{"id":9687,"date":"2020-11-14T13:22:38","date_gmt":"2020-11-14T18:22:38","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=9687"},"modified":"2020-11-17T22:49:44","modified_gmt":"2020-11-18T03:49:44","slug":"whats-new-in-neuroimaging-turkish-november-2020","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/tr\/whats-new-in-neuroimaging-turkish-november-2020\/","title":{"rendered":"What’s new in Neuroimaging (Turkish) – November 2020"},"content":{"rendered":"
Orta Kraniyal Fossa Ensefalosellerinin MR G\u00f6r\u00fcnt\u00fcleme \u00d6zellikleri ve Epilepsi ile \u0130li\u015fkileri.<\/strong><\/span><\/h5>\n

D.R. Pettersson, K.S. Hagen, N.C. Sathe, B.D. Clark, D.C. Spencer<\/p>\n

8 Ekim 2020, 10.3174\/ajnr.A6798 olarak yay\u0131nland\u0131<\/p>\n

Klinik soru:<\/strong><\/p>\n

Epilepsi olas\u0131l\u0131\u011f\u0131n\u0131 tahmin etmek i\u00e7in orta kraniyal fossa ensefalosellerinin MRI g\u00f6r\u00fcnt\u00fcleme \u00f6zelliklerini kullanabilir miyiz?<\/p>\n

Ne yap\u0131ld\u0131:<\/strong><\/p>\n

N\u00f6bet ge\u00e7iren ve n\u00f6bet ge\u00e7irmeyen gruplarda orta kraniyal fossa ensefalosellerinin MR g\u00f6r\u00fcnt\u00fcleme \u00f6zellikleri, epilepsinin prediktif \u00f6zelliklerini saptama umuduyla karakterize edildi.<\/p>\n

Nas\u0131l yap\u0131ld\u0131:<\/strong><\/p>\n

Tek bir kurumda 18 ayl\u0131k bir s\u00fcre boyunca MCF ensefaloseli olan 77 hastan\u0131n prospektif bir \u00e7al\u0131\u015fmas\u0131. Her hasta i\u00e7in mevcut t\u00fcm beyin MR g\u00f6r\u00fcnt\u00fclemeleri, sertifikal\u0131 n\u00f6roradyolog taraf\u0131ndan g\u00f6zden ge\u00e7irildi. 77 hastan\u0131n otuz be\u015finde (% 45) n\u00f6bet \u00f6yk\u00fcs\u00fc, 77 hastan\u0131n yirmisinde (% 26) temporal lob epilepsisi vard\u0131 ve 77 hastan\u0131n k\u0131rk ikisinde (% 55) n\u00f6bet \u00f6yk\u00fcs\u00fc yoktu. Hastan\u0131n MR g\u00f6r\u00fcnt\u00fclemesinde orta kraniyal fossa ensefalosel \u00f6zellikleri derinlik, alan, say\u0131, yerle\u015fim, kom\u015fu ensefalomalazi varl\u0131\u011f\u0131, ve ili\u015fkili parankimal morfolojik bozulman\u0131n derecesi karakterize edildi. Daha sonra MR g\u00f6r\u00fcnt\u00fcleme \u00f6zellikleri n\u00f6bet ge\u00e7iren ve n\u00f6bet ge\u00e7irmeyen gruplar aras\u0131nda kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131.<\/p>\n

