Year 2020, Volume 4 , Issue 9, Pages 784 - 789 2020-09-01

Multidedektör bilgisayarlı tomografi görüntülerinde toraks’daki yapıların seviyelerinin incelenmesi
Examination of the levels of structures in the thorax in multidetector computerized tomography images

Güneş BOLATLI [1] , Nadire ÜNVER DOGAN [2] , Mustafa KOPLAY [3] , Zeliha FAZLIOĞULLARI [4] , Ahmet Kağan KARABULUT [5]


Amaç: Torakstaki anatomik yapıların düzeyleri ve aralarındaki ilişki cerrahi işlemler açısından çok önemlidir. Bu seviyeler genel olarak kaburgalar referans alınarak belirtilir ve çoğu kadavra çalışmalarına dayanır. Birçok yapının vertebral seviyesi belirtilmemiştir. Bu çalışmada torakstaki bazı yapıların yaş ve cinsiyete göre düzey değişiklikleri, vertebralar referans alınarak belirlenmek amaçlanmıştır. Yöntemler: Çalışmada Selçuk Üniversitesi Tıp Fakültesi Hastanesi Pacs arşivindeki toraks bölgesi Çok Dedektörlü Bilgisayarlı Tomografi görüntüleri kullanıldı. Göğüs cerrahisi geçirmemiş farklı yaş gruplarında 700 kişinin görüntüleri incelendi. Bu görüntülerdeki anatomik yapılar omurlara göre değerlendirildi ve bulgular yaş gruplarına ve cinsiyetlere göre karşılaştırıldı. Bulgular: Araştırmada tespit edilen bazı düzeyleri klasik kitaplardaki bilgilerden farklıydı. Aortun diyaframdan geçişi T10, vena cava süperior’un sağ atriyuma girişi 0-9 yaş grubunda T7, diğer yaş gruplarında T6, turuncus pulmonalis’in sağ ventrikül’den çıkışı T7 ve apeks kordis’in T10 seviyesinde olduğu görüldü. Sonuç: Mevcut bilgimizin çoğu canlı insanlardan ziyade yapılan kadavra çalışmalarına dayanmaktadır ve genellikle interkostal aralıklar referans alınarak yapıların seviyeleri belirtilmiştir. Yapılan çalışmaların çoğunda yaş ve cinsiyet ayrımı yapılmamıştır. Vertebraların referans alınması yüzeysel ve derin yapıların karşılaştırılması açısından önemlidir. Göğüs cerrahisinde yaş grupları arasındaki seviye farklılıklarının bilinmesi cerrahlar için son derece önemlidir.
Aim: Levels of the anatomical structures found in thorax and their relationships are particularly important in terms of surgical procedures. These levels are indicated with reference to the ribs and most are based on cadaver studies. The vertebral level of many structures is not specified. In this study, it was aimed to determine the level changes of some structures in the thorax according to age and gender by referring to the vertebrae. Methods: Multidetector computed tomography images of the thorax region in the PACS archives of Selcuk University Medical Faculty Hospital were used in the study. Images of 700 people, who did not undergo thoracic surgery, were studied in different age groups. The anatomical structures were evaluated with reference to the vertebrae on these images, and the findings were compared according to age groups and genders. Results: Some of the levels of the investigations were different from the information in the classical books. It was seen that the entrance level of the aorta from the diaphragm was at Th10 level, the entrance level of superior vena cava to the right atrium was Th7 in the 0-9-year age group, Th6 level in the other age groups, and exit level of the pulmonary trunk from the right ventricle and the apex of the heart were Th7 and Th10, respectively. Conclusion: Most of our current knowledge is based on cadaver studies rather than living human beings and the intercostal spaces are referenced in defining the levels of structures in the thorax. Age and gender distinctions have not been made in cases where most of the structures are not specified. Vertebral reference is important in terms of comparing superficial and deep structures. As the thoracic surgeon is needed in every age group, it is important that surgeons know these differences
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Primary Language en
Subjects Anatomy and Morphology, Surgery, Radiology, Nuclear Medicine, Medical Imaging
Journal Section Research article
Authors

