Siroz olgularında dinamik BT bulgularının klinik ve laboratuvar bulgularıyla ilişkisi

















































ABSTRACT
Kalaycıoğlu B., Relationship Between Clinic -Laboratory Findings And Dynanmic Bt Findings In Cirrhosis Cases, Zonguldak Karaelmas University, Faculty of Medicine, Radiology Thesis, Zonguldak, 2009. Cirrhosis is the 10th of most frequent death causes in United States of America with the other chronic liver disease types according to National Digestive Diseases Information Clearinghouse (NDDIC) data since 1994. It causes important economic expenses because of its complications and HCC. Cirrhosis is diagnosed with liver biopsy or clinical, laboratory or imaging techniques. Biopsy is the most accurate diagnosis method. Clinical severity of cirrhosis can be exerted by Child -Turcotte-Pugh (CTP) Classification. For this classification; acid, encephalopathy, total bilirubin level, albumin level and PTZ elongation time (INR value) are calculated and all the scores are added together. This classification is recurred for every patient and at every consultation and it costs a particular work power and economical loss. Cirrhosis causes perfusion diversity and anatomical changes in liver paranchima due to its physiopathology. These changes involve caudate lobe, whole right lobe and medial segment of the left lobe. These changes in the liver anatomy can be exhibited in computerized tomography images and size differences can be measured. A total of 269 patients; 116 women and 153 men, who were consulted in Zonguldak Karaelmas University Faculty of Medicine, diagnosed and prediagnosed with chronic liver disease and cirrhosis and at the same time, took a triphasic abdominal tomography examination at Radiodiagnostic Department, were scanned in hospital data system retrospectivelyand Triphasic Computerized Tomography images were reached at archives belonging to Radiodiagnostic Department. Child classification of same patients were calculated according to data in the hospital system. Caudate lobe/ right lobe ratio, modified caudate lobe/right lobe ratio and periportal distance in the tomography images of every patient were compared with child scores. Statistical significance of these methods and their statistical consistency were calculated. All calculated caudate lobe/right lobe ratio, modified caudate lobe/ right lobe ratio and periportal distance measurements had statistically significant correlation with child scores (p<0.001). In kappa analysis, consistency between CTP and caudate lobe-right lobe was calculated as 0.60, CTP and modified caudate lobe-right lobe as 0.55, CTP and periportal Keywords: Liver Cirrhosis, Child-Turcotte-Pugh score, Caudatlobe-rightlobe ratio, modified Caudatlobe-rightlobe ratio, periportal distance. v



6. SAYFAYA BENZER SAYFALAR

Karaciğer sirozu olan hastalarda, malnütrisyon, vücut bileşimi, enerji ve besin ögeleri alımının değerlendirilmesi - Sayfa 6
vi ABSTRACT Susuzlu, M., Assessment of malnutrition, body composition and energy and nutrient intakesin patients with liver cirrhosis, Hacettepe University, Institute of Health Science, MSc Thesis in Dietetic Programme, Ankara, 2013.The study, conducted to assess malnutrition, body composition and dietary intakes in patients with liver cirrhosis, was carried out among total of 58 patients (42 ma...
Karaciğer sirozlu olgularımızda sirotik kardiyomiyopatiyle ilgili belirli biyokimyasal ve ekokardiyografik parametrelerin değerlendirilmesi - Sayfa 12
3 SUMMARY Evaluation of Certain Biochemical and Echocardiographic Parameters Related to Cirrhotic Cardiomyopathy in Liver Cirrhosis Cases Introduction and objective: Liver cirrhosis is one of the most important causes of death in many regions around the globe and in our country. Cirrhotic patients are known to have cardiac function disorders, systolic/diastolic dysfunction and electrophysiologi...
Karaciğer sirozunda azotemik ve nonazotemik hastalarda renal hemodinamik değişikliklerin doppler ultrasonografi ile değerlendirilmesi - Sayfa 6
ABSTRACT Unsal D., The Evolution of Renal Hemodynamics Changes in Azotemic and Nonazotemic Subjects with Liver Cirrhosis by Doppler Ultrasonography, Zonguldak Karaelmas University, Faculty of Medicine, Radiology Thesis, Zonguldak, 2010. Cirrhosis and chronic liver disease have been the 10th common cause of death in the USA since 1994. World Health Organization predicts that cirrhosis is responsib...

6. SAYFADAKI ANAHTAR KELIMELER

liver
with
cirrhosis
were
patient
child


6. SAYFA ICERIGI

ABSTRACT
Kalaycıoğlu B., Relationship Between Clinic -Laboratory Findings And Dynanmic Bt Findings In Cirrhosis Cases, Zonguldak Karaelmas University, Faculty of Medicine, Radiology Thesis, Zonguldak, 2009. Cirrhosis is the 10th of most frequent death causes in United States of America with the other chronic liver disease types according to National Digestive Diseases Information Clearinghouse (NDDIC) data since 1994. It causes important economic expenses because of its complications and HCC. Cirrhosis is diagnosed with liver biopsy or clinical, laboratory or imaging techniques. Biopsy is the most accurate diagnosis method. Clinical severity of cirrhosis can be exerted by Child -Turcotte-Pugh (CTP) Classification. For this classification; acid, encephalopathy, total bilirubin level, albumin level and PTZ elongation time (INR value) are calculated and all the scores are added together. This classification is recurred for every patient and at every consultation and it costs a particular work power and economical loss. Cirrhosis causes perfusion diversity and anatomical changes in liver paranchima due to its physiopathology. These changes involve caudate lobe, whole right lobe and medial segment of the left lobe. These changes in the liver anatomy can be exhibited in computerized tomography images and size differences can be measured. A total of 269 patients; 116 women and 153 men, who were consulted in Zonguldak Karaelmas University Faculty of Medicine, diagnosed and prediagnosed with chronic liver disease and cirrhosis and at the same time, took a triphasic abdominal tomography examination at Radiodiagnostic Department, were scanned in hospital data system retrospectivelyand Triphasic Computerized Tomography images were reached at archives belonging to Radiodiagnostic Department. Child classification of same patients were calculated according to data in the hospital system. Caudate lobe/ right lobe ratio, modified caudate lobe/right lobe ratio and periportal distance in the tomography images of every patient were compared with child scores. Statistical significance of these methods and their statistical consistency were calculated. All calculated caudate lobe/right lobe ratio, modified caudate lobe/ right lobe ratio and periportal distance measurements had statistically significant correlation with child scores (p<0.001). In kappa analysis, consistency between CTP and caudate lobe-right lobe was calculated as 0.60, CTP and modified caudate lobe-right lobe as 0.55, CTP and periportal Keywords: Liver Cirrhosis, Child-Turcotte-Pugh score, Caudatlobe-rightlobe ratio, modified Caudatlobe-rightlobe ratio, periportal distance. v

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