e7a\/pelvik a\u011fr\u0131s\u0131 olan transplante MM hastalar\u0131nda farkl\u0131 infiltrasyon paternleri ve komplikasyonlar\u0131 saptanabilir. B\u00f6ylece a\u011fr\u0131n\u0131n sebebi ve klinik parametreler ili\u015fkilendirilebilir.<\/p>\n<p><strong>Ba\u011flant\u0131<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1016\/j.ejrad.2020.109154\">https:\/\/doi.org\/10.1016\/j.ejrad.2020.109154<\/a><\/p>\n<p><strong>K\u0131demli Edit\u00f6r Yorumu<\/strong><\/p>\n<p>Bu ilgi \u00e7ekici \u00e7al\u0131\u015fma i\u00e7in te\u015fekk\u00fcrler. \u00c7al\u0131\u015fma MRG\u2019nin ilik nakli \u00f6ncesi ve sonras\u0131 MM hastalar\u0131n\u0131n g\u00f6zleminde \u00f6nemli bir rol\u00fcn\u00fcn oldu\u011funu bizlere g\u00f6stermektedir. Bu alanda yap\u0131lan \u00e7al\u0131\u015fmalarda t\u00fcm v\u00fccut BT&#8217;si \u00e7ekmek pop\u00fcler hale gelmektedir ancak MRG maliyet a\u00e7\u0131s\u0131ndan daha makul bir hale geldik\u00e7e, bu t\u00fcr hastalarda MRG\u2019den faydalanmak muhtemelen daha iyi olacakt\u0131r.<\/p>\n<p><strong>Radyoloji Stajyerlerine Notlar<\/strong><\/p>\n<p>A\u015fa\u011f\u0131daki tabloda verilen MY-RADS bile\u015fenlerine a\u015fina olman\u0131z gerekmektedir.<\/p>\n<p>Messiou, Christina, et al. &#8220;Guidelines for acquisition, interpretation, and reporting of whole-body MRI in myeloma: myeloma response assessment and diagnosis system (MY-RADS).&#8221;\u00a0<em>Radiology<\/em>\u00a0291.1 (2019): 5-13.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"250\" height=\"682\" class=\"alignnone size-medium wp-image-8235\" src=\"http:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/09\/1-250x682.jpg\" alt=\"\" srcset=\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/09\/1-250x682.jpg 250w, https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/09\/1-120x327.jpg 120w, https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/09\/1.jpg 354w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Anevrizmal kemik kisti ve telanjiektatik osteosarkom aras\u0131ndaki ayr\u0131m: klinik, radyografi ve MRI \u00fczerine bir \u00e7al\u0131\u015fma<\/strong><\/span><\/h5>\n<p>Umme Sara Zishan, Ian Pressney, Michael Khoo &amp; Asif Saifuddin<\/p>\n<p><a href=\"https:\/\/link.springer.com\/journal\/256\"><em>Skeletal Radiology<\/em><\/a><\/p>\n<p><strong>Giri\u015f:<\/strong> Anevrizmal kemik kisti (AKK) ve telanjiektatik osteosarkomu (TOS); gen\u00e7 prezantasyon, uzun kemik tutulumu, radyografide litik g\u00f6r\u00fcn\u00fcm ve MRG&#8217;de s\u0131v\u0131-s\u0131v\u0131 seviyeleri gibi benzer klinik ve g\u00f6r\u00fcnt\u00fcleme \u00f6zelliklerinden dolay\u0131 ay\u0131rt etmek zor olabilir. Ancak, klinik y\u00f6netim \u00f6nemli \u00f6l\u00e7\u00fcde farkl\u0131l\u0131k g\u00f6sterir. Do\u011fru g\u00f6r\u00fcnt\u00fcleme yorumu, zor vakalarda hasta bak\u0131m\u0131n\u0131 olumlu y\u00f6nde etkileyebilir.<\/p>\n<p><strong>Soru:<\/strong> AKK ve TOS&#8217;un ay\u0131rt edilmesine yard\u0131mc\u0131 olabilecek g\u00fcvenilir g\u00f6r\u00fcnt\u00fcleme \u00f6zellikleri var m\u0131?