Yazar "Koplay, Mustafa" seçeneğine göre listele
Listeleniyor 1 - 20 / 77
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Analysis of unilateral complex orbital fractures with a new treatment algorithm(TAYLOR & FRANCIS LTD, 2015) Karameşe, Mehtap; Akdağ, Osman; Selimoğlu, Muhammed Nebil; Koplay, Tuğba Gün; Bakbak, Berker; Koplay, Mustafa; Tosun, ZekeriyaThe aim of this study is to investigate preoperative and postoperative properties, the management of unilateral complex orbital fractures, and to offer an algorithm for orbital fractures. For this research study, 248 patients with orbital trauma were evaluated according to an offered algorithm. Diplopia, enophthalmos, dystopia, infraorbital nerve dysfunction, and ocular movement limitations were documented for clinical assessment. Orbital rim displacement and an orbital volume check with computed tomography (CT) were used for indication of surgery. The injured orbital volume was compared with the healthy orbital volume in the preoperative and postoperative periods. In total, 58 patients required operations among the 248 patients, according to the algorithm. The preoperative mean injured orbital volume measurements of the operated patients were statistically different than the healthy orbital volume measurements (30.13 cm(3) +/- 2.69 cm(3) and 27.15 cm(3) +/- 1.29 cm(3), respectively). In the postoperative period, there was no difference between the injured and healthy orbital volume. In conclusion, an algorithm may facilitate the approach to unilateral complex orbital fractures. Ophthalmic examination, rim displacement, and the measurement of orbital volume using computed tomography are key points of orbital fractures with regard to management.Öğe The association between coronary artery disease and nonalcoholic fatty liver disease and noninvasive imaging methods(MODESTUM LTD, 2019) Koplay, Mustafa; Gok, Mustafa; Sivri, MesutCoronary artery disease (CAD) is the number one cause of death globally and imaging plays a pivotal role in the diagnosis and management of CAD. With the improvements in technology, noninvasive imaging methods become more widely used in the management of CAD. Non-alcoholic fatty liver disease (NAFLD) is a clinicopathological syndrome which affects a substantial proportion of general population and is a component of the metabolic syndrome (MetS). Histopathologic analysis is the reference standard to detect and quantify fat in the liver, but results are vulnerable to sampling error. Imaging can be repeated regularly and allows assessment of the entire liver, thus avoiding sampling error so imaging is in key role in the management of NAFLD as in CAD. As NAFLD is a component of MetS, it is associated with increased risk for CAD. Recent studies suggest a more complex picture of the interrelation between NAFLD, MetS and CAD, and raised the possibility that NAFLD might not only be a marker but also an early mediator for CAD. So early detection of NAFLD and its management with noninvasive imaging methods can be very crucial in the control of CAD which is the number one cause of death globally.Öğe Association Between Serum Vitamin B12 Levels and the Degree of Steatosis in Patients With Nonalcoholic Fatty Liver Disease(BMJ PUBLISHING GROUP, 2011) Koplay, Mustafa; Gulcan, Erim; Ozkan, FuatPurpose: A relationship between liver diseases and serum vitamin B12 levels was observed in previous reports. The purpose of this study was to determine if a similar relationship existed between vitamin B12 and nonalcoholic fatty liver disease (NAFLD), a common chronic liver disorder. Materials and Methods: A total of 45 consecutive patients with NAFLD formed the NAFLD group, whereas 30 healthy controls (HC) formed the HC group. The subjects in all of the groups were of similar age and body mass index (BMI). A fatty liver is described in 3 ultrasonographic grades. Fasting blood samples were obtained, and serum vitamin