Bulgular ve sonu\u00e7lar:<\/strong><\/p>\n

N\u00f6bet \u00f6yk\u00fcs\u00fc olan ve n\u00f6bet \u00f6yk\u00fcs\u00fc olmayan hastalar aras\u0131nda MCFE’lerin geleneksel MR g\u00f6r\u00fcnt\u00fcleme \u00f6zelliklerinde istatistiksel olarak anlaml\u0131 bir fark yoktu. B\u00fcy\u00fck veya \u00e7ok say\u0131da MCFE’ler, ensefalomalazi ile ili\u015fkili MCFE’ler ve biti\u015fik beyin parankiminin ciddi morfolojik distorsiyonu ile ili\u015fkili MCFE’ler, n\u00f6bet \u00f6yk\u00fcs\u00fc olan ve olmayan hastalar aras\u0131nda benzer s\u0131kl\u0131kta g\u00f6r\u00fclebilir. Sadece temporal lob epilepsisi (20 hasta) olan hastalarla n\u00f6bet \u00f6yk\u00fcs\u00fc olmayanlar\u0131n (42 hasta) kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 ile de MR g\u00f6r\u00fcnt\u00fcleme \u00f6zelliklerinde anlaml\u0131 bir fark bulunamad\u0131. Ek olarak, MCFE’li hastalar\u0131n% 66’s\u0131nda \u00e7oklu MCFE’ler vard\u0131 ve MCFE’ler vakalar\u0131n% 51’inde iki tarafl\u0131 olarak g\u00f6r\u00fcld\u00fc.<\/p>\n

Sonu\u00e7:<\/strong><\/p>\n

Orta kraniyal fossa ensefaloselleri, epilepsinin giderek daha fazla tan\u0131nan bir nedenidir; ancak n\u00f6bet \u00f6yk\u00fcs\u00fc olmayan hastalarda n\u00f6rog\u00f6r\u00fcnt\u00fclemede de s\u0131kl\u0131kla kar\u015f\u0131la\u015f\u0131l\u0131r. Orta kraniyal fossa ensefalosellerinin boyut, say\u0131, kom\u015fu ensefalomalazi ve kom\u015fu parankimal morfolojik distorsiyon derecesi gibi anatomik MR g\u00f6r\u00fcnt\u00fcleme \u00f6zellikleri, epileptojenite olas\u0131l\u0131\u011f\u0131n\u0131 tahmin etmede faydal\u0131 olmayabilir.<\/p>\n

\u00c7\u0131kar\u0131mlar:<\/strong><\/p>\n

Muhtemelen bir n\u00f6bet bozuklu\u011fu ile ili\u015fkili olsa da, bu g\u00f6r\u00fcnt\u00fcleme bulgusuna sahip hastalar\u0131n bir n\u00f6bet bozuklu\u011funa sahip olmas\u0131 gerekmedi\u011finden, bir MCF ensefaloselinin varl\u0131\u011f\u0131 klinik sunumla ili\u015fkilendirilmelidir. Rutin klinik uygulama s\u0131ras\u0131nda bir MCFE ile kar\u015f\u0131la\u015fan radyologlara, ek ve kontralateral ensefaloselleri ara\u015ft\u0131rmalar\u0131 tavsiye edilebilir. Ancak, MCFE’nin geleneksel MR g\u00f6r\u00fcnt\u00fcleme \u00f6zellikleri, semptomatik (n\u00f6betle ili\u015fkili) MCFE\u2019leri asemptomatik MCFE’lerden g\u00fcvenilir bir \u015fekilde ay\u0131rt edemez.<\/p>\n

K\u0131demli Edit\u00f6r Dr.Ortiz’in Yorumu:<\/strong><\/p>\n

MCF ensefalosellerinin yayg\u0131n olmad\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclen ilgin\u00e7 bir makale. Belki de bu \u00e7al\u0131\u015fmada bir MCF ensefaloseli olarak kabul edilecek bir bulgunun dahil edilme kriterleri daha geni\u015ftir?<\/p>\n

K\u0131demli Edit\u00f6r Dr.Ibrahim’in Yorumu:<\/strong><\/p>\n

MCFE’nin nadir g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 konusunda Dr. Ortiz’e kat\u0131l\u0131yorum. Bu \u00e7al\u0131\u015fma, bu MCFE’lerin baz\u0131lar\u0131n\u0131n tesad\u00fcfi do\u011fas\u0131n\u0131 ve bunlar\u0131n signifikans\u0131 i\u00e7in klinik korelasyon ihtiyac\u0131n\u0131 vurgulad\u0131\u011f\u0131 i\u00e7in \u00e7ok \u00f6nemlidir.<\/p>\n