<\/p>\n<p><strong>Dizayn: <\/strong>Retrospektif \u00e7al\u0131\u015fma<\/p>\n<p><strong>Kat\u0131l\u0131mc\u0131lar: <\/strong>11 y\u0131l periyodunda AKK veya TOS histopatolojik tan\u0131s\u0131 do\u011frulanm\u0131\u015f ameliyat \u00f6ncesi radyografileri ve\/veya MRG\u2019si bulunan hastalar<\/p>\n<p><strong>D\u0131\u015flama Kriterleri: <\/strong>Yok<\/p>\n<p><strong>Materyal ve Metodlar: <\/strong>11 y\u0131ll\u0131k periyodda histolojik olarak do\u011frulanm\u0131\u015f t\u00fcm AKK ve TOS\u2019lar\u0131n retrospektif incelemesi. Kaydedilen veriler g\u00f6r\u00fcnt\u00fcleme s\u0131ras\u0131ndaki ya\u015f, cinsiyet, iskelet konumu ve \u00e7e\u015fitli radyografik ve MRG \u00f6zellikleri i\u00e7erir. Kaydedilen verilerin istatistiksel analizi ve g\u00f6zlemciler aras\u0131 uyumu de\u011ferlendirildi.<\/p>\n<p><strong>Sonu\u00e7: <\/strong>Bu retrospektif \u00e7al\u0131\u015fmada 183 hasta, 92 erkek ve 91 kad\u0131n mevcuttu. G\u00f6r\u00fcnt\u00fclemede ortalama ya\u015f 18.4 idi (aral\u0131k 1-70 ya\u015f); 152 AKK ve 31 TOS vakas\u0131 mevcuttu. Ya\u015f ve cinsiyet aras\u0131nda \u00f6nemli bir fark yoktu. TOS\u2019un aksiyal iskeleti kapsamas\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde daha azd\u0131; kemik i\u00e7erisindeki lokasyonu fark yaratmad\u0131. AKK&#8217;yi \u00f6nemli \u00f6l\u00e7\u00fcde destekleyen radyografik bulgular aras\u0131nda daha az agresif bir kemik y\u0131k\u0131m\u0131 modeli, tamamen litik bir g\u00f6r\u00fcn\u00fcm, geni\u015flemi\u015f ancak sa\u011flam bir korteks vard\u0131; periosteal yan\u0131t ve yumu\u015fak doku kitlesi yoktu. AKK&#8217;yi \u00f6nemli \u00f6l\u00e7\u00fcde destekleyen MRG \u00f6zellikleri aras\u0131nda daha k\u00fc\u00e7\u00fck t\u00fcm\u00f6r boyutu (TOS i\u00e7in 95 mm&#8217;ye k\u0131yasla maksimum ortalama boyut 46 mm), yumu\u015fak doku kitlesi yoklu\u011fu, &gt;2\/3&#8217;\u00fc s\u0131v\u0131 seviyeleri ile dolu lezyon ve kontrast\u0131 takiben ince septal kal\u0131nla\u015fma bulunuyordu.<\/p>\n<p><strong>\u00c7\u0131kar\u0131m: <\/strong>AKK ve TOS aras\u0131ndaki ayr\u0131ma boyut, ili\u015fkili yumu\u015fak doku kitlesi, s\u0131v\u0131-s\u0131v\u0131 seviyeli lezyon y\u00fczdesi gibi \u00e7e\u015fitli radyografik ve MRG \u00f6zellikleri yard\u0131mc\u0131 olur. MRG&#8217;de tamamen s\u0131v\u0131-s\u0131v\u0131 seviyeleriyle dolu olan co\u011frafi Tip IA veya IB kemik y\u0131k\u0131m paternine sahip lezyonlar g\u00fcvenle AKK olarak te\u015fhis edilebilir.<\/p>\n<p><strong>Link: <\/strong><a href=\"https:\/\/doi.org\/10.1007\/s00256-020-03432-w\">https:\/\/doi.org\/10.1007\/s00256-020-03432-w<\/a><\/p>\n<p><strong>K\u0131demli edit\u00f6r yorumu: <\/strong>Tebrikler. G\u00f6r\u00fcnt\u00fclemede TOS\u2019un AKK\u2019ye k\u0131yasla daha k\u00fc\u00e7\u00fck \u00f6rneklem boyutuna ra\u011fmen agresifli\u011fini onaylayan m\u00fckemmel bir \u00e7al\u0131\u015fma olup iyi tespitler yap\u0131lm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Radyoloji \u00f6\u011frencilerinin \u00e7\u0131karacaklar\u0131 ders: <\/strong><\/p>\n<p>Radyografi ve MRG\u2019leri incelerken ve AKK veya TOS\u2019u ay\u0131rt etmeye \u00e7al\u0131\u015f\u0131rken, yard\u0131mc\u0131 olmas\u0131 i\u00e7in bu kriterleri kullan\u0131n:<\/p>\n<p>TOS:<\/p>\n<ul>\n<li>Aksiyal iskeleti tutmas\u0131 daha az olas\u0131d\u0131r.<\/li>\n<li>Daha b\u00fcy\u00fck t\u00fcm\u00f6r boyutu (maksimum ortalama boyut 95 mm)<\/li>\n<li>Sadece k\u0131sm\u0131 s\u0131v\u0131 seviyeleri i\u00e7eren agresif kemik y\u0131k\u0131m\u0131 \u2013 <strong>Biyopsi gerektirir<\/strong><\/li>\n<\/ul>\n<p>AKK:<\/p>\n<ul>\n<li>Daha az agresif kemik y\u0131k\u0131m paterni<\/li>\n<li>Tamamen litik g\u00f6r\u00fcnt\u00fc, geni\u015flemi\u015f fakat sa\u011flam bir korteks<\/li>\n<li>Periosteal yan\u0131t yok<\/li>\n<li>Yumu\u015fak doku kitlesi yok<\/li>\n<li>Daha k\u00fc\u00e7\u00fck t\u00fcm\u00f6r boyutu (maksimum ortalama boyut 46 mm)<\/li>\n<li>&gt;2\/3\u2019\u00fc s\u0131v\u0131 seviyeleriyle dolmu\u015f lezyon ve kontrast\u0131 takiben ince septal kal\u0131nla\u015fma.