Araştırma Makalesi
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Kord için yeni bir makine tekniği: Elastosonografi

Yıl 2022, Cilt: 25 Sayı: 4, 1723 - 1728, 16.12.2022
https://doi.org/10.2339/politeknik.1054054

Öz

Elastosonografi görüntüleme teknolojisi cihazlarına yeni eklenen bir teknolojidir. Elastosonografi ile özellikle ortam sertliği bulguların farklı şekilde değerlendirilmesi mümkündür. Bu özelliklere sahip cihazlar hem teknolojik olarak yeni hem de yüksek çözünürlüğe sahip oldukları için daha detaylı bilgiler veren cihazlardır. Pediatri grubunda kord torsiyonu en önemli olaylar arasındadır. Diğer akut olaylardan ayırt edilmesi tanı ve tedavide kafa karıştırıcıdır. Klasik siyah-beyaz görüntüler, renkli Doppler görüntüleri ve elastosonografi değerlendirmesinin hep birlikte yapılmasıyla çok başarılı sonuçlar vermektedir. Deneysel araştırmanın amacı, kord torsiyonunun belirlenmesi ve müdahalesinde bir hedef strateji olarak sertliği araştıran elastosonografinin uygulanabilirliğini belirlemektir. Benzer ağırlık ve yaştaki 16 erkek tavşan seçildi. 8 tavşan olmak üzere 2 gruba ayrıldı. Grup 1'de sağ testis sabitti; Grup 2'de ise aynı testis saat yönünde 720° döndürüldü ve stabilize edildi. 1-2 saatlik iskemik dönemden sonra elastosonografi tekniği uygulandı. Bununla birlikte, olası ilerlemeleri fark etmek için sol kord 24 saatte tekrar değerlendirildi; çünkü iskemi sol kordu da etkileyebilir. B modu US ve elastosonografi prosedürleri lineer prob ile uygulandı. 1-2-24 saatte sağ kordun elastosonografi değerlerinde istatistiksel olarak artış tespit edildi (p<0.05). 1-2 saatte sol kord grupları arasında önemli bir değişiklik olmadı. Elastosonografi değerleri 24 saatte sol kordta anlamlıydı (p<0.05). Kord torsiyonunun elastosonografi değerleri, iskeminin genişlemesiyle birlikte açıkça ortaya çıktı. Kord torsiyonu tanısında elastosonografi stratejisinin diğer belirteç prosedürlerle birlikte rol oynayabileceği görüldü.

