Browsing by Author "Örgüç Ş."

Now showing 1 - 11 of 11
  • No Thumbnail Available
    Item
    Musculoskleletal manifestations of generalized lipodystrophy
    (Elsevier BV, 2005) Örgüç Ş.; Pabuşçu Y.; Işlak S.; Özmen B.
    The lipoatrophic-lipodystrophic syndromes are a heterogeneous group of adipose tissue disorders characterized by selective and progressive loss of fat from various parts of the body. Affected patients have acantosis nigricans, corneal opacities, mental retardation, hirsutism and accelerated growth and maturation. We report the musculoskeletal findings of a case of acquired lipodystrophy with symmetrical involvement of appendicular skeleton. Although more than 500 cases with various types of lipodistrophy have been reported there is little emphasis on the musculoskeletal manifestations. © 2004 Elsevier Ireland Ltd. All rights reserved.
  • No Thumbnail Available
    Item
    Hemangioma of the rib
    (2006) Yilmaz Ovali G.; Göktan C.; Tarhan S.; Örgüç Ş.; Ayhan S.; Saribülbül O.; Zeybek R.
    [No abstract available]
  • No Thumbnail Available
    Item
    A case of mycetoma successfully treated with itraconazole and co-trimoxazole
    (2006) Gündüz K.; Örgüç Ş.; Demireli P.; Inanir I.; Sürücüoglu S.; Ovali G.Y.
    A 29-year-old woman with swelling, multiple nodules and discharging sinuses of her right foot is presented. A single nodule on the sole was excised 15 years ago and since then she has had recurrent attacks of swelling and discharging sinuses that improved partially with antibiotics. Magnetic resonance images (MRI) revealed an ill-defined mass predominantly with low signal intensity on T2W images. Within the granulomata, multiple unenhancing foci, with low T1W and T2W signal most likely representing the fungal balls or grains were detected. Histopathological examination revealed large clusters of microorganisms resembling fungal hyphae and bacteria, which were surrounded by mixed inflammatory infiltrate cells and stained positively by PAS and Gomori's methenamine silver stain. As minimal regression was seen on MRI with 4 months' itraconazole (200 mg day-1) treatment, co-trimoxazole (160 TMP/800 SMX b.i.d.) was added to treatment. Complete remission was established by MRI examination after 10 months with this combination therapy. © 2006 The Authors.
  • No Thumbnail Available
    Item
    Sonographic evaluation of spleen size and prevalence of accessory spleen in a healthy male Turkish population
    (2010) Serter S.; Ceylan C.; Tunçyürek Ö.; Örgüç Ş.; Pabuçcu Y.
    Objective: It is known that the measurement of splenic length in routine clinical practice is a very good indicator of actual splenic size. Knowledge of the normal range of spleen size in the population being examined is a prerequisite. Racial differences in splenic length could result in incorrect interpretation of splenic measurements. The purpose of this study was to establish the range of spleen length in a young male Turkish population. Material and Methods: A total of 2179 volunteers, healthy men aged 17-42 years, from the annual Army Reserve Officer Training Corps training camp at Manisa were included in the study. Sonographic measurements of spleen length were performed on 2179 military personnel. Presence of accessory spleen was also determined. In addition, the height, weight, and age of each volunteer were recorded. Using linear regression analysis, the relation of spleen length and body height, weight and body mass index (BMI) was evaluated. Additionally, the prevalence of accessory spleen detected on ultrasound was calculated. Results: The mean±SD height was 173,1±6,5 cm, mean weight 69,1±9,7 kg, and mean BMI 22,62±2,87. Mean spleen length was 10,76±1,8 cm. The length of the spleen was below 12,80 cm in 95% of the subjects. No statistically significant correlation (p<0.01) between spleen length and body height, weight and BMI was found. The prevalence of accessory spleen was determined as 2.5% on ultrasound screening. Conclusion: It was found that in healthy Turkish men, mean spleen length was 10,76±1,8 cm. This data should be taken into consideration when the diagnosis of splenomegaly is established in Turkish males.
  • No Thumbnail Available
    Item
    Radiological findings of chronic morel lavallee syndrome: Case report; [Kronik morel lavallee sendromunun radyolojik bulgulari: Olgu sunumu]
    (2011) Örgüç Ş.; Başara I.; Özkarakaş P.; Yoleri L.
    Morel Lavallee Syndrome is defined as a soft tissue injury consisting of a closed internal degloving of the subcutaneous tissue creating a cavity filled with bloody serous liquid. This syndrome is usually not recognized by general or orthopedic surgeons and is therefore frequently missed or diagnosed late. If Morel Lavallee Syndrome is clinically misdiagnosed, findings appear as a chronic growing painful mass. With these symptoms, it can mimic hemangioma, synovial sarcoma, post traumatic fat necrosis or hematoma. However, if there is a history of trauma, characteristic magnetic resonance imaging findings can be helpful in the diagnosis of these cases. In the literature, sporadic cases have been reported without a clear etiopathogenic explanation.