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Konum, Donan\u0131m Varl\u0131\u011f\u0131 ve K\u0131r\u0131klar\u0131n Belirlenmesi \u0130\u00e7in Pelvis Radyografilerinin Derin \u00d6\u011frenme De\u011ferlendirmesi<\/strong><\/span><\/h5>\n<p>Gene Kitamura<\/p>\n<p>European Journal of Radiology<\/p>\n<p><strong>Giri\u015f:<\/strong><\/p>\n<p>Derin \u00f6\u011frenme modellerinin radyologlar\u0131n\u0131n raporlamas\u0131nda hem verimlili\u011fini ve hem de do\u011frulu\u011funu art\u0131rmada kullan\u0131\u015fl\u0131 oldu\u011fu g\u00f6sterilmi\u015ftir. Son \u00e7\u0131kan makaleler derin \u00f6\u011frenme modelinin kal\u00e7a k\u0131r\u0131klar\u0131n\u0131 saptamada kullan\u0131\u015fl\u0131l\u0131\u011f\u0131n\u0131 ortaya koymu\u015ftur; fakat pelvis ve asetabulum k\u0131r\u0131klar\u0131yla ilgili derin \u00f6\u011frenme modelini kullanan ara\u015ft\u0131rma say\u0131s\u0131 yetersizdir.<\/p>\n<p><strong>Soru:<\/strong><\/p>\n<p>Derin \u00f6\u011frenme modelleri konum, donan\u0131m varl\u0131\u011f\u0131 ve pelvis-asetabulum k\u0131r\u0131klar\u0131n\u0131n saptanmas\u0131 i\u00e7in geli\u015ftirilebilir mi?<\/p>\n<p><strong>\u00c7al\u0131\u015fma Dizayn\u0131:<\/strong><\/p>\n<p>Retrospektif inceleme<\/p>\n<p><strong>Kat\u0131l\u0131mc\u0131lar:<\/strong><\/p>\n<p>18 ya\u015f\u0131ndan b\u00fcy\u00fck yakla\u015f\u0131k 10 seneyi a\u015fm\u0131\u015f bir periyotta acilde veya yatan hasta olarak pelvis radyografileri mevcut hastalar.<\/p>\n<p><strong>D\u0131\u015flama Kriterleri:<\/strong><\/p>\n<p>Board sertifikal\u0131 radyologlar taraf\u0131ndan belirlenmi\u015f teknik fakt\u00f6rlerden kaynaklanan suboptimal kalite.<\/p>\n<p><strong>Metot:<\/strong><\/p>\n<p>Retrospektif olarak 8\/2009\u20136\/2019 tarihleri aras\u0131ndaki veriler elde edilmi\u015ftir. Pelvik g\u00f6r\u00fcnt\u00fclemede k\u0131r\u0131klar\u0131n oldu\u011fu radyografiler \u00e7al\u0131\u015fmaya dahil edilmi\u015ftir. Donan\u0131m belirleme modelleri ve konum etiketlemesi olu\u015fturmak i\u00e7in bir veri alt k\u00fcmesi 4 konum ve 2 donan\u0131m etiketi olmak \u00fczere b\u00f6l\u00fcnm\u00fc\u015ft\u00fcr. Kalan veriler bu geli\u015ftirilmi\u015f modellerle incelenmi\u015f, 6 ayr\u0131 k\u0131r\u0131k pateni baz al\u0131narak etiketlenmi\u015ftir ve \u00e7e\u015fitli k\u0131r\u0131k saptama modelleri olu\u015fturulmu\u015ftur. ROC, AOC e\u011frileri ve di\u011fer sonu\u00e7 parametreleri de\u011ferlendirilmi\u015ftir.<\/p>\n<p><strong>Bulgular:<\/strong><\/p>\n<p>Konum ve donan\u0131m modelleri 0.99-1.00 AUC e\u011frisiyle ger\u00e7ekle\u015ftirilmi\u015ftir. Proksimal k\u0131r\u0131klar\u0131 belirlemede AUC de\u011feri daha \u00f6nceki ara\u015ft\u0131rmalarla uyumlu olarak 0.95 kadar y\u00fcksekti. Pelvis ve asetabulum k\u0131r\u0131k saptama performans\u0131 ayr\u0131 k\u0131r\u0131k modelleriyle arka pelvis kategorisinde 0.70 kadar d\u00fc\u015f\u00fck, asetabulum kategorisinde 0.85 kadar y\u00fcksekti.<\/p>\n<p><strong>Sonu\u00e7:<\/strong><\/p>\n<p>Derin \u00f6\u011frenme modelleri pelvis g\u00f6r\u00fcnt\u00fcleme konumunu, donan\u0131m varl\u0131\u011f\u0131n\u0131, pelvis ve asetabulum k\u0131r\u0131klar\u0131n\u0131, proksimal femoral k\u0131r\u0131\u011f\u0131nda sadece 0.03 kay\u0131pla olmak \u00fczere, ba\u015far\u0131l\u0131 bir \u015fekilde belirleyebilmektedir.