Destekleyen Kurum

Yok

Proje Numarası

Yok

Kaynakça

  • [1] Aslan M., Kucukaslan I., Mulazimoglu S., Soyer T., Senyucel M., Cakmak M., Scholbach J. and Aslan S., “Quantitative software analysis of ultrasonographic textures in experimental testicular torsion”, Eur. J. Pediatr. Surg., 23: 134-139, (2013).
  • [2] Ciftci A.O., Senocak M.E., Tanyel F.C. and Buyukpamukcu N., “Clinical predictors for differential diagnosis of acute scrotum”, Eur. J. Pediatr. Surg., 14(5): 333-338, (2004).
  • [3] Sparano A., Acampora C., Scaglione M. and Romano L., “Using color power Doppler ultrasound imaging to diagnose acute scrotum. A pictorial essay”, Emergy. Radiol., 15(5): 298-294, (2008).
  • [4] Prando D., “Torsion of the spermatic cord: the main gray-scale and Doppler sonographic signs”, Abdom. Imaging., 34(5): 648-661, (2009).
  • [5] Ketul V. Patel., Dean Y. Huang. and Paul S., “Metachronous bilateral segmental testicular infarction: multi-parametric ultrasound imaging with grey-scale ultrasound, Doppler ultrasound, contrast-enhanced ultrasound (CEUS) and real-time tissue elastography (RTE)”, J. Ultrasound., 17(3): 233-238, (2014).
  • [6] Kantarci F., Cebi Olgun D. and Mihmanli I., “Shear-wave elastography of segmental infarction of the testis”, Korean J. Radiol., 13(6): 820-822, (2012).
  • [7] Lu Y., Wei J., Tang Y., Yuan Y., Huang Y., Zhang Y. and Li Y., “Evaluation of fatty liver fibrosis in rabbits using real-time shear wave elastography”, Experimental and Therapeutic Medicine, 8: 355-362, (2014).
  • [8] Greenleaf J.F., Fatemi M. and Insana M., “Selected methods for imaging elastic properties of biological tissues”. Annu. Rev. Biomed. Eng., 5: 57-78, (2003).
  • [9] Bercoff J., Tanter M. and Fink M., “Supersonic shear imaging: a new technique for soft tissue elasticity mapping”, IEEE Trans. Ultrason Ferroelectr. Freq. Control, 51: 396-409, (2004).
  • [10] Ozdemir K. and Savas C., “Evaluation of acute scrotal symptoms in children”, Journal of SDU. Medical Faculty Journal, 7(4): 50-60, (2010).
  • [11] Cilento B.G., Najjar S.S. and Atala A., “Cryptorchisim and testicular torsion”, Ped. Clin. North Am., 40: 1133-1149, (1993).
  • [12] Kass E.J. and Lundak B., “The acute scrotum”, Pediatr. Clin. North Am., 44: 1251-1266, (1997).
  • [13] Zaleska Dorobisz U., Kaczorowski K., Pawluś A., Puchalska A. and Inglot M., “Ultrasound elastography – review of techniques and its clinical applications”, Adv. Clin. Exp. Med., 23(4): 645-655, (2014).
  • [14] Hançerlioğulları K.Ö., Soyer T., Tosun A. and Hançerlioğulları G., “Is B-flow USG superior to color doppler USG for evaluating blood flow patterns in ovarian torsion?”, J. Pediatr. Surg., 50: 1156-1161, (2015).
  • [15] Sarvazyan A., Hall T.J., Urban M.W., Fatemi M., Aglyamov S.R. and Garra B.S., "An overview of elastography – an emerging branch of medical imaging" Curr. Med. Imaging Rev., 7: 255-282, (2011).
  • [16] Ramnarine K.V., Garrard J.W., Kanber B., Nduwayo S., Hartshorne T.C. and Robinson T.G., “Shear wave elastography imaging of carotid plaques: feasible, reproducible and of clinical potential”, Cardiovasc. Ultrasound, 8: 12-49, (2014).
  • [17] Lin S.H., Ma J.J., Zhang H., Ding H., Yu Q., Zhu H.G., Zeng W.J. and Wang W.P., “Real-time elastography for quantitative assessment of liver fibrosis in a rat model”, Zhonghua Gan Zang Bing Za Zhi, 20(5): 386-389, (2012).
  • [18] Shi Y., Wang X.H., Zhang H.H., Zhang H.O., Tu J.Z., Wei K., Li J. and Liu X.L., “Quantitative analysis of real-time tissue elastography for evaluation of liver fibrosis”, Int. J. Clin. Exp. Med., 7(4): 1014-1021, (2014).
  • [19] Chen L., Zhan W.W., Shen Z.J., Rui W.B., Lv C., Chen M., Zhou J.Q., Zhou P. Zhou M. and Zhu Y., “Blood perfusion of the contralateral testis evaluated with contrast-enhanced ultrasound in rabbits with unilateral testicular torsion”, Asian J. Androl., 11(2): 253-260, (2009).
  • [20] Cvetkovic T., Stankovic J., Najman S., Pavlovic D., Stokanovic D., Vlajkovic S., Bjelakovic M., Cukuranovic J., Zivkovic V. and Stefanovic V., “Oxidant and antioxidant status in experimental rat testis after testicular torsion/detorsion”, Int. J. Fertil. Steril.,9(1): 121-128, (2015).
  • [21] Goddi A., Sacchi A., Magistretti G., Almolla J. and Salvadore M., “Real-time tissue elastography for testicular lesion assessment”, Eur. Radiol., 22(4): 721-730, (2012).
  • [22] Gao J., Weitzel W., Rubin J.M., Hamilton J., Lee J., Dadhania D. and Min R., “Renal transplant elasticity ultrasound imaging: correlation between normalized strain and renal cortical fibrosis”, Ultrasound Med. Biol., 39(9): 1536-1542, (2013).
  • [23] Gao J., He W., Cheng L.G., Li X.Y., Zhang X.R., Juluru K., Al Khori N., Coya A. and Min R., “Ultrasound strain elastography in assessment of cortical mechanical behaviour in acute renal vein occlusion: in vivo animal model”, Clin. Imaging, 39(4): 613-618, (2015).

A new machine technique in cord: Elastosonography

Yıl 2022, Cilt: 25 Sayı: 4, 1723 - 1728, 16.12.2022
https://doi.org/10.2339/politeknik.1054054