Orcid: 0000-0002-7648-0237
Author: Güneş BOLATLI (Primary Author)
Institution: SIIRT UNIVERSITY
Country: Turkey


Orcid: 0000-0001-5696-5547
Author: Nadire ÜNVER DOGAN
Institution: SELCUK UNIVERSITY
Country: Turkey


Orcid: 0000-0001-7513-4968
Author: Mustafa KOPLAY
Institution: SELCUK UNIVERSITY
Country: Turkey


Orcid: 0000-0002-5103-090X
Author: Zeliha FAZLIOĞULLARI
Institution: SELCUK UNIVERSITY
Country: Turkey


Orcid: 0000-0002-9635-8829
Author: Ahmet Kağan KARABULUT
Institution: SELCUK UNIVERSITY
Country: Turkey


Dates

Publication Date : September 1, 2020

Bibtex @research article { josam730332, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {784 - 789}, doi = {10.28982/josam.730332}, title = {Examination of the levels of structures in the thorax in multidetector computerized tomography images}, key = {cite}, author = {Bolatlı, Güneş and Ünver, Nadire and Koplay, Mustafa and Fazlıoğulları, Zeliha and Karabulut, Ahmet Kağan} }
APA Bolatlı, G , Ünver, N , Koplay, M , Fazlıoğulları, Z , Karabulut, A . (2020). Examination of the levels of structures in the thorax in multidetector computerized tomography images . Journal of Surgery and Medicine , 4 (9) , 784-789 . DOI: 10.28982/josam.730332
MLA Bolatlı, G , Ünver, N , Koplay, M , Fazlıoğulları, Z , Karabulut, A . "Examination of the levels of structures in the thorax in multidetector computerized tomography images" . Journal of Surgery and Medicine 4 (2020 ): 784-789 <http://jsurgmed.com/en/pub/issue/56766/730332>
Chicago Bolatlı, G , Ünver, N , Koplay, M , Fazlıoğulları, Z , Karabulut, A . "Examination of the levels of structures in the thorax in multidetector computerized tomography images". Journal of Surgery and Medicine 4 (2020 ): 784-789
RIS TY - JOUR T1 - Examination of the levels of structures in the thorax in multidetector computerized tomography images AU - Güneş Bolatlı , Nadire Ünver , Mustafa Koplay , Zeliha Fazlıoğulları , Ahmet Kağan Karabulut Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.730332 DO - 10.28982/josam.730332 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 784 EP - 789 VL - 4 IS - 9 SN - -2602-2079 M3 - doi: 10.28982/josam.730332 UR - https://doi.org/10.28982/josam.730332 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Examination of the levels of structures in the thorax in multidetector computerized tomography images %A Güneş Bolatlı , Nadire Ünver , Mustafa Koplay , Zeliha Fazlıoğulları , Ahmet Kağan Karabulut %T Examination of the levels of structures in the thorax in multidetector computerized tomography images %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 9 %R doi: 10.28982/josam.730332 %U 10.28982/josam.730332
ISNAD Bolatlı, Güneş , Ünver, Nadire , Koplay, Mustafa , Fazlıoğulları, Zeliha , Karabulut, Ahmet Kağan . "Examination of the levels of structures in the thorax in multidetector computerized tomography images". Journal of Surgery and Medicine 4 / 9 (September 2020): 784-789 . https://doi.org/10.28982/josam.730332
AMA Bolatlı G , Ünver N , Koplay M , Fazlıoğulları Z , Karabulut A . Examination of the levels of structures in the thorax in multidetector computerized tomography images. J Surg Med. 2020; 4(9): 784-789.
Vancouver Bolatlı G , Ünver N , Koplay M , Fazlıoğulları Z , Karabulut A . Examination of the levels of structures in the thorax in multidetector computerized tomography images. Journal of Surgery and Medicine. 2020; 4(9): 784-789.