<\/p>\n<p><strong>Link<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1016\/j.ejrad.2020.109139\">https:\/\/doi.org\/10.1016\/j.ejrad.2020.109139<\/a><\/p>\n<p><strong>K\u0131demli Edit\u00f6r Yorumu<\/strong><\/p>\n<p>AI ile ilgili ara\u015ft\u0131rmalar katlanarak ilerliyor. \u0130yi i\u015f! Yapay zekan\u0131n gelecekte daha fazlas\u0131n\u0131 yapmas\u0131n\u0131 ve bu t\u00fcr k\u0131r\u0131klar\u0131n ilgili a\u00e7\u0131 ve yer de\u011fi\u015ftirme \u00f6l\u00e7\u00fcmlerini ger\u00e7ekle\u015ftirmesini bekliyoruz.<\/p>\n<p><strong>Radyoloji \u00d6\u011frencileri i\u00e7in Al\u0131nmas\u0131 Gereken Mesaj<\/strong><\/p>\n<p>Yapay zeka burada durmaktad\u0131r ve bizim buna adapte olmam\u0131z gerekmektedir. Pelvis ve femur k\u0131r\u0131klar\u0131n\u0131 belirlemek hastalar\u0131n morbidite ve mortalitesini azaltmaya yard\u0131mc\u0131 olacakt\u0131r. AI kullan\u0131larak k\u0131r\u0131klar\u0131 olan hastalar\u0131 acil serviste listelerin en \u00fcst\u00fcne ta\u015f\u0131mak \u00f6zellikle yararl\u0131 olacakt\u0131r.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h5><span style=\"color: #3366ff;\"><strong>BT e\u015fli\u011finde diskitis-osteomiyelit biyopsileri: i\u011fne \u00f6l\u00e7\u00fcs\u00fc ve mikrobiyoloji sonu\u00e7lar\u0131<\/strong><\/span><\/h5>\n<p>Jad S. Husseini &amp; F. Joseph Simeone &amp; Sandra B. Nelson &amp; Connie Y. Chang<\/p>\n<p>\u0130skelet Radyolojisi<\/p>\n<p><strong>\u00d6nbilgi<\/strong><\/p>\n<p>\u0130\u011fne biyopsisindeki pozitif k\u00fclt\u00fcr oran\u0131 literat\u00fcrde \u00e7e\u015fitlilik g\u00f6sterir ve pozitiflik oran\u0131n\u0131 belirleyen fakt\u00f6rler hakk\u0131nda s\u0131n\u0131rl\u0131 bilgi vard\u0131r. Osteomiyelit g\u00f6r\u00fcnt\u00fcleme bulgular\u0131 mevcut olup yap\u0131lan biyopside negative sonu\u00e7lanan k\u00fclt\u00fcrlerin, hasta bak\u0131m\u0131 ve antibiyotik y\u00f6netimi \u00fczerinde olumsuz etkileri vard\u0131r.<\/p>\n<p><strong>Sorular<\/strong><\/p>\n<p>Mikrobiyoloji sonu\u00e7lar\u0131n\u0131n, diskitis-osteomiyelit \u015f\u00fcphesi ile BT e\u015fli\u011finde yap\u0131lan biyopsilerde kullan\u0131lan i\u011fne \u00f6l\u00e7\u00fcs\u00fc ile bir ili\u015fkisi var m\u0131?<\/p>\n<p><strong>\u00c7al\u015f\u0131ma Dizayn\u0131<\/strong><\/p>\n<p>Geriye D\u00f6n\u00fck \u00c7al\u0131\u015fma<\/p>\n<p><strong>Kat\u0131l\u0131mc\u0131lar<\/strong><\/p>\n<p>2002-2019 y\u0131llar\u0131 aras\u0131nda bir enstit\u00fcde diskitis-osteomiyelit \u015f\u00fcphesiyle BT e\u015fli\u011finde biyopsi yap\u0131lan t\u00fcm hastalar.<\/p>\n<p><strong>D\u0131\u015flama Kriterleri<\/strong><\/p>\n<p>Prosed\u00fcr d\u00fczeyinde daha \u00f6nce biyopsi veya klinik olarak kan\u0131tlanm\u0131\u015f diskitis-osteomiyelit tan\u0131s\u0131 olan hastalar ve klinik osteomiyelit tan\u0131s\u0131 koymak i\u00e7in yeterli seviyede takip edilmemi\u015f olan hastalar.<\/p>\n<p><strong>Y\u00f6ntem<\/strong><\/p>\n<p>Biyopsi yeri, i\u011fne tipi ve \u00f6l\u00e7\u00fcs\u00fc, mikrobiyoloji, patoloji ve klinik ve g\u00f6r\u00fcnt\u00fcleme takibi \u00e7izelge incelemesi ile elde edildi. Verim, duyarl\u0131l\u0131k, \u00f6zg\u00fcll\u00fck ve do\u011fruluk hesapland\u0131. Odds oran\u0131n\u0131n hesaplanmas\u0131yla farkl\u0131 i\u011fne \u00f6l\u00e7\u00fclerinin(gauge) ikili analizi de ger\u00e7ekle\u015ftirildi. Na\u00efve Bayes \u00f6ng\u00f6r\u00fcc\u00fc modellemesi uyguland\u0131.