Öz

B mode US imaging with elastosonography tecnology was performed on the cords by 4-13 MHz linear probe (Esaote, MyLab60 with Elaxto application). The elastosonography technic demonstrated a colour map over B mode image. Different colours extended from green (soft) to ruddy (hard) to illustrate tissue feature after compression-decompression periods. In kids, spermatic cord with testicular torsion is among the main significant events. Differentiation from other acute scrotal events is confusing in diagnosis and therapy. The point of experimental research is to determine the viability of elastosonography, which investigates stiffness as a target strategy in determination and intervention of spermatic cord torsion. 16 male rabbits of a similar weight and age were chosen. They were separated into 2 groups including 8 rabbits. In Group 1, right testis was constant; in Group 2, the same testis experienced 720° curve a clockwise way and stabilized. After 1-2 hours of ischemic period, elastosonography estimations were applied. Nonetheless, the left spermatic cord was estimated again at 24 hours to notice the possible progressions; because ischemia may also have an effect to the left spermatic cord. B mode US and elastosonography procedures were applied with a linear probe. Statistically increment was recognized in elastosonography estimations of right spermatic cord at 1-2-24 hours (p<0.05). There were no significant changes between the groups of left spermatic cord at 1-2 hours. Elastosonography values were significant in left spermatic cord at 24 hours (p<0.05). The elastosonography estimations of the spermatic cord torsion appeared evidently with the expansion in span of ischemia. It was seen that the elastosonography strategy may have a part with other indicative procedures in diagnosis of cord torsion.

Proje Numarası

Yok

Kaynakça

  • [1] Aslan M., Kucukaslan I., Mulazimoglu S., Soyer T., Senyucel M., Cakmak M., Scholbach J. and Aslan S., “Quantitative software analysis of ultrasonographic textures in experimental testicular torsion”, Eur. J. Pediatr. Surg., 23: 134-139, (2013).
  • [2] Ciftci A.O., Senocak M.E., Tanyel F.C. and Buyukpamukcu N., “Clinical predictors for differential diagnosis of acute scrotum”, Eur. J. Pediatr. Surg., 14(5): 333-338, (2004).
  • [3] Sparano A., Acampora C., Scaglione M. and Romano L., “Using color power Doppler ultrasound imaging to diagnose acute scrotum. A pictorial essay”, Emergy. Radiol., 15(5): 298-294, (2008).
  • [4] Prando D., “Torsion of the spermatic cord: the main gray-scale and Doppler sonographic signs”, Abdom. Imaging., 34(5): 648-661, (2009).
  • [5] Ketul V. Patel., Dean Y. Huang. and Paul S., “Metachronous bilateral segmental testicular infarction: multi-parametric ultrasound imaging with grey-scale ultrasound, Doppler ultrasound, contrast-enhanced ultrasound (CEUS) and real-time tissue elastography (RTE)”, J. Ultrasound., 17(3): 233-238, (2014).
  • [6] Kantarci F., Cebi Olgun D. and Mihmanli I., “Shear-wave elastography of segmental infarction of the testis”, Korean J. Radiol., 13(6): 820-822, (2012).
  • [7] Lu Y., Wei J., Tang Y., Yuan Y., Huang Y., Zhang Y. and Li Y., “Evaluation of fatty liver fibrosis in rabbits using real-time shear wave elastography”, Experimental and Therapeutic Medicine, 8: 355-362, (2014).
  • [8] Greenleaf J.F., Fatemi M. and Insana M., “Selected methods for imaging elastic properties of biological tissues”. Annu. Rev. Biomed. Eng., 5: 57-78, (2003).
  • [9] Bercoff J., Tanter M. and Fink M., “Supersonic shear imaging: a new technique for soft tissue elasticity mapping”, IEEE Trans. Ultrason Ferroelectr. Freq. Control, 51: 396-409, (2004).
  • [10] Ozdemir K. and Savas C., “Evaluation of acute scrotal symptoms in children”, Journal of SDU. Medical Faculty Journal, 7(4): 50-60, (2010).
  • [11] Cilento B.G., Najjar S.S. and Atala A., “Cryptorchisim and testicular torsion”, Ped. Clin. North Am., 40: 1133-1149, (1993).
  • [12] Kass E.J. and Lundak B., “The acute scrotum”, Pediatr. Clin. North Am., 44: 1251-1266, (1997).
  • [13] Zaleska Dorobisz U., Kaczorowski K., Pawluś A., Puchalska A. and Inglot M., “Ultrasound elastography – review of techniques and its clinical applications”, Adv. Clin. Exp. Med., 23(4): 645-655, (2014).
  • [14] Hançerlioğulları K.Ö., Soyer T., Tosun A. and Hançerlioğulları G., “Is B-flow USG superior to color doppler USG for evaluating blood flow patterns in ovarian torsion?”, J. Pediatr. Surg., 50: 1156-1161, (2015).
  • [15] Sarvazyan A., Hall T.J., Urban M.W., Fatemi M., Aglyamov S.R. and Garra B.S., "An overview of elastography – an emerging branch of medical imaging" Curr. Med. Imaging Rev., 7: 255-282, (2011).
  • [16] Ramnarine K.V., Garrard J.W., Kanber B., Nduwayo S., Hartshorne T.C. and Robinson T.G., “Shear wave elastography imaging of carotid plaques: feasible, reproducible and of clinical potential”, Cardiovasc. Ultrasound, 8: 12-49, (2014).
  • [17] Lin S.H., Ma J.J., Zhang H., Ding H., Yu Q., Zhu H.G., Zeng W.J. and Wang W.P., “Real-time elastography for quantitative assessment of liver fibrosis in a rat model”, Zhonghua Gan Zang Bing Za Zhi, 20(5): 386-389, (2012).
  • [18] Shi Y., Wang X.H., Zhang H.H., Zhang H.O., Tu J.Z., Wei K., Li J. and Liu X.L., “Quantitative analysis of real-time tissue elastography for evaluation of liver fibrosis”, Int. J. Clin. Exp. Med., 7(4): 1014-1021, (2014).
  • [19] Chen L., Zhan W.W., Shen Z.J., Rui W.B., Lv C., Chen M., Zhou J.Q., Zhou P. Zhou M. and Zhu Y., “Blood perfusion of the contralateral testis evaluated with contrast-enhanced ultrasound in rabbits with unilateral testicular torsion”, Asian J. Androl., 11(2): 253-260, (2009).
  • [20] Cvetkovic T., Stankovic J., Najman S., Pavlovic D., Stokanovic D., Vlajkovic S., Bjelakovic M., Cukuranovic J., Zivkovic V. and Stefanovic V., “Oxidant and antioxidant status in experimental rat testis after testicular torsion/detorsion”, Int. J. Fertil. Steril.,9(1): 121-128, (2015).
  • [21] Goddi A., Sacchi A., Magistretti G., Almolla J. and Salvadore M., “Real-time tissue elastography for testicular lesion assessment”, Eur. Radiol., 22(4): 721-730, (2012).
  • [22] Gao J., Weitzel W., Rubin J.M., Hamilton J., Lee J., Dadhania D. and Min R., “Renal transplant elasticity ultrasound imaging: correlation between normalized strain and renal cortical fibrosis”, Ultrasound Med. Biol., 39(9): 1536-1542, (2013).
  • [23] Gao J., He W., Cheng L.G., Li X.Y., Zhang X.R., Juluru K., Al Khori N., Coya A. and Min R., “Ultrasound strain elastography in assessment of cortical mechanical behaviour in acute renal vein occlusion: in vivo animal model”, Clin. Imaging, 39(4): 613-618, (2015).
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Mühendislik
Bölüm Araştırma Makalesi
Yazarlar