B12 levels were measured. In addition, liver enzymes including aspartate aminotransferase, alanine aminotransferase (ALT), and alkaline phosphatase, and folic acid and other serum parameters were evaluated. The Mann-Whitney U test, chi(2) test, and Spearman correlation analysis were used to compare the vitamin B12 levels and other serum parameters in both groups. Results: The mean +/- SD age and BMI of the NAFLD were 47.2 +/- 11.2 and 28.8 +/- 3.5. The mean T SD age and BMI of the HC were 47.1 +/- 8.8 and 27.7 +/- 2.9, respectively. The serum aspartate aminotransferase and ALT levels of the patients with NAFLD were statistically higher compared with those of the controls (P = 0.001). The levels of vitamin B12 and folate were statistically lower in the NAFLD patients compared with those of the controls (P < 0.05). We found that there was a reduction of vitamin B12 levels, especially in grade 2 to grade 3 hepatosteatosis. In addition, in the Spearman correlation analysis between the vitamin B12 levels and ALT, the grade of fatty liver and the liver dimension were found to have an important negative correlation. Conclusion: The serum vitamin B12 levels were significantly lower in the patients with NAFLD than in those of the control group; however, these still remain in the reference range. Consequently, low vitamin B12 levels may be associated with NAFLD especially in grade 2 to grade 3 hepatosteatosis.Öğe An atypical isolated CNS blast crisis in chronic myeloid leukaemia(MA HEALTHCARE LTD, 2018) Sivri, Mesut; Paksoy, Yahya; Dagli, Mehmet; Kelesoglu, Kazim Serhan; Koplay, Mustafa[Abstract not Available]Öğe Behçet hastalığında iyatrojenik sağ internal mamaryan arter çalma sendromu(2014) Erol, Cengiz; Paksoy, Yahya; Kanat, Fikret; Özbek, Seda; Kıvrak, A.Sami; Koplay, Mustafa; Özbek, OrhanSubklaviyan arter anevrizması nedeniyle opere edilen bir Behcet olgusunda anevrizmaya açılan vertebral arter ve sağ internal mamaryan arterin, anevrizma kesesi içerisinde bırakılması sonucu, post operatif dönemde iatrojenik olarak ortaya çıkan sağ internal mamaryan arter çalma sendromunun görüntüleme bulgularını sunmak istedik. Bizim bilgilerimize göre bugüne kadar, sağ internal mamaryan arterin sorumlu olduğu çalma sendromu literatürde tariflenmemiştir. Kesitsel noninvaziv radyolojik görüntüleme yöntemleri, bu olguda anatomik detayın gösterilmesi, cerrahi sonrası değişen ve yeni ortaya çıkan anatominin ortaya konmasında oldukça başarılı olmuştur.Öğe Cardiovascular MR imaging findings of total anomalous pulmonary venous connection to the portal vein in a patient with right atrial isomerism(SPRINGER WIEN, 2012) Koplay, Mustafa; Paksoy, Yahya; Erol, Cengiz; Arslan, Derya; Kivrak, Ali Sami; Karaaslan, SevimTotal anomalous pulmonary venous connection (TAPVC) is a rare congenital cardiovascular anomaly in which the pulmonary veins fail to join to the left atrium and drain directly to the right atrium or to one of the systemic veins. This anomaly is frequently seen together with complex cardiac anomalies especially as a part of right atrial isomerism syndrome. Atrial isomerism is called that the same morphological structure of both atria. We reported a very rare case demonstrating TAPVC between the portal vein and the pulmonary veins in a patient with right atrial isomerism by magnetic resonance imaging.Öğe Cervical giant pseudomeningocele presented with neck pain: conventional MRI and MR myelography findings(ELSEVIER SCIENCE INC, 2016) Cebeci, Hakan; Koplay, Mustafa; Sivri, Mesut; Paksoy, Yahya[Abstract not Available]Öğe Color Doppler ultrasound characteristics after subinguinal microscopic varicocelectomy(SOC ROMANA ULTRASONOGRAFE MEDICINA BIOLOGIE-SRUMB, 2017) Akand, Murat; Koplay, Mustafa; İslamoğlu, Necat; Altıntaş, Emre; Kılıç, Özcan; Gül, Murat; Kulaksızoğlu, HalukAim: The present study evaluated the effect of differences in the peak systolic velocity (PSV) and resistive index (RI) in the testicular artery (TA), capsular artery (CA), and intratesticular artery (ITA) after microscopic subinguinal varicocelectomy (MSV) on postoperative pain and semen parameters. Patients and methods: Scrotal color Doppler ultrasound (CDUS) measurements were made in 33 patients (age 18-31 years) prior to MSV and 3 and 6 months after MSV. Pain was recorded using a visual analog scale and sperm concentration was determined to analyze the predictive value of the CDUS parameters regarding surgical outcome. Results: A significant decrease in pain scores was observed in most patients at both follow-ups. The first postoperative CDUS revealed a significant increase in the TA-PSV (p<0.001) and a decrease in the TA-RI (p=0.002) and CARI (p=0.006). The second postoperative CDUS also revealed a significant increase in the TA-PSV and a decrease in the TA-RI, and the PSV in the ITA and CA and RI in the ITA and CA were significantly different from the values obtained pre-operatively and at the first follow-up. A negative correlation was found between the pain level and TA-PSV (r=-0.433, p=0.012), whereas sperm concentration positively correlated with both the TA-PSV and CA-PSV (r=0.534, p=0.001 and r=0.455, p=0.008, respectively). Conclusions: The PSV and RI are useful parameters for detecting changes in testicular microhemodynamics after MSV. In addition, the TA-PSV and CA-PSV can be used to predict improvements in pain and sperm concentration.Öğe Comparison Between Prospectively Electrocardiogram-Gated High-Pitch Mode and Retrospectively Electrocardiogram- Gated Mode for Dual-Source CT Coronary Angiography(INT SCIENTIFIC INFORMATION INC, 2015) Koplay, Mustafa; Celik, Mahmut; Avci, Ahmet; Erdogana, Hasan; Demir, Kenan; Sivri, Mesut; Nayman, AlaaddinBackground: We aimed to report the image quality, relationship between heart rate and image quality, amount of contrast agent given to the patients and radiation doses in coronary CT angiography (CTA) obtained by using high-pitch prospectively ECG-gated "Flash Spiral" technique (method A) or retrospectively ECG-gated technique (method B) using 128x2-slice dual-source CT. Material/Methods: A total of 110 patients who were evaluated with method A and method B technique with a 128x2-detector dual-source CT device were included in the study. Patients were divided into three groups based on their heart rates during the procedure, and a relationship between heart rate and image quality were evaluated. The relationship between heart rate, gender and radiation dose received by the patients was compared. Results: A total of 1760 segments were evaluated in terms of image quality. Comparison of the relationship between heart rate and image quality revealed a significant difference between heart rate <60 beats/min group and >75 beats/min group whereas <60 beats/min and 60-75 beats/min groups did not differ significantly. The average effective dose for coronary CTA was calculated as 1.11 mSv (0.47-2.01 mSv) for method A and 8.22 mSv (2.19-12.88 mSv) for method B. Conclusions: Method A provided high quality images with doses as low as <1 mSv in selected patients who have low heart rates with a high negative predictive value to rule out coronary artery disease. Although method B increases the amount of effective dose, it provides high diagnostic quality images for patients who have a high heart rate and arrhythmia which makes it is difficult to obtain images.