Yıl: 2017 Cilt: 22 Sayı: 3 Sayfa Aralığı: 118 - 125 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning

Öz:
: Çalışmamızda acil servise akut karın ağrısı şikayeti ile başvuran olguların değerlendirilmesinde difüzyon ağırlıklı manyetik rezonans görüntü-lemenin (DA-MRG) bilgisayarlı tomografiye (BT) katkılarının araştırılmasını amaçladık.Gereç ve Yöntem: Olgularımız Ağustos 2014 ve Kasım 2015 tarihleri arasında hastanemiz acil servisine başvuran 2365 hasta içeren gruptan seçilmiştir.Bunlardan 1680 olguya abdominal BT tetkiki yapıldı. Toplam 720 olguya (ortalama yaş, 50.17; yaş aralığı, 16-89; 379 kadın ve 341 erkek) BTöncesinde DA-MRG yapıldı. 960 olgu DA-MRG yapılmadığından çalışma dışında bırakıldı. Hamileler, 16 yaş atındaki çocuklar, üriner sistem taşıolguların çoğu ve barsak obstrüksiyonlu olgular da çalışmaya dahil edilmedi. Görüntülerin değerlendirme stratejisi şu şekilde yapıldı: 1-tek başınaDA-MRG'nin değerlendirilmesi, 2-BT'nin tek başına değerlendirilmesi, 3-DA-MRG ve BT'nin beraber değerlendirilmesi. Her radyolog incelemeyinihai tanıdan habersiz olarak yaptı. İncelemecilere klinik bulgular ve laboratuar verileri hakkında bilgiler verildi.Bulgular: Sonuç olarak akut abdominal ağrı tanısında kombine görüntüleme (DA-MRG ve BT) sensitivitesi ve doğruluğu tek başına BT'ye göre dahayüksek bulundu. Bu sonuç BT tetkiki kontrastsız yapıldığında daha da yüksek bulundu.Sonuç: DA-MRG akut karın ağrılarında özellikle kontrastsız olmak üzere BT'nin tanı doğruluğunu arttırabilecek invazif olmayan tekniktir.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Akut Karın Ağrısında Difüzyon Ağırlıklı MR Görüntüleme: Bilgisayarlı Tomografi Öncesi Difüzyon Ağırlıklı Görüntülemenin Tanısal Etkinliğini Araştıran 720 Olgulu Prospektif Çalışma

Öz:
O bjective:We aimed to evaluate the contribution of diffusion-weighted magnetic resonance imaging (DW-MRI) to computed tomography (CT) inpatients with acute abdominal pain admitted to the emergency department.Material and Method:Between August 2014 and November 2015, a total of 2365 patients with acute abdominal pain were admitted to the eme rgencydepartment. 1680 of those underwent CT imaging. In 720 patients (mean age, 50.17; range, 16-89 years: 379 females, 341 males) DW-MRIwas performed before CT scans. 960 patients who had no diffusion imaging were excluded from this study. Pregnant women, children under the ageof 16 years old, most of urinary stones and all of bowel obstructions were also excluded from this study. The strategy of imaging review was as follows:1-evaluation of DW-MRI alone, 2-evaluation of CT alone, and 3-evaluation of both modalities (DW-MRI and CT images). Images were evaluatedby different radiologists with at least 5 years of experience in abdominal imaging interpretation, blind to the final diagnosis. Every reader wasaware of the clinical symptoms and laboratory results of pat ients.Results: The sensitivity and accuracy of combined imaging (DW-MRI and CT) was higher than CT alone for the detection of cause in acute abdominalpain. This was dramatically higher in non-enhanced CT (NECT) rather than contrast-enhanced CT (CECT) scanning. Conclusion: DW-MRI is anoninvasive technique that may be used to improve the accuracy of CT in many cause of acute abdominal pain, especially in patients undergoing nonenhancedCT scans.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA özdemir o, metin y, ORHAN METİN N, Bilir O, YAVAŞİ Ö, kupeli a (2017). Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning. , 118 - 125.
Chicago özdemir oğuzhan,metin yavuz,ORHAN METİN Nurgül,Bilir Ozlem,YAVAŞİ Özcan,kupeli ali Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning. (2017): 118 - 125.
MLA özdemir oğuzhan,metin yavuz,ORHAN METİN Nurgül,Bilir Ozlem,YAVAŞİ Özcan,kupeli ali Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning. , 2017, ss.118 - 125.
AMA özdemir o,metin y,ORHAN METİN N,Bilir O,YAVAŞİ Ö,kupeli a Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning. . 2017; 118 - 125.
Vancouver özdemir o,metin y,ORHAN METİN N,Bilir O,YAVAŞİ Ö,kupeli a Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning. . 2017; 118 - 125.
IEEE özdemir o,metin y,ORHAN METİN N,Bilir O,YAVAŞİ Ö,kupeli a "Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning." , ss.118 - 125, 2017.
ISNAD özdemir, oğuzhan vd. "Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning". (2017), 118-125.
APA özdemir o, metin y, ORHAN METİN N, Bilir O, YAVAŞİ Ö, kupeli a (2017). Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning. Fırat Tıp Dergisi, 22(3), 118 - 125.
Chicago özdemir oğuzhan,metin yavuz,ORHAN METİN Nurgül,Bilir Ozlem,YAVAŞİ Özcan,kupeli ali Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning. Fırat Tıp Dergisi 22, no.3 (2017): 118 - 125.
MLA özdemir oğuzhan,metin yavuz,ORHAN METİN Nurgül,Bilir Ozlem,YAVAŞİ Özcan,kupeli ali Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning. Fırat Tıp Dergisi, vol.22, no.3, 2017, ss.118 - 125.
AMA özdemir o,metin y,ORHAN METİN N,Bilir O,YAVAŞİ Ö,kupeli a Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning. Fırat Tıp Dergisi. 2017; 22(3): 118 - 125.
Vancouver özdemir o,metin y,ORHAN METİN N,Bilir O,YAVAŞİ Ö,kupeli a Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning. Fırat Tıp Dergisi. 2017; 22(3): 118 - 125.
IEEE özdemir o,metin y,ORHAN METİN N,Bilir O,YAVAŞİ Ö,kupeli a "Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning." Fırat Tıp Dergisi, 22, ss.118 - 125, 2017.
ISNAD özdemir, oğuzhan vd. "Diffusion-Weighted MR Imaging of Acute Abdominal Pain: A Prospective Study of 720 Patients, Assessing the Diagnostic Value of Diffusion-Weighted Imaging Prior Computed Tomography Scanning". Fırat Tıp Dergisi 22/3 (2017), 118-125.