Yıl: 2019 Cilt: 39 Sayı: 1 Sayfa Aralığı: 65 - 74 Metin Dili: İngilizce DOI: 10.5336/medsci.2018-62878 İndeks Tarihi: 22-05-2020

The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices

Öz:
Objective: To investigate a possible relationship between abdominal adiposity parametersand the presence of renal cell carcinoma (RCC), and between these adiposity parameters and varioushistopathological tumor findings. Material and Methods: A total of 48 patients (31 males and 17 females, mean age: 60.17±13.39 years) with RCC and 50 control subjects (32 males and 18 females, meanage: 60.26±7.71 years) were enrolled. The medical data and the abdominopelvic computed tomography (CT) examinations of the study groups were retrospectively reviewed. The abdominal adiposityparameters, including visceral adipose tissue (VAT) volume, subcutaneous adipose tissue (SAT) volume, total adipose tissue (TAT) volume, visceral adipose tissue index (VATI), subcutaneous adiposetissue index (SATI), and VAT-to-SAT ratio, were calculated using specialized software. We also notedhistopathological features of the tumors. Results: We found significantly higher SAT volume and SATIin the RCC group in comparison with the control group (p=0.024 and p = 0.001, respectively). The VATvolume and VATI were significantly lower in the patient group, compared to the control group (p =0.001 for both). There was no statistically significant relationship between VAT-to-SAT ratio and thepresence of RCC. No statistically significant relationship between abdominal adiposity parametersand histopathological tumor features was detected (p > 0.05). Conclusion: We designed a volumetricstudy of all slices of abdominopelvic CT examination by using specialized software. As far as we know,this study is the first volumetric study to investigate those relationships. Volumetric adipose tissuemeasurements may be more accurate than area measurements and can easily be performed during abdominopelvic CT examination, which is the routine imaging modality for RCC patients.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Abdominal Yağ Parametreleri ve Renal Hücreli Karsinom Arasındaki İlişki: Tüm Bilgisayarlı Tomografi Kesitlerinin Kullanıldığı Hacimsel Çalışma

