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    A Cross-sectional Study; 2015 Evaluation of Lung Graphs
    (Kare Publ, 2018) Alkan, Ender; Pekgor, Selma; Tolu, Ismet; Inal, Zeynep Ozturk; Kucukkendirci, Hasan
    Objectives:This study was an evaluation of posteroanterior chest radiographs taken of residents of Konya determined by the cluster sampling method. Methods: This study was a descriptive cross-sectional study, conducted in cooperation with the Konya Education and Research Hospital, the provincial health directorate, and the metropolitan municipality. The sociodemographic characteristics of 2015 individuals participating in the study were recorded. The standard chest radiographs, which were taken with a traditional analog system during inspiration in the standing position, were evaluated by 2 radiologists.The most obvious pathological finding was recorded. Results: Of the participants, 1075 (53.40%) were female and 940 (46.60%) were male. The mean age was 45.89 +/- 0.45 years for the women and 46.20 +/- 0.54 years for the men. In the group, 340 (16.90%) were retired, 492 (24.40%) were farmers and/or laborers, 144 (7.10%) were white-collar employees, and 1039 (51.60%) were housewives or unemployed. In all, 580 (28.80%) were cigarette smokers. While 249 (12.36%) had pathological findings on the chest radiograph, 1766 (87.64%) had normal results.The pathological findings were hilar fullness (n=50, 2.48%), emphysematous appearance (n=48, 2.38%), nodule (n=29, 1.44%), increased reticulonodular density (n=26, 1.29%), increased bronchovascular branching (n=9, 0.44%), bronchiectasis (n=4, 0.20%), and other changes (n=83, 4.12%). The incidence of emphysematous appearance was 2.77 times greater in the smokers than in the non-smokers (p<0.05; odds ratio [OR]: 2.77, confidence interval [CI]: 1.56-4.91). While the chest X-ray was normal in 93.50% of the individuals under the age of 40 years, the rate decreased to 84.60% in the individuals over the age of 40 years. The incidence of a pathological chest radiograph was also 2.62 times higher in individuals over the age of 40 years (p<0.001; OR: 2.62, CI:1.90-3.61). Conclusion: The incidence of pathological lung findings was greater in individuals over the age of 40 years, and in workers and retirees.
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    A Cross-sectional Study; 2015 Evaluation of Lung Graphs
    (Kare Publ, 2018) Alkan, Ender; Pekgor, Selma; Tolu, Ismet; Inal, Zeynep Ozturk; Kucukkendirci, Hasan
    Objectives:This study was an evaluation of posteroanterior chest radiographs taken of residents of Konya determined by the cluster sampling method. Methods: This study was a descriptive cross-sectional study, conducted in cooperation with the Konya Education and Research Hospital, the provincial health directorate, and the metropolitan municipality. The sociodemographic characteristics of 2015 individuals participating in the study were recorded. The standard chest radiographs, which were taken with a traditional analog system during inspiration in the standing position, were evaluated by 2 radiologists.The most obvious pathological finding was recorded. Results: Of the participants, 1075 (53.40%) were female and 940 (46.60%) were male. The mean age was 45.89 +/- 0.45 years for the women and 46.20 +/- 0.54 years for the men. In the group, 340 (16.90%) were retired, 492 (24.40%) were farmers and/or laborers, 144 (7.10%) were white-collar employees, and 1039 (51.60%) were housewives or unemployed. In all, 580 (28.80%) were cigarette smokers. While 249 (12.36%) had pathological findings on the chest radiograph, 1766 (87.64%) had normal results.The pathological findings were hilar fullness (n=50, 2.48%), emphysematous appearance (n=48, 2.38%), nodule (n=29, 1.44%), increased reticulonodular density (n=26, 1.29%), increased bronchovascular branching (n=9, 0.44%), bronchiectasis (n=4, 0.20%), and other changes (n=83, 4.12%). The incidence of emphysematous appearance was 2.77 times greater in the smokers than in the non-smokers (p<0.05; odds ratio [OR]: 2.77, confidence interval [CI]: 1.56-4.91). While the chest X-ray was normal in 93.50% of the individuals under the age of 40 years, the rate decreased to 84.60% in the individuals over the age of 40 years. The incidence of a pathological chest radiograph was also 2.62 times higher in individuals over the age of 40 years (p<0.001; OR: 2.62, CI:1.90-3.61). Conclusion: The incidence of pathological lung findings was greater in individuals over the age of 40 years, and in workers and retirees.