  • No Thumbnail Available
    Item
    Single voxel in vivo proton magnetic resonance spectroscopy of breast lesions: Experience in 77 cases
    (2013) Başara I.; Örgüç Ş.; Coşkun T.
    PURPOSE We aimed to determine the value of in vivo single voxel proton magnetic resonance spectroscopy (MRS) in characterizing breast lesions. MATERIALS AND METHODS Breast MRS was performed in 77 patients. Choline resonance peak at 3.2 parts per million (ppm) was defined positive when it was at least two times higher than baseline. MRS findings were compared with the final diagnosis of cases for two different values (3.23 and 3.28 ppm). RESULTS Thirty-one malignant and 13 benign lesions had choline peaks. Sensitivity was 84%, specificity was 64%. Positive likelihood ratio (LHR) was 2.32, negative LHR was 0.25. Twenty- two malignant and 5 benign lesions had a peak at 3.23 ppm. Nine malignant and 8 benign lesions had a peak at 3.28 ppm. When 3.23 ppm was accepted as positive; sensitivity, specificity, and positive and negative LHRs were 79%, 82%, 4.4, and 0.26, respectively. CONCLUSION MRS provides additional parameters on evaluation of breast lesions. However, MRS of breast has some false negative results, thus it is still insufficient in clinical diagnosis. © Turkish Society of Radiology 2013.
  • No Thumbnail Available
    Item
    Dupuytren’s contracture with rare bilateral thumb and little finger involvement demonstrated by ultrasound elastography
    (Turkish League Against Rheumatism (TLAR), 2015) Ulusoy A.; Tikiz C.; Örgüç Ş.
    Dupuytren's contracture is a disease that affects the functionality of the hand and causes contractures leading to progressive fibrosis of the palmar fascia. Dupuytren’s contracture usually affects the fourth and fifth digits, but thumb involvement is rare. In this article, we presented a rare case of Dupuytren’s contracture with bilateral thumb and fifth digit involvement in a 77-year-old male patient who was assessed by ultrasound elastography and gained range of motion after rehabilitation. © 2015 Turkish League Against Rheumatism. All rights reserved.
  • No Thumbnail Available
    Item
    A rare cause for a gluteal pain in adults: Tuber ischium avulsion fracture; [Erişkinlerde nadir görülen bir gluteal ağrı nedeni: Tuber iskium avülsiyon kırığı]
    (Turkish Society of Physical Medicine and Rehabilitation, 2016) Tıkız C.; Örgüç Ş.; Ulusoy A.; Akgül Ö.
    Tuber ischium avulsion fracture is a rare injury, of which the diagnosis is often missed or delayed. It usually occurs as a result of hamstring muscle contraction in adolescent athletes. Herein, we report a tuber ischium avulsion fracture developed in a 28-year-old male patient, who was admitted with the complaint of pain in the gluteal area after inguinal hernia surgery. © Telif Hakkı 2016 Türkiye Fiziksel Tıp ve Rehabilitasyon Derneği.
  • No Thumbnail Available
    Item
    Soft tissue tumor imaging in adults: European Society of Musculoskeletal Radiology–Guidelines 2024: imaging immediately after neoadjuvant therapy in soft tissue sarcoma, soft tissue tumor surveillance, and the role of interventional radiology
    (Springer Science and Business Media Deutschland GmbH, 2024) Noebauer-Huhmann I.-M.; Vilanova J.C.; Papakonstantinou O.; Weber M.-A.; Lalam R.K.; Nikodinovska V.V.; Sanal H.T.; Lecouvet F.E.; Navas A.; Martel-Villagrán J.; de Rooy J.W.J.; Fritz J.; Verstraete K.; Grieser T.; Szomolanyi P.; Chaudhary S.; Sconfienza L.M.; Tagliafico A.S.; Afonso P.D.; Albtoush O.M.; Aringhieri G.; Arkun R.; Aström G.; Bazzocchi A.; Botchu R.; Breitenseher M.; Dalili D.; Davies M.; de Jonge M.C.; Mete B.D.; Gielen J.L.M.A.; Hide G.; Isaac A.; Ivanoski S.; Mansour R.M.; Mccarthy C.; Muntaner-Gimbernat L.; O’Donnell P.; Örgüç Ş.; Rennie W.J.; Resano S.; Robinson P.; Ter Horst S.A.J.; van Langevelde K.; Wörtler K.; Koelz M.; Panotopoulos J.; Windhager R.; Fueger B.J.; Schmid M.; Vanhoenacker F.M.