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong><\/p>\n<p>241 (ya\u015f: 59 \u00b1 18 y\u0131l; 88 [% 35] K, 162 [% 65] E) biyopsi yap\u0131ld\u0131. 3 (% 1) 11 gauge (G) ve 13 (% 5) 12-G biyopsisi; 23 (% 10) 13-G biyopsisi; 75 (% 31) 14-G biyopsisi; ve 90 (% 37) 16-G, 33 (% 14) 18-G ve 4 (% 2) 20 G biyopsisi vard\u0131. Ger\u00e7ek hastal\u0131k durumu (enfeksiyon varl\u0131\u011f\u0131), patoloji bulgular\u0131 (205, 86%) veya klinik ve g\u00f6r\u00fcnt\u00fcleme takibi (36,% 14) yoluyla belirlendi. En yayg\u0131n ger\u00e7ek pozitif patojen Staphylococcus aureus&#8217;tu (31,% 33). Genel biyopsi verimi, duyarl\u0131l\u0131k, \u00f6zg\u00fcll\u00fck ve do\u011fruluk s\u0131ras\u0131yla % 39, % 56, % 89 ve % 66 idi. Toplamda biyopsi verimi, duyarl\u0131l\u0131\u011f\u0131, \u00f6zg\u00fcll\u00fc\u011f\u00fc ve do\u011frulu\u011fu 11\u201313-G i\u011fneler i\u00e7in s\u0131ras\u0131yla % 56,% 69,% 71 ve% 69 ; 14\u201320-G i\u011fneler i\u00e7in s\u0131ras\u0131yla % 36,% 53,% 91 ve% 65 idi (iki grup aras\u0131nda 2.29&#8217;luk bir odds oran\u0131yla (P = 0.021)). Toplamda biyopsi verimi, duyarl\u0131l\u0131\u011f\u0131, \u00f6zg\u00fcll\u00fc\u011f\u00fc ve do\u011frulu\u011fu 11\u201314-G i\u011fneler i\u00e7in s\u0131ras\u0131yla % 48,% 63,% 85 ve% 68; 16\u201320-G i\u011fneler i\u00e7in s\u0131ras\u0131yla % 32,% 49,% 91 ve% 64 idi ( iki grup aras\u0131nda 2.02&#8217;lik bir odds oran\u0131yla (P = 0.0086)).<\/p>\n<p><strong>Sonu\u00e7<\/strong><\/p>\n<p>Diskitis-osteomiyelitin BT e\u015fli\u011finde yap\u0131lan biyopsileri i\u00e7in daha b\u00fcy\u00fck bir i\u00e7 delik \u00e7ap\u0131 olan \/ daha d\u00fc\u015f\u00fck gauge de\u011ferli biyopsi i\u011fnesinin kullan\u0131lmas\u0131, sorumlu olan mikroorganizman\u0131n k\u00fclt\u00fcrlenme olas\u0131l\u0131\u011f\u0131n\u0131 art\u0131rabilir ve \u00f6zellikle osteomiyelite olan duyarl\u0131l\u0131ktaki art\u0131\u015fla ili\u015fkilendirilmektedir. Bu giri\u015fimsel radyologlar i\u00e7in yararl\u0131 olabilir ve osteomiyelit \u015f\u00fcphesiyle biyopsi yap\u0131lan hastalar\u0131n bak\u0131m\u0131n\u0131 olumlu y\u00f6nde etkileyebilir.<\/p>\n<p><strong>Link<\/strong><\/p>\n<p>https:\/\/doi.org\/10.1007\/s00256-020-03439-3<\/p>\n<p><strong>K\u0131demli edit\u00f6r yorumu<\/strong><\/p>\n<p>\u0130lgin\u00e7 \u00e7al\u0131\u015fmalar\u0131n\u0131z i\u00e7in te\u015fekk\u00fcrler! Kemik enfeksiyonlar\u0131 i\u00e7in biyopsi verimi ancak % 50 veya daha az seviyelerde oldu\u011fu i\u00e7in kullan\u0131\u015fs\u0131z kal\u0131yor . Patoloji uzmanl\u0131\u011f\u0131 ve patolo\u011fun kesin bir osteomiyelit te\u015fhisi koyma isteklili\u011fi de beceri ve g\u00fcven d\u00fczeylerine g\u00f6re de\u011fi\u015fir. Bu t\u00fcr kar\u0131\u015f\u0131kl\u0131klar g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, bu yararl\u0131 bir \u00e7al\u0131\u015fmad\u0131r. Elektrikli matkapla yap\u0131lan daha b\u00fcy\u00fck \u00e7ekirdek biyopsilerinin yayg\u0131n kullan\u0131m\u0131yla, sonu\u00e7lar muhtemelen eski \u00e7al\u0131\u015fmalardan daha iyi olacakt\u0131r.<\/p>\n<p><strong>Radyoloji kursiyerleri i\u00e7in notlar :<\/strong><\/p>\n<p>Bir prosed\u00fcr\u00fcn t\u00fcm y\u00f6nlerini ve hasta \u00fczerindeki etkisini d\u00fc\u015f\u00fcn\u00fcn.<\/p>\n<p>Daha y\u00fcksek gauge de\u011ferli i\u011fne (kullan\u0131m\u0131 g\u00fcvenli oldu\u011funda), enfeksiyon i\u00e7in kemik biyopsisinde verimi art\u0131rabilir.