 <\/p>\n

Sa\u011fl\u0131kl\u0131 Lomber \u0130ntervertebral Disklerin T2 Gev\u015feme S\u00fcrelerinin De\u011fi\u015fkenli\u011fi, Sa\u011fl\u0131kl\u0131 Bireylerin Geneline K\u0131yasla Bir Birey B\u00fct\u00fcn\u00fcnde Daha Homojendir<\/strong><\/span><\/h5>\n

Sharma, R.E. Walk, S.Y. Tang, R.Eldaya, P.J. Owen, D.L. Belavy<\/p>\n

Published October 8, 2020, as 10.3174\/ajnr.A6791<\/p>\n

Klinik soru:<\/strong><\/p>\n

\u0130ntervertebral disk dejenerasyonunu de\u011ferlendirmek i\u00e7in ayn\u0131 bireyin sa\u011fl\u0131kl\u0131 diskinin T2 gev\u015feme \u00f6l\u00e7\u00fcm\u00fc sonu\u00e7lar\u0131n\u0131 kullanabilir miyiz yoksa normatif de\u011ferler ikincil kontrol gruplar\u0131ndan olu\u015fan bir veri havuzuna m\u0131 dayanmal\u0131?<\/p>\n

Neler yap\u0131ld\u0131:<\/strong><\/p>\n

S\u0131rt a\u011fr\u0131s\u0131 olmayan 101 g\u00f6n\u00fcll\u00fcde (25 ve 35 ya\u015flar\u0131 aras\u0131nda 47 erkek, 54 kad\u0131n) 606 intervertebral diskten prospektif olarak elde edilen T2 gev\u015feme \u00f6l\u00e7\u00fcm\u00fc verileri de\u011ferlendirildi ve intervertebral disklerin T2 zamanlar\u0131ndaki denek i\u00e7i ve denkler aras\u0131 varyasyonlar\u0131, Pfirrmann \u00f6l\u00e7e\u011finde iki n\u00f6roradyolog taraf\u0131ndan derecelendirildi.<\/p>\n

Nas\u0131l yap\u0131ld\u0131:<\/strong><\/p>\n

\u0130ntervertebral disklerin denek i\u00e7i varyasyonu, ayn\u0131 hastan\u0131n di\u011fer sa\u011fl\u0131kl\u0131 intervertebral disklerine g\u00f6re de\u011ferlendirildi (Pfirrmann seviye, \u22642). Birden \u00e7ok denekler aras\u0131 de\u011fi\u015fkenlik \u00f6l\u00e7\u00fcs\u00fc, rastgele se\u00e7ilmi\u015f tek bir intervertebral diskten tamamen sa\u011fl\u0131kl\u0131 olan intervertebral disklere kadar uzanan, segmentli tabakala\u015fmas\u0131 olan\u0131 da olan olmayan\u0131 da olan sa\u011fl\u0131kl\u0131 ikincil referanslar kullan\u0131larak hesapland\u0131. Bu de\u011fi\u015fkenlik \u00f6l\u00e7\u00fcleri sa\u011fl\u0131kl\u0131 ve dejenere (Pfirrmann seviye \u2265 3) intervertebral diskler i\u00e7in kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131.<\/p>\n