    Objectives: An update of the first European Society of Musculoskeletal Radiology (ESSR) consensus on soft tissue tumor imaging in 2015 became necessary due to technical advancements, further insights into specific entities, and the revised WHO classification (2020) and AJCC staging system (2017). The third part of the revised guidelines covers algorithms and techniques beyond initial imaging: (1) Imaging after neoadjuvant therapy in soft tissue sarcoma, (2) sarcoma surveillance, and (3) special aspects, including surveillance of non-malignant entities and the role of interventional radiology. Materials and methods: A validated Delphi method based on peer-reviewed literature was used to derive consensus among a panel of 46 specialized musculoskeletal radiologists from 12 European countries. Statements that had undergone interdisciplinary revision were scored online by level of agreement (0 to 10) during two iterative rounds that could result in either ‘group consensus,’ ‘group agreement,’ or ‘lack of agreement.’ Results: The three sections contain 47 statements with comments. Group consensus was reached in 91.5%, group agreement in 6.4%, lack of agreement in 2.1%. In sarcoma, imaging immediately after neoadjuvant therapy is pivotal for determining the therapy effects and for resection-planning; surveillance should include imaging at fixed grade- and type-dependent intervals. In general, MRI is the method of choice for loco-regional surveillance of soft tissue sarcomas, and chest CT to assess metastatic disease. Interventional radiology has a role, especially in oligometastatic disease, palliative tumor control and local recurrences. Conclusion: Strategies for standardized soft tissue tumor imaging regarding therapy control, surveillance, and useful interventional procedures are provided. Key Points: Question An ESSR consensus update on soft tissue tumor imaging regarding surveillance became necessary due to technical advancements, further entity-specific insights, and revised WHO- and AJCC-classifications. Findings Imaging immediately after neoadjuvant therapy in soft tissue sarcoma is pivotal. Post-therapeutic surveillance should include imaging at regular intervals, stratified for tumor grade and type. Clinical relevance The updated ESSR soft tissue tumor imaging guidelines aim to provide best practice expert consensus for standardized imaging, to support radiologists in their decision-making, and to improve examination comparability, both in individual patients and in future studies on individualized strategies. © The Author(s) 2024.
  • No Thumbnail Available
    Item
    Soft tissue tumor imaging in adults: European Society of Musculoskeletal Radiology-Guidelines 2023—overview, and primary local imaging: how and where?
    (Springer Science and Business Media Deutschland GmbH, 2024) Noebauer-Huhmann I.-M.; Vanhoenacker F.M.; Vilanova J.C.; Tagliafico A.S.; Weber M.-A.; Lalam R.K.; Grieser T.; Nikodinovska V.V.; de Rooy J.W.J.; Papakonstantinou O.; Mccarthy C.; Sconfienza L.M.; Verstraete K.; Martel-Villagrán J.; Szomolanyi P.; Lecouvet F.E.; Afonso D.; Albtoush O.M.; Aringhieri G.; Arkun R.; Aström G.; Bazzocchi A.; Botchu R.; Breitenseher M.; Chaudhary S.; Dalili D.; Davies M.; de Jonge M.C.; Mete B.D.; Fritz J.; Gielen J.L.M.A.; Hide G.; Isaac A.; Ivanoski S.; Mansour R.M.; Muntaner-Gimbernat L.; Navas A.; O´Donnell P.; Örgüç Ş.; Rennie W.; Resano S.; Robinson P.; Sanal H.T.; Ter Horst S.A.J.; van Langevelde K.; Wörtler K.; Koelz M.; Panotopoulos J.; Windhager R.; Bloem J.L.
    Objectives: Early, accurate diagnosis is crucial for the prognosis of patients with soft tissue sarcomas. To this end, standardization of imaging algorithms, technical requirements, and reporting is therefore a prerequisite. Since the first European Society of Musculoskeletal Radiology (ESSR) consensus in 2015, technical achievements, further insights into specific entities, and the revised WHO-classification (2020) and AJCC staging system (2017) made an update necessary. The guidelines are intended to support radiologists in their decision-making and contribute to interdisciplinary tumor board discussions. Materials and methods: A validated Delphi method based on peer-reviewed literature was used to derive consensus among a panel of 46 specialized musculoskeletal radiologists from 12 European countries. Statements were scored online by level of agreement (0 to 10) during two iterative rounds. Either “group consensus,” “group agreement,” or “lack of agreement” was achieved. Results: Eight sections were defined that finally contained 145 statements with comments. Overall, group consensus was reached in 95.9%, and group agreement in 4.1%. This communication contains the first part consisting of the imaging algorithm for suspected soft tissue tumors, methods for local imaging, and the role of tumor centers. Conclusion: Ultrasound represents the initial triage imaging modality for accessible and small tumors. MRI is the modality of choice for the characterization and local staging of most soft tissue tumors. CT is indicated in special situations. In suspicious or likely malignant tumors, a specialist tumor center should be contacted for referral or teleradiologic second opinion. This should be done before performing a biopsy, without exception. Clinical relevance: The updated ESSR soft tissue tumor imaging guidelines aim to provide best practice expert consensus for standardized imaging, to support radiologists in their decision-making, and to improve examination comparability both in individual patients and in future studies on individualized strategies. Key Points: • Ultrasound remains the best initial triage imaging modality for accessible and small suspected soft tissue tumors. • MRI is the modality of choice for the characterization and local staging of soft tissue tumors in most cases; CT is indicated in special situations. Suspicious or likely malignant tumors should undergo biopsy. • In patients with large, indeterminate or suspicious tumors, a tumor reference center should be contacted for referral or teleradiologic second opinion; this must be done before a biopsy. © The Author(s) 2023.