Kadir Öymen Hançerlioğulları 0000-0002-6856-4975

Alptekin Tosun 0000-0003-1783-9171

Proje Numarası Yok
Yayımlanma Tarihi 16 Aralık 2022
Gönderilme Tarihi 21 Ocak 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 25 Sayı: 4

Kaynak Göster

APA Hançerlioğulları, K. Ö., & Tosun, A. (2022). A new machine technique in cord: Elastosonography. Politeknik Dergisi, 25(4), 1723-1728. https://doi.org/10.2339/politeknik.1054054
AMA Hançerlioğulları KÖ, Tosun A. A new machine technique in cord: Elastosonography. Politeknik Dergisi. Aralık 2022;25(4):1723-1728. doi:10.2339/politeknik.1054054
Chicago Hançerlioğulları, Kadir Öymen, ve Alptekin Tosun. “A New Machine Technique in Cord: Elastosonography”. Politeknik Dergisi 25, sy. 4 (Aralık 2022): 1723-28. https://doi.org/10.2339/politeknik.1054054.
EndNote Hançerlioğulları KÖ, Tosun A (01 Aralık 2022) A new machine technique in cord: Elastosonography. Politeknik Dergisi 25 4 1723–1728.
IEEE K. Ö. Hançerlioğulları ve A. Tosun, “A new machine technique in cord: Elastosonography”, Politeknik Dergisi, c. 25, sy. 4, ss. 1723–1728, 2022, doi: 10.2339/politeknik.1054054.
ISNAD Hançerlioğulları, Kadir Öymen - Tosun, Alptekin. “A New Machine Technique in Cord: Elastosonography”. Politeknik Dergisi 25/4 (Aralık 2022), 1723-1728. https://doi.org/10.2339/politeknik.1054054.
JAMA Hançerlioğulları KÖ, Tosun A. A new machine technique in cord: Elastosonography. Politeknik Dergisi. 2022;25:1723–1728.
MLA Hançerlioğulları, Kadir Öymen ve Alptekin Tosun. “A New Machine Technique in Cord: Elastosonography”. Politeknik Dergisi, c. 25, sy. 4, 2022, ss. 1723-8, doi:10.2339/politeknik.1054054.
Vancouver Hançerlioğulları KÖ, Tosun A. A new machine technique in cord: Elastosonography. Politeknik Dergisi. 2022;25(4):1723-8.
 
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