Öğe Comparison of apparent diffusion coefficient values among different MRI platforms: a multicenter phantom study(AVES, 2013) Kivrak, Ali Sami; Paksoy, Yahya; Erol, Cengiz; Koplay, Mustafa; Ozbek, Seda; Kara, FatihPURPOSE We aimed to compare apparent diffusion coefficient (ADC) values among magnetic resonance imaging (MRI) scanners from different vendors. MATERIALS AND METHODS We used a custom-made phantom solution consisting of distilled water, 0.9% NaCl, 25% NaCl, and shampoo for diffusion-weighted MRI (DW-MRI) examinations. DW-MRI was performed with similar sequence parameters using six different 1.5 Tesla MR scanners (scanners A F). ADC maps were automatically constructed for all DW-MR images (b factors of 0 and 1000 s/mm(2)). ADC measurements were performed using regions of interest and seven different software programs, including four different postprocessing workstations, two different picture archiving and communication systems, and operator console software for each MR scanner. RESULTS The ADC values generated by scanners A and F were higher and those of scanner B were lower than those generated by the other scanners (P = 0.002). The intravendor difference in the ADC values averaged from scanners D, E, and F was statistically significant (P < 0.001). The difference between the ADC values obtained by scanners C and E was not statistically different (P = 0.15). CONCLUSION ADC values may differ among different MRI systems used for DW-MRI. Thus, the MRI vendor should be considered when using DW-MRI in a clinical setting.Öğe Computed tomography findings of polysplenia syndrome with multiple anomalies(UNIV CATHOLIQUE LOUVAIN-UCL, 2016) Guler, Ibrahim; Koplay, Mustafa; Ozbek, Seda; Temizoz, Osman; Cebeci, HakanA 54-year-old patient presented to our hospital with the symptoms of stomach ache, weakness, loss of appetite and weight loss. The patient had mild abdominal sensitivity during physical examination; the results of other systemic examinations were normal. Laboratory findings showed anemia. Since the patient's symptoms were accompanied by weight loss, abdominal CT examination was performed to rule out any malignancies. The abdominal CT examination showed a picture consistent with partial situs inversus. The liver was located on the left, the spleen on the right and the heart was in its normal position. The cecum was observed in the lower left quadrant. Multiple spleens located in the upper right quadrant were observed (Fig. 1). Pancreas was ectopically located in the upper left quadrant and surrounded the second part of the duodenum. A diverticular formation was detected in the second part of the duodenum.Öğe Congenital left ventricular wall abnormalities in adults detected by gated cardiac multidetector computed tomography: Clefts, aneurysms, diverticula and terminology problems(ELSEVIER IRELAND LTD, 2012) Erol, Cengiz; Koplay, Mustafa; Olcay, Ayhan; Kivrak, Ali Sami; Ozbek, Seda; Seker, Mehmet; Paksoy, YahyaObjectives: Our aim was to evaluate congenital left ventricular wall abnormalities (clefts, aneurysms and diverticula), describe and illustrate imaging features, discuss terminology problems and determine their prevalence detected by cardiac CT in a single center. Materials and methods: Coronary CT angiography images of 2093 adult patients were evaluated retrospectively in order to determine congenital left ventricular wall abnormalities. Results: The incidence of left ventricular clefts (LVC) was 6.7% (141 patients) and statistically significant difference was not detected between the sexes regarding LVC (P = 0.5). LVCs were single in 65.2% and multiple in 34.8% of patients. They were located at the basal to mid inferoseptal segment of the left ventricle in 55.4%, the basal to mid anteroseptal segment in 24.1%, basal to mid inferior segment in 17% and septal-apical septal segment in 3.5% of cases. The cleft length ranged from 5 to 22 mm (mean 10.5 mm) and they had a narrow connection with the left ventricle (mean 2.5 mm). They were contractile with the left ventricle and obliterated during systole. Congenital left ventricular septal aneurysm that was located just under the aortic valve was detected in two patients (0.1%). No case of congenital left ventricular diverticulum was detected. Conclusion: Cardiac CT allows us to recognize congenital left ventricular wall abnormalities which have been previously overlooked in adults. LVC is a congenital structural variant of the myocardium, is seen more frequently than previously reported and should be differentiated from aneurysm and diverticulum for possible catastrophic complications of the latter two. (C) 2012 Elsevier Ireland Ltd. All rights reserved.