Pediatrik Hastalarda Manyetik Rezonans Ürografi ile İntravenöz Piyelografinin Etkinliğinin Karşılaştırılması
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Tarih
2018 Mart
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: İntravenözpiyelografi(İVP) böbrek fonksiyonlarını ve anatomik özelliklerini gösteren bir yöntemdir. Fakat iyonizan radyasyon içermesi nedeniylepediatrik yaş grubunda kullanılması uygun değildir. Bu nedenle son zamanlarda kullanımı yaygınlaşan manyetik rezonansürografi(MRÜ) ile üriner patolojiler değerlendirilmeye çalışılmaktadır. Bizde çalışmamızda MRÜ’ninüriner sistem dilatasyonlarını göstermekte İVP ile arasındaki farkları incelemeyi amaçladık. Gereç ve Yöntem: Bu retrospektif çalışmada 40 pediatrik yaş grubundaki hastanın İVP ve MRÜ tetkikleri incelendi.Tetkikler arasındaki pelvikalisiyel sistem dilatasyon dereceleri karşılaştırıldı. Bulgular: MRÜ ile İVP arasında pelvikalisiyel sistem dilatasyon derecelerini saptama konusunda anlamlı farklılık izlenmedi (P<0,0001).MRÜ’ninparankimal patolojileri değerlendirmede ve İVP’denefrogram fazı oluşmayan hastalarda altta yatan patolojileri belirlemede etkin olduğu görüldü. Sonuç: MRÜ pelvikalisiyeldilatasyonları ve ek patolojileri göstermede etkili bir yöntemdir.İyonizan radyasyon içermemesi pediatrik yaş grubunda güvenle kullanılmasını sağlamaktadır.
Objective: Intravenous pyelography (IVP) is a method of showing renal functions and anatomical features. However, it is not appropriate to use it in the pediatric age group because of ionizing radiation. For this reason, we are trying to evaluate urinary pathologies with magnetic resonance urography (MRU), which has become popular in recent years. In our study, we aimed to investigate the differences between MRU and IVU, showing dilution of urinary system. Materials and Methods: Male and female rats were administered with L-thyroxine intraperitoneally at a dose of 0.2 mg/kg for 21 days to induce hyperthyroidism. Morris water maze (MWM) was used to assess learning and memory performance. Results: There was no significant difference in the detection of pelvicalyceal dilatation between MRU and IVP (P <0.0001). MRU was found to be effective in evaluating parenchymal pathologies and in determining the underlying pathologies in patients with no nephrogram phase in IVP. Conclusion: There was no significant difference in the detection of pelvicalyceal dilatation between MRU and IVP (P <0.0001). MRU was found to be effective in evaluating parenchymal pathologies and in determining the underlying pathologies in patients with no nephrogram phase in IVP.
Objective: Intravenous pyelography (IVP) is a method of showing renal functions and anatomical features. However, it is not appropriate to use it in the pediatric age group because of ionizing radiation. For this reason, we are trying to evaluate urinary pathologies with magnetic resonance urography (MRU), which has become popular in recent years. In our study, we aimed to investigate the differences between MRU and IVU, showing dilution of urinary system. Materials and Methods: Male and female rats were administered with L-thyroxine intraperitoneally at a dose of 0.2 mg/kg for 21 days to induce hyperthyroidism. Morris water maze (MWM) was used to assess learning and memory performance. Results: There was no significant difference in the detection of pelvicalyceal dilatation between MRU and IVP (P <0.0001). MRU was found to be effective in evaluating parenchymal pathologies and in determining the underlying pathologies in patients with no nephrogram phase in IVP. Conclusion: There was no significant difference in the detection of pelvicalyceal dilatation between MRU and IVP (P <0.0001). MRU was found to be effective in evaluating parenchymal pathologies and in determining the underlying pathologies in patients with no nephrogram phase in IVP.
Açıklama
Anahtar Kelimeler
Manyetik rezonansürografi, intravenözpiyelografi, pelvikalisiyeldilatasyon, Magnetic resonance urography, ıntravenous pyelography, pelvicalisal dilatation
Kaynak
Selçuk Genel Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
28
Sayı
2
Künye
Polat, G., Pirimoğlu, B., (2018). Pediatrik Hastalarda Manyetik Rezonans Ürografi ile İntravenöz Piyelografinin Etkinliğinin Karşılaştırılması. Selçuk Genel Tıp Dergisi, 28(2), 76-80.