Dergiler / İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi / 2021 / Sayı: 14
İntraabominal Kistik Lezyonların Tanısında Doku Harmonik Ultrasonografi ve Bilgisayarlı Tomografinin Rolü
- Sayı
- 2021 · Sayı: 14
- Sayfa
- 302–322
- DOI
- —
Özet
Amaç: Batın Ultrasonografi (US) ve Bilgisayarlı Tomografi (BT) tetkikleri Radyoloji Kliniklerinde sıklıkla kullanılan görüntüleme yöntemleridir. Bu incelemeler sırasında batında sıklıkla kistik lezyonlar tespit edilmektedir. Bu kistlerin klinik önemini belirlemek ve karakterize etmek önemli bir sorundur.
Abstract
Aim: Abdominal Ultrasonography (US) and Computed Tomography (CT) examinations are imaging methods frequently used in Radiology Clinics. During these examinations, cystic lesions are frequently detected in the abdomen. It is an important problem to identify and characterize the clinical significance of these cysts.Methods: The findings of 145 patients who underwent abdominal imaging in the US and CT units of the Istanbul Training and Research Hospital Radiology Clinic and were found to have cystic lesions were analyzed retrospectively. The CT findings of cystic lesions detected in the abdominal organs or the abdominal cavity were reviewed, and the contribution of the new US image acquisition method, Tissue Harmonic Imaging (THI), to the characterization of cysts was examined.Results: A total of 145 patients, 56 men (39.3%) and 89 women (60.7%) with cystic lesions in the abdomen, were included. We detected cystic lesions most frequently in the kidneys (n:68, 46.89%) and second most frequently in the liver (n:65; 44.82%). In addition, we detected cystic lesions in the spleen in 5 cases (3.44%), in the pancreas in 7 cases (4.82%), and in the abdominal cavity in 5 cases (3.44%). In all our cases, cystic lesions could be visualized in both THI imaging and CT examination.Conclusion: THI examination provides valuable information in characterizing cystic lesions, especially by showing the wall feature of the cyst, the internal septa and the presence of intra-cystic solid component, while CT examination especially shows the wall calcification and the presence of air in the abscess, as well as the intramural solid component.