Öğe Cortical and cerebellar atrophy, but no lesion in a patient with neuro-Behcet's disease(SPRINGER WIEN, 2013) Varoglu, Asuman Orhan; Aksoy, Asude; Kocaturk, Idris; Ertekin, Ayfer; Koplay, Mustafa; Odabas, Faruk Omer; Ozbek, SedaNeuro-Beh double dagger et's disease (NBD) is a rare clinical entity. There are no reports about cortical atrophy in NBD. We report a patient with NBD exhibiting only cortical and cerebellar atrophy without any lesions. A 38-year-old male was hospitalized due to gait disorder. He had experienced forgetfulness, irritability, sexual and behavioral dyscontrol, and incontinence for 5 years. Magnetic resonance imaging (MRI) showed cortical and cerebellar atrophy, but there were no lesions. In the differential diagnosis of NBD, physicians should take into account the presence of both brainstem and cerebellar and cortical atrophy even in the absence of typical lesions for NBD, particularly in the presence of cognitive dysfunctions.Öğe Development of fatty liver in children with non-Hodgkin lymphoma(TURKISH J PEDIATRICS, 2014) Kose, Dogan; Erol, Cengiz; Kaya, Fatma; Koplay, Mustafa; Koksal, YavuzThe aim of this study is to investigate the development of hepatosteatosis in children with non-Hodgkin lymphoma. Twenty-eight patients were evaluated retrospectively for hepatosteatosis by computed tomography. Mild, moderate and severe hepatosteatosis were defined as the difference between the average liver attenuation and the average spleen attenuation, equaling (- 10) - (- 19); (- 20) - (- 29); and >= 30 HU, respectively. "Vaguely" and "obvious" hepatosteatosis were defined as none or mild hepatosteatosis, and moderate and severe hepatosteatosis, respectively. In T-cell lymphoma, obvious hepatosteatosis was determined in 1 of 12 patients (8.3%) at the first evaluation, 8 of 12 patients (66.7%) at the second evaluation and 4 of 12 patients (33.3%) at the third evaluation. In B-cell lymphoma, obvious hepatosteatosis was determined in none of 16 patients at the first evaluation, 2 of 16 patients (12%) at the second evaluation and none of the patients at the third evaluation. In the second evaluation, severe high serum total cholesterol and triglyceride levels were determined in 4 of 5 patients. We observed higher fatty liver ratios, and high triglyceride and cholesterol levels, although the data were obtained from a small number of patients.Öğe Diagnostic accuracy and effective radiation dose of high pitch dual source multidetector computed tomography in evaluation of coronary artery bypass graft patency(SPRINGER WIEN, 2016) Koplay, Mustafa; Guneyli, Serkan; Akbayrak, Hakan; Demir, Kenan; Sivri, Mesut; Avci, Ahmet; Erdogan, HasanThe aim of the study was to evaluate the diagnostic accuracy and effective radiation dose (ERD) of high pitch dual source multidetector computed tomography (MDCT) for coronary artery bypass graft (CABG) patency. Fourty-five patients who underwent 128 x 2aEuroslice MDCT angiography with a prospective electrocardiogram-triggering, low-dose, high pitch, dual source, flash spiral acquisition mode after CABG surgery were included in the study. The interobserver agreement of the image quality was evaluated with Cohen kappa value. The image quality was compared to the heart rates (HRs) using Mann-Whitney U test and to the graft segments using chi(2) test. The findings for the CABG patency on MDCT were compared to those determined on catheter coronary angiography. Dose-length product (DLP) and ERD were compared to the gender, HRs, and body mass index (BMI) of the patients using Kruskall Wallis and Mann-Whitney U tests. A total of 110 grafts and 330 vessel segments