  • No Thumbnail Available
    Item
    Soft tissue tumor imaging in adults: whole-body staging in sarcoma, non-malignant entities requiring special algorithms, pitfalls and special imaging aspects. Guidelines 2024 from the European Society of Musculoskeletal Radiology (ESSR)
    (Springer Science and Business Media Deutschland GmbH, 2025) Noebauer-Huhmann I.-M.; Vanhoenacker F.M.; Vilanova J.C.; Tagliafico A.S.; Weber M.-A.; Lalam R.K.; Grieser T.; Nikodinovska V.V.; de Rooy J.W.J.; Papakonstantinou O.; Mccarthy C.; Sconfienza L.M.; Verstraete K.; Martel-Villagrán J.; Szomolanyi P.; Lecouvet F.E.; Afonso D.; Albtoush O.M.; Aringhieri G.; Arkun R.; Aström G.; Bazzocchi A.; Botchu R.; Breitenseher M.; Chaudhary S.; Dalili D.; Davies M.; de Jonge M.C.; Mete B.D.; Fritz J.; Gielen J.L.M.A.; Hide G.; Isaac A.; Ivanoski S.; Mansour R.M.; Muntaner-Gimbernat L.; Navas A.; O´Donnell P.; Örgüç Ş.; Rennie W.J.; Resano S.; Robinson P.; Sanal H.T.; Ter Horst S.A.J.; van Langevelde K.; Wörtler K.; Koelz M.; Panotopoulos J.; Windhager R.; Bloem J.L.
    Objectives: The revised European Society of Musculoskeletal Radiology (ESSR) consensus guidelines on soft tissue tumor imaging represent an update of 2015 after technical advancements, further insights into specific entities, and revised World Health Organization (2020) and AJCC (2017) classifications. This second of three papers covers algorithms once histology is confirmed: (1) standardized whole-body staging, (2) special algorithms for non-malignant entities, and (3) multiplicity, genetic tumor syndromes, and pitfalls. Materials and methods: A validated Delphi method based on peer-reviewed literature was used to derive consensus among a panel of 46 specialized musculoskeletal radiologists from 12 European countries. Statements that had undergone interdisciplinary revision were scored online by the level of agreement (0 to 10) during two iterative rounds, that could result in ‘group consensus’, ‘group agreement’, or ‘lack of agreement’. Results: The three sections contain 24 statements with comments. Group consensus was reached in 95.8% and group agreement in 4.2%. For whole-body staging, pulmonary MDCT should be performed in all high-grade sarcomas. Whole-body MRI is preferred for staging bone metastasis, with [18F]FDG-PET/CT as an alternative modality in PET-avid tumors. Patients with alveolar soft part sarcoma, clear cell sarcoma, and angiosarcoma should be screened for brain metastases. Special algorithms are recommended for entities such as rhabdomyosarcoma, extraskeletal Ewing sarcoma, myxoid liposarcoma, and neurofibromatosis type 1 associated malignant peripheral nerve sheath tumors. Satisfaction of search should be avoided in potential multiplicity. Conclusion: Standardized whole-body staging includes pulmonary MDCT in all high-grade sarcomas; entity-dependent modifications and specific algorithms are recommended for sarcomas and non-malignant soft tissue tumors. Clinical relevance statement: These updated ESSR soft tissue tumor imaging guidelines aim to provide support in decision-making, helping to avoid common pitfalls, by providing general and entity-specific algorithms, techniques, and reporting recommendations for whole-body staging in sarcoma and non-malignant soft tissue tumors. Key Points: An early, accurate, diagnosis is crucial for the prognosis of patients with soft tissue tumors. These updated guidelines provide best practice expert consensus for standardized imaging algorithms, techniques, and reporting. Standardization can improve the comparability examinations and provide databases for large data analysis. © The Author(s) 2024.