<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Kemik ya\u015f\u0131 de\u011ferlendirmesinin modernizasyonu: yapay zeka algoritmas\u0131n\u0131n ve shorthand kemik ya\u015f\u0131n\u0131n do\u011frulu\u011funu ve g\u00fcvenilirli\u011fini Greulich ve Pyle ile kar\u015f\u0131la\u015ft\u0131rma<\/strong><\/span><\/h5>\n<p>Mina Gerges &amp; Hayley Eng &amp; Harpreet Chhina &amp; Anthony Cooper<\/p>\n<p><em>\u0130skelet Radyolojisi<\/em><\/p>\n<p><strong>\u00d6nbilgi<\/strong><\/p>\n<p>Greulich ve Pyle (GP), el radyografilerinden kemik ya\u015f\u0131n\u0131 belirlemenin en yayg\u0131n y\u00f6ntemlerindedir. Son y\u0131llarda, shorthand kemik ya\u015f\u0131 (SBA) ve otomatik yapay zeka algoritmalar\u0131 dahil olmak \u00fczere kemik ya\u015f\u0131 analizinde verimlili\u011fi art\u0131rmak i\u00e7in yeni y\u00f6ntemler geli\u015ftirilmi\u015ftir.<\/p>\n<p><strong>Sorular<\/strong><\/p>\n<p>Daha yeni y\u00f6ntemlerin (SBA veya otomatik yapay zeka algoritmalar\u0131) kullan\u0131lmas\u0131 kemik ya\u015f\u0131 de\u011ferlendirmesinin do\u011frulu\u011funu \/ g\u00fcvenilirli\u011fini etkiler mi?<\/p>\n<p><strong>\u00c7al\u015f\u0131ma Dizayn\u0131<\/strong><\/p>\n<p>Geriye D\u00f6n\u00fck \u00c7al\u0131\u015fma<\/p>\n<p><strong>Kat\u0131l\u0131mc\u0131lar<\/strong><\/p>\n<p>Bir hastanenin veritaban\u0131nda bulunan 12,5-16 ya\u015f aral\u0131\u011f\u0131nda bulunan erkek ve 10-14 ya\u015f aral\u0131\u011f\u0131nda bulunan kad\u0131nlar hastalar.<\/p>\n<p><strong>D\u0131\u015flama Kriterleri<\/strong><\/p>\n<p>Muayeneden \u00f6nceki 2 y\u0131l i\u00e7inde ipsilateral el \/ bilek k\u0131r\u0131\u011f\u0131n\u0131n te\u015fhisi veya kan\u0131t\u0131 ile boyu etkileyebilecek iskelet displazisi veya endokrin hastal\u0131\u011f\u0131 tan\u0131s\u0131.<\/p>\n<p><strong>Y\u00f6ntem<\/strong><\/p>\n<p>426 hastan\u0131n (e\u015fit erkek ve kad\u0131n) kemik ya\u015flar\u0131 SBA ve GP y\u00f6ntemleri kullan\u0131larak iki ayr\u0131 de\u011ferlendirici taraf\u0131ndan belirlendi. \u00dc\u00e7 hafta sonra, iki de\u011ferlendirici radyografilerin analizini tekrarlad\u0131. De\u011ferlendiriciler, \u00e7evrimi\u00e7i bir kronometre kullanarak kendilerini zamanlad\u0131lar. Kimliksiz radyografiler, Toronto&#8217;daki bir grup radyolog taraf\u0131ndan geli\u015ftirilen otomatik bir algoritmaya g\u00fcvenli bir \u015fekilde y\u00fcklendi. Alt\u0131n standart, GP kullanan deneyimli radyologlar taraf\u0131ndan yaz\u0131lan, her radyografiye eklenen radyoloji raporu olarak belirlendi.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong><\/p>\n<p>Her bir y\u00f6ntem ile alt\u0131n standart aras\u0131ndaki korelasyon, \u00f6nemli bir uyumu yakalayarak 0.8-0.9 aral\u0131\u011f\u0131nda bulundu. Kar\u015f\u0131la\u015ft\u0131rmalar\u0131n \u00e7o\u011fu, yeni y\u00f6ntemler ve alt\u0131n standart aras\u0131nda istatistiksel olarak anlaml\u0131 bir farkl\u0131l\u0131k g\u00f6sterdi; ancak farkl\u0131l\u0131k 0.25 ile 0.5 y\u0131l aral\u0131\u011f\u0131nda oldu\u011fu i\u00e7in klinik olarak anlaml\u0131 olmayabilir. Kemik ya\u015f\u0131 e\u011fer kronolojik ya\u015f\u0131n 2 standart sapmas\u0131n\u0131n d\u0131\u015f\u0131nda kal\u0131yorsa klinik olarak anormal kabul edilir; standart sapmalar GP atlas\u0131nda hesaplan\u0131r ve konfirme edilir.