were evaluated with a good interobserver agreement (kappa = 0.80). The image quality was better in proximal and middle graft segments (p < 0.05), as well as in the patients with low HRs (p < 0.05). High pitch MDCT had the following sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy for evaluation of graft patency: 92.8, 99.3, 92.8, 99.3 and 98.8 %, respectively. ERD was correlated to the HRs and BMI. High pitch 128 x 2aEuroslice dual source CT angiography is a noninvasive imaging modality, and it can be safely and effectively used in evaluation of CABG patency with lower radiation dose.Öğe Diagnostic accuracy of 0.2 tesla open MR imaging unit in detecting meniscal tears: Correlation with arthroscopy [0.2 tesla açık MR ünitesinin menisküs yırtıklarını saptamada tanı do?rulu?u: Artroskopi ile korelasyon](TIP ARASTIRMALARI DERNEGI, 2011) Koplay, Mustafa; Aksakallı, Elif; Toker, Serdar; Özbek, Seda; Kıvrak, Ali SamiAim: In the assessment of meniscal tears, diagnostic accuracy of 0.2 Tesla (T) magnetic resonance imaging (MRI) was investigated and compared with arthroscopy as standard of reference. Method: 340 patients suspected with meniscal tears were examined by 0.2 Tesla open MRI unit. 47 of the patients underwent arthroscopy. The arthroscopy results were compared with interpretations of MRI retrospectively. Result: In detecting meniscal tears with 0.2 T MRI, sensitivity, specificity and diagnostic accuracy were 90%, 88,2%, 89,4% for medial meniscal tears and 91%, 91,6%, 91,5% for lateral meniscal tears, respectively. Conclusion: O.2 T MRI is effective in detecting meniscal tears and can be safely use in detecting the meniscal pathologies.Öğe Diagnostic efficacy of diffusion-weighted MRI for pre-operative assessment of myometrial and cervical invasion and pelvic lymph node metastasis in endometrial carcinoma(WILEY-BLACKWELL, 2014) Koplay, Mustafa; Dogan, Nasuh Utku; Erdogan, Hasan; Sivri, Mesut; Erol, Cengiz; Nayman, Alaaddin; Karabagli, PinarIntroduction: To determine the diagnostic accuracy of diffusion-weighted magnetic resonance imaging (DW-MRI) for the pre-operative assessment of patients with endometrial carcinoma and to assess myometrial and cervical invasion as well as pelvic lymph node metastasis. Methods: Fifty-eight women who underwent surgery for histopathologically confirmed endometrial carcinoma were included in the current study. Prior to surgery, patients were evaluated using pelvic DW-MRI and gadolinium-enhanced T1-weighted imaging (Gd-T1WI). Gd-T1WI was evaluated together with T2-weighted images. DW-MR images were obtained in the axial plane using echo-planar spin-echo pulse sequences with different b factors. Endometrial carcinomas were observed as areas of increased intensity on DW-MRI images, and their intensity was compared with the surrounding hypo-intense myometrium. Pre-operative DW-MRI and Gd-T1WI results were compared with post-operative histopathological findings that served as reference standards. Results: The sensitivity, specificity, positive (PPV) and negative predictive values (NPV), and diagnostic accuracy of DW-MRI for differentiation between superficial myometrial invasion and deep myometrial invasion were 85%, 89%, 81%, 92% and 88%, respectively. The sensitivity, specificity and diagnostic accuracy rates were 82%, 91% and 89.6% for cervical invasion and 100%, 96% and 96.5% for pelvic lymph node metastasis, respectively. The sensitivity, specificity, PPV and NPV, and diagnostic accuracy of Gd-T1WI for differentiation between superficial myometrial invasion and deep myometrial invasion were 85%, 81.5%, 71%, 91% and 83%, respectively. The sensitivity, specificity and diagnostic accuracy were 73%, 89% and 86% for cervical invasion, respectively. Conclusions: These findings suggest that DW-MRI may be a good diagnostic tool with high sensitivity and specificity for assessing myometrial invasion and detecting tumour extension. We suggest that DW-MRI should be considered as a routine part of the pre-operative pelvic MRI in all patients with endometrial carcinoma.