Öz:
Amaç: Abdominal yağ parametreleri ile renal hücreli karsinom (RHK) varlığı ve bu adipozite parametrelerinin tümörün histopatalojik bulguları ile arasındaki olası ilişkiyi araştırmak. Gereç ve Yöntemler: RHK’ sı bulunan 48 hasta (31 erkek ve 17 kadın, ortalama yaş: 60,17±13,3 yıl) ve 50 kontrol hastası (32 erkek ve 18 kadın, ortalama yaş: 60,26±7,71 yıl) olmak üzere toplam 98 hasta çalışmaya dahil edildi. Çalışma gruplarının tıbbi kayıtları ve opaklı abdominopelvik bilgisayarlı tomografi (BT) tetkikleri retrospektif olarak değerlendirildi. BT tetkiklerinde, visseral yağ doku (VYD) hacmi, subkutan yağ doku (SYD) hacmi, total yağlı doku (TYD) hacmi, VYD indeks (VYDİ), SYD indeks (SYDİ) ve VYD/SYD oranlarını içeren abdominal yağ parametreleri özel bir yazılım kullanılarak hesaplandı. Ayrıca var olan tümörlerin histopatolojik özellikleri kaydedildi. Bulgular: RHK grubunda istatistiksel olarak anlamlı şekilde kontrol grubuna göre daha yüksek SYD hacmi ve SYDİ değerleri bulundu (sırasıyla p=0,024 ve p=0,001). Hasta grupta VYD hacmi ve VYDİ değerleri ise kontrol grubuna göre daha düşüktü (her ikisi için de p=0,001). VYD/SYD oranı ile RHK varlığı arasında anlamlı ilişki yoktu (p>0,05). Ayrıca değerlendirilen abdominal yağ parametreleri ve tümörlerin histopatolojik özellikleri arasında da anlamlı bir ilişki saptanmadı (p>0,05). Sonuç: Özel bir yazılım kullanarak tüm abdominopelvik BT kesitlerinin dahil edildiği hacimsel bir çalışma dizayn ettik. Bildiğimiz kadarıyla, bu çalışma tanımlanan ilişkileri araştıran ilk hacimsel çalışmadır. Hacimsel yağlı doku ölçümleri daha önceki çalışmalarda kullanılmış olan ve sadece birkaç kesit esas alınarak yapılan alansal ölçümlerden daha doğru olabilir ve RHK hastalarında rutin görüntüleme modalitesi olan abdominopelvik BT ile kolaylıkla yapılabilir.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA AKAY S, EBILOGLU T, ERSEN M, BALYEMEZ U, kaya e, Tasar M (2019). The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices. , 65 - 74. 10.5336/medsci.2018-62878
Chicago AKAY Sinan,EBILOGLU Turgay,ERSEN Mehmet,BALYEMEZ Uğurcan,kaya engin,Tasar Mustafa The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices. (2019): 65 - 74. 10.5336/medsci.2018-62878
MLA AKAY Sinan,EBILOGLU Turgay,ERSEN Mehmet,BALYEMEZ Uğurcan,kaya engin,Tasar Mustafa The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices. , 2019, ss.65 - 74. 10.5336/medsci.2018-62878
AMA AKAY S,EBILOGLU T,ERSEN M,BALYEMEZ U,kaya e,Tasar M The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices. . 2019; 65 - 74. 10.5336/medsci.2018-62878
Vancouver AKAY S,EBILOGLU T,ERSEN M,BALYEMEZ U,kaya e,Tasar M The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices. . 2019; 65 - 74. 10.5336/medsci.2018-62878
IEEE AKAY S,EBILOGLU T,ERSEN M,BALYEMEZ U,kaya e,Tasar M "The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices." , ss.65 - 74, 2019. 10.5336/medsci.2018-62878
ISNAD AKAY, Sinan vd. "The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices". (2019), 65-74. https://doi.org/10.5336/medsci.2018-62878
APA AKAY S, EBILOGLU T, ERSEN M, BALYEMEZ U, kaya e, Tasar M (2019). The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices. Türkiye Klinikleri Tıp Bilimleri Dergisi, 39(1), 65 - 74. 10.5336/medsci.2018-62878
Chicago AKAY Sinan,EBILOGLU Turgay,ERSEN Mehmet,BALYEMEZ Uğurcan,kaya engin,Tasar Mustafa The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices. Türkiye Klinikleri Tıp Bilimleri Dergisi 39, no.1 (2019): 65 - 74. 10.5336/medsci.2018-62878
MLA AKAY Sinan,EBILOGLU Turgay,ERSEN Mehmet,BALYEMEZ Uğurcan,kaya engin,Tasar Mustafa The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices. Türkiye Klinikleri Tıp Bilimleri Dergisi, vol.39, no.1, 2019, ss.65 - 74. 10.5336/medsci.2018-62878
AMA AKAY S,EBILOGLU T,ERSEN M,BALYEMEZ U,kaya e,Tasar M The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices. Türkiye Klinikleri Tıp Bilimleri Dergisi. 2019; 39(1): 65 - 74. 10.5336/medsci.2018-62878
Vancouver AKAY S,EBILOGLU T,ERSEN M,BALYEMEZ U,kaya e,Tasar M The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices. Türkiye Klinikleri Tıp Bilimleri Dergisi. 2019; 39(1): 65 - 74. 10.5336/medsci.2018-62878
IEEE AKAY S,EBILOGLU T,ERSEN M,BALYEMEZ U,kaya e,Tasar M "The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices." Türkiye Klinikleri Tıp Bilimleri Dergisi, 39, ss.65 - 74, 2019. 10.5336/medsci.2018-62878
ISNAD AKAY, Sinan vd. "The Relationship Between Abdominal Adiposity Parameters and Renal Cell Carcinoma: A Volumetric Study Using All Computed Tomography Slices". Türkiye Klinikleri Tıp Bilimleri Dergisi 39/1 (2019), 65-74. https://doi.org/10.5336/medsci.2018-62878