<\/p>\n<p><strong>Sonu\u00e7<\/strong><\/p>\n<p>Shorthand kemik ya\u015f\u0131 y\u00f6ntemi ve otomatik algoritma, istatistiksel olarak farkl\u0131 ancak klinik olarak alt\u0131n standartla uyumlu de\u011ferler \u00fcretirken analiz s\u00fcresini k\u0131saltt\u0131.<\/p>\n<p><strong>Link<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1007\/s00256-020-03429-5\">https:\/\/doi.org\/10.1007\/s00256-020-03429-5<\/a><\/p>\n<p><strong>K\u0131demli edit\u00f6r yorumu<\/strong><\/p>\n<p>Tekrarlayan ve s\u0131k\u0131c\u0131 g\u00f6revler i\u00e7in iyi bir yapay zeka kullan\u0131m\u0131. \u00c7al\u0131\u015fman\u0131z i\u00e7in te\u015fekk\u00fcrler!<\/p>\n<p><strong>Radyoloji kursiyerleri i\u00e7in notlar :<\/strong><\/p>\n<p>Yinelenen bir g\u00f6revi yerine getirmeye yard\u0131mc\u0131 olmak i\u00e7in yapay zeka yaz\u0131l\u0131m\u0131n\u0131 kullanmak, \u00f6zellikle alt\u0131n standarda kar\u015f\u0131 iyi performans g\u00f6sterdi\u011fi zamanlarda iyi bir alternatif olabilir.<\/p>\n","protected":false},"excerpt":{"rendered":"\u00d6n \u00c7apraz Ba\u011f Rekonstr\u00fcksiyonu Sonras\u0131 Ameliyat \u0130nsidans\u0131 ve Ameliyat\u0131 \u00d6ng\u00f6ren Etkenler: 6 Y\u0131ll\u0131k Takip \u00c7al\u0131\u015fmas\u0131 [&hellip;]","protected":false},"author":3,"featured_media":7174,"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-8234","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 MSK Imaging (Turkish) - September 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-msk-imaging-september-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 MSK Imaging (Turkish) - September 2020 - ACORE\" \/>\n<meta property=\"og:description\" content=\"\u00d6n \u00c7apraz Ba\u011f Rekonstr\u00fcksiyonu Sonras\u0131 Ameliyat \u0130nsidans\u0131 ve Ameliyat\u0131 \u00d6ng\u00f6ren Etkenler: 6 Y\u0131ll\u0131k Takip \u00c7al\u0131\u015fmas\u0131 [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/\" \/>\n<meta property=\"og:site_name\" content=\"ACORE\" \/>\n<meta property=\"article:published_time\" content=\"2020-09-10T21:24:03+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-09-10T21:28:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/08\/roentgenogram-P6QYVBD-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1761\" \/>\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=\"24 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-msk-imaging-september-2020\/\",\"url\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/\",\"name\":\"What's new in MSK Imaging (Turkish) - September 2020 - ACORE\",\"isPartOf\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/08\/roentgenogram-P6QYVBD-scaled.jpg\",\"datePublished\":\"2020-09-10T21:24:03+00:00\",\"dateModified\":\"2020-09-10T21:28:59+00:00\",\"author\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/#\/schema\/person\/75293c6e4870f3aa293e1394c53df6b7\"},\"breadcrumb\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/#breadcrumb\"},\"inLanguage\":\"tr\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"tr\",\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/#primaryimage\",\"url\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/08\/roentgenogram-P6QYVBD-scaled.jpg\",\"contentUrl\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/08\/roentgenogram-P6QYVBD-scaled.jpg\",\"width\":2560,\"height\":1761,\"caption\":\"X-ray of hand and foot on black background\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/staging-hub.acoredu.