Biomedical subjects

O Macit Ariyürek

Publications and source records attributed to O Macit Ariyürek.

4 recordsLinked to original sources

PubMed2006

Variability of the pulmonary oblique fissures presented by high-resolution computed tomography.

The purpose of the study was to evaluate the radiological anatomy of oblique fissures (OFs) on high-resolution computed tomography (HRCT) scans. We retrospectively reviewed HRCT scans of 144 patients with normal lung parenchyma. The uppermost level of OFs with respect to the ribs, configuration (concave, straight, convex and others), orientation (medial or lateral facing), rotation and completeness of OFs were recorded. The most cranial level of the left OF was seen between the third and sixth ribs, and all but one were seen above or at the same level as the right OF. The uppermost extent of the OF was between the third and fourth intercostal space and seventh rib on the right lung. Only 2.2% of the right and 1.6% of the left OFs followed a parallel course to the ribs. The configuration of the OFs was generally concave in the upper zones (85.8% on the right and 72.1% on the left) and convex in the middle and lower lung zones (79.3% on the right and 73.9% on the left); 62.5% of the right and 59.7% of the left OFs were incomplete. Suprahilar portions of both OFs (98.9% on the right and 96.7% on the left) and the infrahilar portion of the right OF (54.2%) were generally facing laterally, whereas the infrahilar portion of the left OF was facing medially (80.9%). Angles of the MFs differed at the upper and lower levels. We detected reversal of 21 OFs in their craniocaudal course. In conclusion, the radiological anatomy of the right OF differs from the left OF. The uppermost extent of the left OF is almost always higher than the right. Thus, higher position of the right OF compared with the left almost always indicates a pathological process. Assessment of the angles of the OFs or comparison of the two sides cannot be used for the diagnosis of parenchymal disease like atelectasis. Occasionally, the classical propeller-like configuration is disrupted by the reverse course of the caudal part of the OF.

Adolescent↗

PubMed2002

Comparison of low-dose and standard-dose helical CT in the evaluation of pulmonary nodules.

The purpose of this study was to investigate the diagnostic accuracy of low-dose helical computed tomography by comparing the number of nodules detected at low- and standard-dose CT. The prospective study included 25 patients who were referred to CT scan for the assessment of pulmonary metastases. All patients underwent CT examinations at both standard- (200 mA, 120 kV, collimation 5 mm, table feed 10 mm per rotation) and low-dose (50 mA, 120 kV, collimation 5 mm, table feed 10 mm per rotation). The number of nodules detected at each protocol was recorded. The size of the nodules was measured electronically and categorized as <3, 3-4.9, 5-6.9, 7-9.9, and >/=10 mm. Finally, the nodules detected at only standard- or low-dose CT were assessed for the underlying causes of discrepancy. In 25 patients, 533 nodules were detected at standard-dose, whereas 518 nodules were observed at low-dose CT. There were no statistically significant differences in the number of nodules detected at standard- or low-dose CT ( p>0.05). Four hundred ninety-one (87.7%) nodules were detected at both standard- or low-dose CT, 42 (7.5%) nodules were observed only at standard-dose CT, and 27 (4.8%) nodules were seen only at low-dose CT. The sensitivity of low-dose CT was 92.5% for all nodules, 88.1% for nodules <5 mm, and 97.4% for nodules >/=5 mm. No significant image artifact interfering with nodule detection was observed at low-dose CT. The low-dose CT protocol used in this study provided images of adequate quality; thus, it can be used reliably in the detection or exclusion of pulmonary nodules.

Female↗

PubMed2002

Renal involvement in multifocal osteosarcoma.

A rare case of multifocal osteosarcoma metastatic to kidney, lung and lymph nodes is presented. Radiological findings included multiple foci of sclerotic lesions involving the axial and peripheral skeleton, a heterogeneous renal mass with areas of calcification, multiple pulmonary metastases with pneumothorax, and partially calcified enlarged mediastinal and abdominal lymph nodes.

Bone Neoplasms↗

PubMed2001

Anatomy of the minor fissure: assessment with high-resolution CT and classification.

The aims of this study were to investigate the anatomy of the minor fissure and its variations on high-resolution CT (HRCT) sections and to propose a detailed classification. The prospective study included 67 patients who were referred to CT for various indications. High-resolution CT examinations (1.5-mm collimation) were obtained through the region of the minor fissure. The CT scans were assessed for the presence, completeness, and configuration of the minor fissure. Various configurations of the minor fissure were classified into four major types, based on whether the highest portion of the middle lobe upper surface was medial (type I), lateral (type II), posterior (type III), or central (type IV). Minor fissure was identified in 65 (97%) of 67 patients, and absent in 2 (3%) cases. The fissure was incomplete in 35 (54%) of 65 patients. Type-I minor fissure is seen in 28 (43%) patients, type II in 22 (34%), type III in 5 (8%), and type IV in 2 (3%) patients. Because the majority of the fissure was absent in 8 (12%) of 35 patients with incomplete fissure, they were considered indeterminate. Comprehensive knowledge of the various configurations of the minor fissure is helpful in correct localization of a lesion and its extension. In equivocal cases, limited thin-section CT scans through the fissure delineate the anatomy more clearly and provide greater degree of precision in localizing pulmonary lesions.

Adolescent↗