Bulgular ve sonu\u00e7lar:<\/strong><\/p>\n

Sa\u011fl\u0131kl\u0131 ortalama T2 de\u011ferleri (493\/606, %81,3) ve dejenere intervertebral diskler s\u0131ras\u0131yla 121,1 ve 91,5 idir (P<0,001). Sa\u011fl\u0131kl\u0131 intervertebral diskler i\u00e7in ortalama denek i\u00e7i de\u011fi\u015fkenlik 9,8 \u00b1 10,7 ms idir ve bu de\u011fer denekler aras\u0131 t\u00fcm de\u011fi\u015fkenlik \u00f6l\u00e7\u00fclerinden daha d\u00fc\u015f\u00fckt\u00fcr (P <0,001) ve sa\u011fl\u0131kl\u0131 ve dejenere intervertebral diskler aras\u0131ndaki en belirgin ayr\u0131m\u0131 sa\u011flam\u0131\u015ft\u0131r. Denekler aras\u0131 de\u011fi\u015fkenlik \u00f6l\u00e7\u00fcleri aras\u0131nda, t\u00fcm segment uyumlu sa\u011fl\u0131kl\u0131 disklerin referans olarak kullan\u0131lmas\u0131 en d\u00fc\u015f\u00fck de\u011fi\u015fkenli\u011fi sa\u011flam\u0131\u015ft\u0131r (P<0,001).<\/p>\n

Sonu\u00e7 B\u00f6l\u00fcm\u00fc:<\/strong><\/p>\n

Ayn\u0131 bireyden al\u0131nan sa\u011fl\u0131kl\u0131 intervertebral diskleri T2 zamanlar\u0131na dayanan normatif \u00f6l\u00e7\u00fcmlerin, T2 gev\u015feme \u00f6l\u00e7\u00fcm\u00fcne dayal\u0131 olarak dejenere olmu\u015f intervertebral diskleri tan\u0131mlaman\u0131n en ay\u0131rt edici yolunu sa\u011flamas\u0131 olas\u0131d\u0131r.<\/p>\n

Etkileri:<\/strong><\/p>\n

\u00d6nceki \u00e7al\u0131\u015fmalar\u0131n bir\u00e7o\u011fu, T2 gev\u015feme \u00f6l\u00e7\u00fcm\u00fcn\u00fcn lomber IVD’lerin sa\u011fl\u0131\u011f\u0131 i\u00e7in g\u00fcvenilir, objektif ve s\u00fcrekli kantitatif bir \u00f6l\u00e7\u00fcm sa\u011flayabilece\u011fini ileri s\u00fcrm\u00fc\u015ft\u00fcr. Bu avantajlara ra\u011fmen, bu y\u00f6ntem, belirli bir IVD’nin sa\u011fl\u0131kl\u0131 veya dejenere olarak s\u0131n\u0131fland\u0131r\u0131lmas\u0131 i\u00e7in kullan\u0131lan T2 a\u011f\u0131rl\u0131kl\u0131 g\u00f6r\u00fcnt\u00fclerde IVD’lerin sinyal yo\u011funlu\u011funun geleneksel \u00f6znel de\u011ferlendirmesinin yerini almada ba\u015far\u0131s\u0131z olmu\u015ftur. Ayn\u0131 verilerin analizi, IVD kohortlar\u0131 kar\u015f\u0131la\u015ft\u0131r\u0131l\u0131rken tabakala\u015fma seviyesi \u00f6nemli olabilirken, ayn\u0131 bireydeki ba\u015fka seviyelerdeki sa\u011fl\u0131kl\u0131 IVD’lerin T2 zamanlar\u0131n\u0131n, di\u011fer ba\u015fka sa\u011fl\u0131kl\u0131 bireylerin sa\u011fl\u0131kl\u0131 IVD\u2019lerinin T2 zamanlar\u0131na k\u0131yasla, belirli bir IVD’nin sa\u011fl\u0131\u011f\u0131n\u0131n daha iyi bir \u00f6l\u00e7\u00fcm\u00fcn\u00fc sa\u011flad\u0131\u011f\u0131n\u0131 g\u00f6stermi\u015ftir.<\/p>\n

Referans i\u00e7in Pfirrman derecelendirme sistemi:<\/strong><\/p>\n

Seviye I: disk, parlak hiperentans beyaz sinyal yo\u011funlu\u011fu ve normal disk y\u00fcksekli\u011fi \u00f6zelliklerine sahip olup homojendir.<\/p>\n