Öğe Duodenal atresia and hirschsprung disease in a patient with down syndrome(2011) Sekmenli, Tamer; Koplay, Mustafa; Alabalık, Ulaş; Kıvrak, Ali SamiDown sendromu olan iki günlük yenidoğan kız hasta kusma şikayeti ile hastanemize başvurdu. Fizik muayenede Down sendromu’nun tipik fiziksel görünümü dışında özellik yoktu. Abdominal radyografide, duodenal obstrüksiyon için karakteristik olan çift kabarcık işareti izlendi ve hasta duodenal atrezi ön tanısı ile ameliyat edildi. Ancak operasyon sırasında, Hirschsprung hastalığından şüphelenildi, kesin tanısı rektal biyopsi ile doğrulandı. Bu çalışmada, biz Down sendromlu bir hastada Hirschsprung hastalığı ile birlikte olan duodenal atrezi olgusunu tanımladık. Radyolog ve çocuk cerrahları doğru tanı ve tedavi için bu durumu göz önünde bulundurmalıdır.Öğe Ectopic Pregnancy in a Cesarean Section Scar: Successful Management Using Vacuum Aspiration under Laparoscopic Supervision-Mini Review of Current Literature(HINDAWI LTD, 2016) Koplay, Mustafa; Dogan, Nasuh Utku; Sivri, Mesut; Erdogan, Hasan; Dogan, Selen; Celik, CetinA cesarean scar ectopic pregnancy (CSEP) is a fairly uncommon presentation wherein the conceptus is implanted deep in the myometrium and at the exact scar site of the previous cesarean section. There are various CSEP management options that range from medical treatment to surgical interventions such as dilatation and curettage, laparoscopic excision, resection by laparotomy, or, sometimes, a combination of these modalities. Establishing a diagnosis of CSEP can be challenging. Given the relatively rare incidence of CSEP, its management is controversial and current standards of therapy have been derived from data obtained from a limited number of patients. Herein, we present transvaginal ultrasonography (TVUS) imaging findings and management strategies used in a case of CSEP along with the short review of current literature.Öğe Effects of body mass index, mesenteric and abdominal subcutaneous adipose tissue on the spinopelvic parameters(SPRINGER WIEN, 2015) Uysal, Emine; Paksoy, Yahya; Koplay, Mustafa; Nayman, Alaaddin; Gumus, SerterThe purpose of this study was to investigate the effects of body mass index (BMI), thickness of the abdominal subcutaneous adipose tissue (ASAT), thickness of the mesenteric adipose tissue (MAT), weight and height on spinopelvic parameters. A total of 400 patients presented to the radiology department for whole abdominal computed tomography were included in the study. Patients' weight and height were measured to calculate BMI. Thickness of ASAT and MAT, lumbosacral angle (LSA), sacral slope (SS), pelvic tilt (PT), and pelvic incidence (PI) were measured from the images obtained. We analyzed the effects of BMI, ASAT, and MAT on spinopelvic parameters. In addition, patients included in the study were screened for isthmic spondylolisthesis and transitional vertebrae. Statistical analysis was carried out using SPSS 15.0 package software. p < 0.05 Values were considered statistically significant. BMI and thickness of ASAT and MAT increased with aging both in male and female individuals. There was a positive correlation between PI and weight, thickness of ASAT and thickness of MAT, while a negative correlation was found between PI and height (p < 0.01). SS angle was positively correlated with weight (p < 0.01). A weak positive correlation was found between PT angle and thickness of MAT and height (p < 0.05). The rate of transitional vertebrae and isthmic spondylolisthesis was 2 and 4.6 %, consecutively. PI and SS values were significantly higher in the subjects having spondylolisthesis than normal population (p < 0.01). It should be kept in mind that obesity might increase the risk for development of spondylolisthesis by causing increase in PI angle.
