Adrenal bez kalınlığının multi-dedektörlü bilgisayarlı tomografi ile değerlendirilmesi [Evaluation of the thickness of the adrenal glands with multi-detector computed tomography]
Öz
Objectives: The aim of this study was to investigate adrenal gland size, and whether there is a thickness difference between two sides of adrenal glands by multi- detector computed tomography, by which anatomic details can be evaluate better. Materials and methods: Totally, 100 patients, who do not have adrenal gland pathology and outer adrenal gland body, are analyzed retrospectively by computed tomography with 16 and 64 detectors in regards of bilateral adrenal gland thickness. Results: After measurements, it was found that the difference between both adrenal gland medial and lateral limb thickness was statistically significant (p< 0.001, p=0.035). But no significant difference was found between both adrenal gland bodies (p=0.611). Conclusions: It was observed that left adrenal gland was thicker than the right in regards of variety. Further studies are necessary to conduct comprehensive investigations in regards of standardization of adrenal gland thicknesses.
Anahtar Kelimeler
Kaynakça
- Lee JKT, Sagel SS, Stanley RJ, Heiken JP. Computed Body Tomography with MRI Correlation: The adrenal glands, 4th edn. Philadelphia: Lippincott Williams & Wilkins, 2006, pp 1313.
- Tuncel E. Klinik Radyoloji genişletilmiş 2.baskı. Bursa: Nobel& Güneş Tıp Kitabevi, 2008: 601.
- Schultz CL, Haaga JR, Fletcher BD, Alfidi RJ, Schul- tz MA. Magnetic resonance imaging of the adrenal glands: a comparison with computed tomography.AJR Am J Roentgenol 1984;143(6):1235-40.
- Montagne JP, Kressel HY, Korobkin M, Moss AA. Com- puted tomography of the normal adrenal glands.AJR Am J Roentgenol 1978;130(5):963-6.
- Meehan CP, Fuqua JL, Reiner AS, Moskowitz CS, Schwartz LH, Panicek DM. Prognostic sig- nificance of adrenal gland morphology at CT in pa- tients with three common malignancies. Br J Radiol 2012;85(1014):807-12.
- Westra SJ, Zaninovic AC, Hall TR, Kangarloo H, Boe- chat MI. Imaging of the adrenal gland in children. Ra- diographics 1994;14(6):1323-40.
- Mayo-Smith WW, Boland GW, Noto RB, Lee MJ.State-of-the-art adrenal imaging. Radiographics 2001;21(4):995-1012.
- Karstaedt N, Sagel SS, Stanley RJ, Melson GL, Levitt AG. Computed tomography of the adrenal gland. Ra- diology 1978;i 29:723-30.
- Vincent JM, Morrison ID, Armstrong P, Reznek RH. The size of normal adrenal glands on computed tomogra- phy. Clin Radiol 1994;49(7):453-5.
- Lingam RK, Sohaib SA, Vlahos I, et al. CT of primary hyperaldosteronism (Conn’s Syndrome): The value of measuring the adrenal gland. AJR Am J Roentgenol 2003; 181(3): 843-9.
- Huebener KH, Treugut H. Adrenal cortex dysfunction: CT findings. Radiology 1984; 150(1): 195-9.
- Pojunas KW, Daniels DL, Williams AL, Thorsen MK, Haughton VM. Pituitary and adrenal CT of Cushing syndrome. AJR Am J Roentgenol 1986;146(6):1235- 8.
Öz
Amaç: Bu çalışmanın amacı anatomik detayın daha iyi
değerlendirildiği multi-dedektörlü bilgisayarlı tomografi ile
adrenal bez boyutlarını ve her iki taraftaki adrenal bezler
arasında kalınlık farkının olup olmadığını araştırmaktır.
Gereç ve yöntem: Adrenal bez patolojisi bulunmayan,
adrenal bez dışı kitlesi olmayan 100 hasta bilateral adrenal
bez kalınlıkları açısından 16 ve 64 dedektörlü bilgisayarlı
tomografi ile retrospektif olarak incelendi.
Bulgular: Ölçümler sonucunda her iki adrenal bez ortalama
medial ve lateral bacak kalınlıkları arasında istatistiksel
olarak anlamlı farklılık saptandı (p< 0.001, p=0.035).
Her iki adrenal bez gövdeleri arasında ise istatistiksel olarak
anlamlı farklılık saptanmadı (p=0.611).
Sonuç: Sol adrenal bez sağa nazaran varyatif olarak kalın
izlenmiş olup, adrenal bez kalınlıkları standardizasyonu
açısından daha geniş çalışmalara ihtiyaç duyulmaktadır.
Anahtar Kelimeler
Kaynakça
- Lee JKT, Sagel SS, Stanley RJ, Heiken JP. Computed Body Tomography with MRI Correlation: The adrenal glands, 4th edn. Philadelphia: Lippincott Williams & Wilkins, 2006, pp 1313.
- Tuncel E. Klinik Radyoloji genişletilmiş 2.baskı. Bursa: Nobel& Güneş Tıp Kitabevi, 2008: 601.
- Schultz CL, Haaga JR, Fletcher BD, Alfidi RJ, Schul- tz MA. Magnetic resonance imaging of the adrenal glands: a comparison with computed tomography.AJR Am J Roentgenol 1984;143(6):1235-40.
- Montagne JP, Kressel HY, Korobkin M, Moss AA. Com- puted tomography of the normal adrenal glands.AJR Am J Roentgenol 1978;130(5):963-6.
- Meehan CP, Fuqua JL, Reiner AS, Moskowitz CS, Schwartz LH, Panicek DM. Prognostic sig- nificance of adrenal gland morphology at CT in pa- tients with three common malignancies. Br J Radiol 2012;85(1014):807-12.
- Westra SJ, Zaninovic AC, Hall TR, Kangarloo H, Boe- chat MI. Imaging of the adrenal gland in children. Ra- diographics 1994;14(6):1323-40.
- Mayo-Smith WW, Boland GW, Noto RB, Lee MJ.State-of-the-art adrenal imaging. Radiographics 2001;21(4):995-1012.
- Karstaedt N, Sagel SS, Stanley RJ, Melson GL, Levitt AG. Computed tomography of the adrenal gland. Ra- diology 1978;i 29:723-30.
- Vincent JM, Morrison ID, Armstrong P, Reznek RH. The size of normal adrenal glands on computed tomogra- phy. Clin Radiol 1994;49(7):453-5.
- Lingam RK, Sohaib SA, Vlahos I, et al. CT of primary hyperaldosteronism (Conn’s Syndrome): The value of measuring the adrenal gland. AJR Am J Roentgenol 2003; 181(3): 843-9.
- Huebener KH, Treugut H. Adrenal cortex dysfunction: CT findings. Radiology 1984; 150(1): 195-9.
- Pojunas KW, Daniels DL, Williams AL, Thorsen MK, Haughton VM. Pituitary and adrenal CT of Cushing syndrome. AJR Am J Roentgenol 1986;146(6):1235- 8.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Araştırma Yazısı |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2012 |
| Yayımlandığı Sayı | Yıl 2012 |