Seviye II: disk homojen de\u011fildir ancak hiperentans beyaz sinyali, normal disk y\u00fcksekli\u011fini korur.<\/p>\n

Seviye III: disk, aral\u0131kl\u0131 gri sinyal yo\u011funlu\u011funa sahip olup homojen de\u011fildir, \u00e7ekirdek ve an\u00fcl\u00fcs aras\u0131ndaki ayr\u0131m net de\u011fildir, disk y\u00fcksekli\u011fi normaldir veya hafif\u00e7e azalm\u0131\u015ft\u0131r.<\/p>\n

Seviye IV: disk homojen de\u011fildir ve hipoentans koyu gri sinyal yo\u011funlu\u011fu vard\u0131r, \u00e7ekirdek ve an\u00fcl\u00fcs aras\u0131nda art\u0131k ayr\u0131m yoktur, disk y\u00fcksekli\u011fi hafif veya orta derecede azalm\u0131\u015ft\u0131r.<\/p>\n

Seviye V: disk, hipoentans siyah sinyal yo\u011funlu\u011funa sahip olup homojen de\u011fildir, \u00e7ekirdek ve an\u00fcl\u00fcs aras\u0131nda art\u0131k fark yoktur, disk alan\u0131 \u00e7\u00f6km\u00fc\u015ft\u00fcr.<\/p>\n

Dr.Ortiz\u2019den K\u0131demli Edit\u00f6r Yorumu:<\/strong><\/p>\n

Alternatif olarak, T2 gev\u015feme \u00f6l\u00e7\u00fcm\u00fc verileri, cerrahi ve perk\u00fctan m\u00fcdahalelerin de takip s\u00fcre\u00e7leri dahil olmak \u00fczere hasta takibi MR incelemelerinde bir bireyin ard\u0131\u015f\u0131k boylamas\u0131na g\u00f6r\u00fcnt\u00fclerinde [?] rol oynayabilir.<\/p>\n

Dr.Ibrahim\u2019den K\u0131demli Edit\u00f6r Yorumu:<\/strong><\/p>\n

Bu \u00e7al\u0131\u015fma, intervertebral disklerin MR g\u00f6r\u00fcn\u00fcm\u00fc i\u00e7in normalle\u015ftirilmi\u015f bir de\u011fer yaratt\u0131\u011f\u0131ndan \u00f6t\u00fcr\u00fc \u00f6nem arz ediyor. Bu durum, gelecekte intervertebral disklerin dokusal analizi i\u00e7in kullan\u0131labilir ancak bu \u00e7al\u0131\u015fman\u0131n yazarlar taraf\u0131ndan bu t\u00fcr sonu\u00e7lar olu\u015fturmas\u0131 ama\u00e7lanmam\u0131\u015ft\u0131r.<\/p>\n

 <\/p>\n

Detailed Arterial Anatomy and Its Anastomoses of the Sphenoid Ridge and Olfactory Groove Meningiomas with Special Reference to the Recurrent Branches from the Ophthalmic Artery<\/strong><\/span><\/h5>\n

M.Hiramatsu, K. Sugui, T. Hishikawa, J. Haruma, Y.Takahashi, S. Murai, K. Nishi, Y. Yamaoka, Y. Shimazu, K. Fujii, M. Kameda, K. Kurozumi, I. Date<\/p>\n

Published October 1, 2020, as 10.3174\/ajnr.A6790<\/p>\n

Detayl\u0131 arterial anatomisi ve sfenoid kanat ve olfaktor oluk meningiomlar\u0131n\u0131n anastomozlar\u0131<\/p>\n

Klinik Soru:<\/strong><\/p>\n

Sfenoid \u00e7\u0131k\u0131nt\u0131 ve olfakt\u00f6r olu\u011fu meningiomlar\u0131n\u0131n besleyici damarlar\u0131n\u0131n y\u00fcksek olas\u0131l\u0131\u011f\u0131n\u0131 tahmin edebilir miyiz?<\/p>\n