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"What&#8217;s new in MSK Imaging (Turkish) &#8211; September 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's new in MSK Imaging (Turkish) - September 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-msk-imaging-september-2020\/","og_locale":"tr_TR","og_type":"article","og_title":"What's new in MSK Imaging (Turkish) - September 2020 - ACORE","og_description":"\u00d6n \u00c7apraz Ba\u011f Rekonstr\u00fcksiyonu Sonras\u0131 Ameliyat \u0130nsidans\u0131 ve Ameliyat\u0131 \u00d6ng\u00f6ren Etkenler: 6 Y\u0131ll\u0131k Takip \u00c7al\u0131\u015fmas\u0131 [&hellip;]","og_url":"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/","og_site_name":"ACORE","article_published_time":"2020-09-10T21:24:03+00:00","article_modified_time":"2020-09-10T21:28:59+00:00","og_image":[{"width":2560,"height":1761,"url":"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/08\/roentgenogram-P6QYVBD-scaled.jpg","type":"image\/jpeg"}],"author":"Abdelrahman","twitter_card":"summary_large_image","twitter_misc":{"Yazan:":"Abdelrahman","Tahmini okuma s\u00fcresi":"24 dakika"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/","url":"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/","name":"What's new in MSK Imaging (Turkish) - September 2020 - ACORE","isPartOf":{"@id":"https:\/\/staging-hub.acoredu.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/#primaryimage"},"image":{"@id":"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/#primaryimage"},"thumbnailUrl":"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/08\/roentgenogram-P6QYVBD-scaled.jpg","datePublished":"2020-09-10T21:24:03+00:00","dateModified":"2020-09-10T21:28:59+00:00","author":{"@id":"https:\/\/staging-hub.acoredu.com\/#\/schema\/person\/75293c6e4870f3aa293e1394c53df6b7"},"breadcrumb":{"@id":"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/#breadcrumb"},"inLanguage":"tr","potentialAction":[{"@type":"ReadAction","target":["https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/"]}]},{"@type":"ImageObject","inLanguage":"tr","@id":"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/#primaryimage","url":"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/08\/roentgenogram-P6QYVBD-scaled.jpg","contentUrl":"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/08\/roentgenogram-P6QYVBD-scaled.jpg","width":2560,"height":1761,"caption":"X-ray of hand and foot on black background"},{"@type":"BreadcrumbList","@id":"https:\/\/staging-hub.acoredu.com\/whats-new-in-msk-imaging-september-2020\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/staging-hub.acoredu.com\/"},{"@type":"ListItem","position":2,"name":"What&#8217;s new in MSK Imaging (Turkish) &#8211; September 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\/8234","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=8234"}],"version-history":[{"count":3,"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/posts\/8234\/revisions"}],"predecessor-version":[{"id":8245,"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/posts\/8234\/revisions\/8245"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/media\/7174"}],"wp:attachment":[{"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/media?parent=8234"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/categories?post=8234"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/staging-hub.acoredu.com\/tr\/wp-json\/wp\/v2\/tags?post=8234"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}