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    Diagnostic Performance of Superb Microvascular Imaging and Other Sonographic Modalities in the Assessment of Lateral Epicondylosis
    (Wiley, 2018) Arslan, Serdar; Karahan, Ali Yavuz; Oncu, Fatih; Bakdik, Suleyman; Durmaz, Mehmet Sedat; Tolu, Ismet
    Objectives-The aim of this study was to compare the diagnostic performance of different sonographic modalities for diagnosing lateral epicondylosis. Methods-A total of 50 symptomatic and 50 asymptomatic common extensor tendons in 44 patients with lateral epicondylosis, and 25 healthy participants were prospectively examined by B-mode sonography, color Doppler imaging, power Doppler imaging, Superb Microvascular Imaging (SMI; Toshiba Medical Systems Corporation, Tokyo, Japan), and strain elastography. We evaluated blood flow in common extensor tendons by using a grading system with color Doppler imaging, power Doppler imaging, and SMI. The diagnostic performance of the modalities was compared. Results-When a cutoff value of hypoechogenicity was used for the mean strain ratio, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy rates were 92.0%, 94%.0, 93.9%, 92.2%, and 93.0%, respectively. When a cutoff point of grade 1 was used, the sensitivity, specificity, PPV, NPV, and accuracy rates were 26.0%, 10.0%, 10.0%, 57.5%, and 63.0, for color Doppler imaging; 40.0%, 10.0%, 10.0%, 62.5%, and 70.0% for power Doppler imaging; and 84.0%, 94.0%, 93.0%, 85.5%, and 89.0% for SMI. When a cutoff value of 3.94 was used for the mean strain ratio, the sensitivity, specificity, PPV, NPV, and accuracy rates were 78.0%, 92.0%, 90.7%, 80.7%, and 85.0%, respectively. A statistically significant correlation was detected between SMI, strain elastography, and visual analog scale scores (P < .001). Conclusions-The combination of SMI and B-mode sonography was found to have excellent diagnostic performance for lateral epicondylosis. Neovascularzation in patients' tendons with lateral epicondylosis was identified much better with SMI compared to color or power Doppler imaging.
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    Percutaneous treatment of hepatic cystic echinococcosis: the success of alcohol as a single endocavitary agent in PAIR, catheterization, and modified catheterization techniques
    (Springer-Verlag Italia Srl, 2018) Bakdik, Suleyman; Arslan, Serdar; Oncu, Fatih; Tolu, Ismet; Eryilmaz, Mehmet Ali
    This retrospective study aims at demonstrating the success rate, effectiveness, and advantages of alcohol as a scolicidal and sclerosing agent for the percutaneous treatment of liver hydatid cysts. A total of 554 liver hydatid cysts obtained from 347 patients admitted between January 2008 and February 2016 were retrospectively investigated. Of these, 435 (78.5%), 91 (16.4%), and 28 (5%) were classified as Gharbi type 1, 2, and 3, respectively. Type 1 and 2 cysts were treated using PAIR (puncture, aspiration, injection, respiration) and single puncture catheterization methods; type 3 lesions were treated using a modified catheterization technique. Alcohol was used as a scolicidal and sclerosing agent in all procedures. After excluding three lesions (0.5%) because of lack of parenchymal support during catheterization, 274 (49.7%), 250 (45.3%), and 27 (4.9%) of 551 lesions were treated with PAIR, single puncture catheterization, and modified catheterization techniques, respectively. Therefore, a 99.5% of technical success rate was obtained. Major complications in 2 patients (0.5%) and minor complications were observed in 36 patients (10.3%). Mean hospital stay was 1.55 +/- 2.3 days (range: 0-23 days). Patients were followed-up for mean 19.6 months (range: 6-83 months), during which recurrences were detected in 19 patients (5.4%). The use of alcohol as a scolicidal and sclerosing agent during the percutaneous treatment of liver hydatid cysts is associated with a high success rate and low rates of recurrence and complications, and should be considered an important alternative to surgical procedures.
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    The Relationship between Bone Mineral Densitometry and Visceral Adiposity Index in Postmenopausal Women
    (Georg Thieme Verlag Kg, 2023) Elmas, Halis; Duran, Cevdet; Can, Mustafa; Tolu, Ismet; Guney, Ibrahim
    Objective It was aimed to compare visceral adiposity index (VAI) levels in patients with normal bone mineral density (BMD), osteopenia, and osteoporosis.Methods One hundred twenty postmenopausal women (40 with normal BMD, 40 with osteopenia, and 40 with osteoporosis) between the ages of 50 to 70 years were included in the study. For females, the VAI was calculated using the formula (waist circumference [WC]/[36.58 + (1.89 x body mass index (BMI))]) x (1.52/High-density lipoprotein [HDL]-cholesterol [mmol/L]) x (triglyceride [TG]/0.81 [mmol/L]).Results The time of menopause from the beginning was similar in all groups. Waist circumference was found to be higher in those with normal BMD than in the osteopenic and osteoporotic groups ( p = 0.018 and p < 0.001, respectively), and it was also higher in the osteopenic group than in the osteoporotic group ( p = 0.003). Height and body weight, BMI, blood pressure, insulin, glucose, HDL-cholesterol, and homeostasis model assessment-insulin resistance (HOMA-IR) levels were similar in all groups. Triglyceride levels were found to be higher in the normal BMD group, compared with the osteoporotic group ( p = 0.005). The level of VAI was detected as higher in those with normal BMD, compared with the women with osteoporosis ( p = 0.002). Additionally, the correlation analysis showed a positive correlation between dual-energy X-ray absorptiometry (DXA) spine T -scores, WC, VAI, and a negative correlation between DXA spine T -scores and age.Conclusion In our study, we found higher VAI levels in those with normal BMD, compared with women with osteoporosis. We consider that further studies with a larger sample size will be beneficial in elucidating the entity.