Ne yap\u0131ld\u0131:<\/strong><\/p>\n

N\u00f6bet ve n\u00f6bet ge\u00e7irmeyen gruplarda orta kraniyal fossa ensefalosellerinin MR g\u00f6r\u00fcnt\u00fcleme \u00f6zellikleri, epilepsiyi \u00f6ng\u00f6ren \u00f6zellikleri saptama umuduyla karakterize edildi.<\/p>\n

Nas\u0131l yap\u0131ld\u0131:<\/strong><\/p>\n

Bu \u00e7al\u0131\u015fmaya Okayama \u00dcniversitesi N\u00f6rolojik Cerrahi Anabilimdal\u0131’na Nisan 2015 – Mart 2020 tarihleri \u200b\u200baras\u0131nda ba\u015fvuran 20 hasta dahil edildi. Toplam 16 sfenoid s\u0131rt meningiomu ve 4 olfakt\u00f6r oluk meningiomu tespit edildi ve de\u011ferlendirildi. Lokal anestezi alt\u0131ndaki hastaya preoperatif DSA (Dijital \u00c7\u0131karma Anjiyografi) uyguland\u0131. T\u00fcm\u00f6re ipsilateral olan ECA ve ICA’n\u0131n 2D-DSA’s\u0131n\u0131n elde edilmesinden sonra, dallanma besleyicilerinde 5 saniyelik bir protokol ile 3D-DSA ger\u00e7ekle\u015ftirildi. Ayr\u0131ca kollateral anatomi 3D rotasyonel anjiyografi ve bu lezyonlar\u0131n plaka MIP g\u00f6r\u00fcnt\u00fcleri ile analiz edildi.<\/p>\n

Bulgular ve Sonu\u00e7lar:<\/strong><\/p>\n

19 (% 95) lezyonun oftalmik arterden besleyicileri, 15 (% 75) lezyonun i\u00e7 karotis arterinden besleyicileri ve 15 (% 75) lezyonun d\u0131\u015f karotid arterden besleyicileri vard\u0131. Oftalmik arterden besleyiciler, tekrarlayan meningeal arterler 18 lezyonda (% 90) tutulmu\u015ftu ve% 75’inde her besleyici aras\u0131nda anastomoz vard\u0131.<\/p>\n

Sonu\u00e7:<\/strong><\/p>\n

Sfenoid \u00e7\u0131k\u0131nt\u0131 ve olfakt\u00f6r oluk meningiomlar\u0131n\u0131n\u00a0 ayr\u0131nt\u0131l\u0131 arter anatomisi, her besleyici aras\u0131ndaki ince anjiyo mimari ve anastomoz nedeniyle karma\u015f\u0131kt\u0131r. Bu, detayl\u0131 g\u00f6r\u00fcnt\u00fcleme tekniklerini kullanarak oftalmik arterden ve bunlar\u0131n anastomozlar\u0131ndan gelen yineleyen dallar\u0131n ayr\u0131nt\u0131l\u0131 arter anatomisini ve s\u0131kl\u0131\u011f\u0131n\u0131 g\u00f6steren ilk rapordur.<\/p>\n

\u00c7\u0131kar\u0131mlar:<\/strong><\/p>\n

Sfenoid kanattaki ve olfakt\u00f6r olu\u011fundaki meningiomalar\u0131n \u00e7o\u011fu ofthalmik ve internal karotis arterlerden besleyiciye sahipti. Meningiomalar\u0131n operasyon \u00f6ncesi embolizasyonu genellikle pratikte uygulan\u0131r. Kullan\u0131l\u0131rl\u0131\u011f\u0131 yayg\u0131n olarak kabul edilmesine ra\u011fmen, ECA d\u0131\u015f\u0131ndaki hedef damarlar\u0131n embolizasyonu prosed\u00fcrel komplikasyonlar i\u00e7in bir risk olarak rapor edilmi\u015ftir. E\u011fer her besleyici aras\u0131nda bir anastomoz varsa, besleyicinin kolayca kateterize edilebilen proksimal okl\u00fczyonu, art\u0131k besleyiciden t\u00fcm\u00f6re artan kan ak\u0131\u015f\u0131yla sonu\u00e7lanabilir. Her iki besleyicinin ortak g\u00f6vdesini veya her iki besleyicinin proksimal k\u0131s\u0131mlar\u0131n\u0131 embolize etmenin d\u00fc\u015f\u00fcn\u00fclmesi gerekir. Arteryel mikranatominin detayl\u0131 bir \u015fekilde anla\u015f\u0131lmas\u0131 ameliyat i\u00e7in de gereklidir. T\u00fcm besleyicileri ameliyat \u00f6ncesi anjiyografi kullanarak tespit edersek, kemi\u011fin anatomik i\u015faretlerine g\u00f6re besleyicileri arayabilir ve de g\u00fcvenli ve etkili bir \u015fekilde devask\u00fclarize edebiliriz.<\/p>\n

K\u0131demli Edit\u00f6r Dr. Ortiz\u2019in Yorumu:<\/strong><\/p>\n

Sfenoid kanat meningiomas\u0131n\u0131n tedavisi, spesifik tedaviye (cerrahi, embolizasyon, stereotaktik radyocerrahi) bak\u0131lmaks\u0131z\u0131n,\u00a0 bu k\u00f6t\u00fc bilinen infiltratif lezyonun kritik orbital ve supra\/para-sellar yap\u0131lara yak\u0131nl\u0131\u011f\u0131 nedeniyle zordur. Di\u011fer invaziv prosed\u00fcrler gibi endovask\u00fcler embolizasyon da risk ve fayday\u0131 dengelemelidir. Bu b\u00f6lgedeki karma\u015f\u0131k dengeli arter beslemesine ili\u015fkin bir fark\u0131ndal\u0131k, bu riski anlamaya yard\u0131mc\u0131 olur. Bu dengeyi de\u011fi\u015ftirmenin fark\u0131nda olmak ve sadece k\u0131smi embolizasyonun uygulanabilir olabilece\u011fini anlamak, bu prosed\u00fcr i\u00e7in d\u00fc\u015f\u00fck bir risk profilini s\u00fcrd\u00fcrmek ad\u0131na \u00f6nemlidir.<\/p>\n

\u0130lgili okuyuculara a\u015fa\u011f\u0131daki makaleler \u00f6nerilir:<\/strong><\/p>\n

Guilherme Barros, Abdullah H Feroze, Rajeev Sen et al. Predictors of preoperative endovascular embolization of meningiomas: subanalysis of anatomic location and arterial supply. JNIS 2020.\u00a0 This is a nice complementary article.<\/p>\n

 <\/p>\n

Translated by: I\u015f\u0131l Ezelsoy, Zeynep Umay G\u00fcrb\u00fcz, Esra \u00c7elik, \u00d6mer Tar\u0131k Eseng\u00fcr, Hakan Do\u011fan, Mine Sorkun<\/p>\n","protected":false},"excerpt":{"rendered":"Orta Kraniyal Fossa Ensefalosellerinin MR G\u00f6r\u00fcnt\u00fcleme \u00d6zellikleri ve Epilepsi ile \u0130li\u015fkileri. D.R. Pettersson, K.S. Hagen, […]","protected":false},"author":3,"featured_media":2621,"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-9687","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr"],"yoast_head":"\nWhat's new in Neuroimaging (Turkish) - November 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-neuroimaging-september-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 Neuroimaging (Turkish) - November 2020 - ACORE\" \/>\n<meta property=\"og:description\" content=\"Orta Kraniyal Fossa Ensefalosellerinin MR G\u00f6r\u00fcnt\u00fcleme \u00d6zellikleri ve Epilepsi ile \u0130li\u015fkileri. 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