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SAVCI, GÜRSEL

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SAVCI

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GÜRSEL

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Now showing 1 - 5 of 5
  • Publication
    Comparison of severity and complication rates of acute cholecystitis during pandemic and pre-pandemic periods?
    (Sage Publications Ltd, 2022-11-22) Candan, Selman; Dündar, Halit Ziya; Öngen, Gökhan; AKSOY, FUAT; Özpar, Rıfat; ERDEMLİ GÜRSEL, BAŞAK; ÖZPAR, RİFAT; NAS, ÖMER FATİH; İNECİKLİ, MEHMET FATİH; Gürsel, Başak Erdemli; TAŞAR, PINAR; Savcı, Gürsel; SAVCI, GÜRSEL; Nas, Ömer Fatih; Tıp Fakültesi; Genel Cerrahi Ana Bilim Dalı; AAG-8561-2021; AAH-6568-2021; AAK-5124-2020
    Background Cancellations of surgeries for elective cases and late admissions of symptomatic cases during the pandemic period might have increased the number of cases of acute cholecystitis and its complications. Purpose To compare the severity of acute cholecystitis and complication rates during the pandemic and pre-pandemic periods. Material and Methods We evaluated the computed tomography (CT) findings observed for the diagnosis of complications for both acute simple and acute complicated cholecystitis during both the pandemic and pre-pandemic periods. Patients admitted to the hospital between March 2020 and December 2020 made up the study group and the corresponding appropriate patients from one year earlier were studied as the control group. In addition to the CT findings, clinical and laboratory findings, co-morbidities such as diabetes, as well as the admission time to hospital from the onset of the initial symptoms to hospital admission were also evaluated. Results A total of 88 patients were evaluated (54 in the study group, 34 in the control group; mean age = 64.3 +/- 16.3 years). The male-to-female ratio was 51/37. The number of patients diagnosed with complicated cholecystitis were significantly higher in the study group (P = 0.03). Murphy finding and diabetes status were similar between the two groups (P = 0.086 and P = 0.308, respectively). Admission time to the hospital was significantly different for study and control groups in simple cholecystitis patients (P = 0.045); with no significant difference in cases of complicated cholecystitis (P = 0.499). Conclusion Our study reveals the course of acute cholecystitis during the pandemic period was much more serious with higher complications.
  • Publication
    Differentiation of hepatocellular carcinoma from non-hepatocellular malignant tumours of liver by chemical-shift mri at 3 t
    (W B Saunders Co Ltd, 2019-10-01) Savcı, Gürsel; SAVCI, GÜRSEL; Öztürk, Kerem; Özkaya, G.; ÖZKAYA, GÜVEN; Soylu, E.; Yazıcı, Zeynep; YAZICI, ZEYNEP; Tıp Fakültesi; Radyoloji Ana Bilim Dalı; 0000-0001-9664-2347; 0000-0003-0297-846X; AAI-2303-2021; E-1228-2018; A-4421-2016; AAH-5481-2021
    AIM: To evaluate the diagnostic performance of chemical shift magnetic resonance imaging (MRI) in distinguishing hepatocellular carcinomas (HCCs) from non-hepatocellular malignant tumours (non-HCCs) of the liver.MATERIALS AND METHODS: Patients with a diagnosis of malignant liver tumours examined at 3 T MRI were included in this retrospective study. Forty-seven HCCs and 75 non-HCCs that were studied with chemical-shift MRI between January 2012 and October 2016 were retrieved from the radiology database. Two blinded observers measured the signal intensities of the tumours, adjacent normal-looking liver parenchyma, and spleen on chemical-shift MRI. The fat quantification for HCCs, non-HCCs, and adjacent normal-looking liver parenchyma were calculated by using the spleen as a reference standard. The subtraction scores were calculated by subtracting fat percentages in liver parenchyma from those in tumours. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the fat percentage subtraction scores in distinguishing HCCs from non-HCCs were calculated.RESULTS: According to the optimal cut-off value acquired from both readers, a subtraction score >-0.26 was considered to be a HCC. Fat signal percentage subtraction scores were >=-0.26 in 45 of 47 HCCs and were <-0.26 in 69 of 75 non-HCCs. The sensitivity, specificity, PPV, and NPV of fat signal percentage subtraction score to differentiate HCCs from non-HCCs were found to be 95.7%, 89.3%, 84.9%, and 97.1%, respectively.CONCLUSION: Intracytoplasmic lipid in HCCs demonstrated by quantitative chemical-shift MRI may be a potentially powerful imaging biomarker to distinguish HCCs from the other malignant liver tumours.
  • Publication
    Letter to the editor regarding the article "magnetic resonance imaging features of uterine sarcoma and mimickers"
    (Springer, 2019-02-01) Öztürk, Kerem; Atalay, Mehmet Aral; Savcı, Gürsel; SAVCI, GÜRSEL; Tıp Fakültesi; Kadın Hastalıkları ve Doğum Ana Bilim Dalı; 0000-0001-9664-2347; 0000-0002-9685-956X; E-1228-2018; AAH-5481-2021
  • Publication
    A rare hepatic tumor; hepatic epithelioid hemangioendothelioma
    (Derman Medical Publ, 2013-08-01) Akyıldız, Elif Ülker; Adım, Şaduman Balaban; Saraydaroğlu, Özlem; Kaya, Ekrem; Savcı, Gürsel; AKYILDIZ, ELİF ÜLKER; BALABAN ADIM, ŞADUMAN; SARAYDAROĞLU, ÖZLEM; KAYA, EKREM; SAVCI, GÜRSEL; Tıp Fakültesi; Radyoloji Ana Bilim Dalı; AAH-5481-2021; AAG-7319-2021; CBA-9252-2022; EMN-0789-2022; DOQ-8725-2022
    Primary sarcomas of the liver account for about 1% of all liver tumors. Two basic histological forms of these sarcomas are hepatic epithelioid hemangioendothelioma and angiosarcoma. Epithelioid hemangioendothelioma is a tumor of vascular origin that involves soft tissues and organs. Primary epithelioid hemangioendothelioma of the liver was first described by Ishak in 1984 and has an incidence of 1/100,000. We present a 68-year-old female case referred to the pathology department with an initial diagnosis of cholangiocellular carcinoma and diagnosed with primary hepatic epithelioid hemangioendothelioma with review of the literature.
  • Publication
    Unusual causes of small bowel obstruction and contemporary diagnostic algorithm
    (Wiley, 2008-06-01) Gümüstaş, Oğuzhan Güven; Gümüstaş, A.; Yalçın, Ramazan; Soylu, Ruhi A.; Savcı, Gürsel; SAVCI, GÜRSEL; Tıp Fakültesi; Radyoloji Ana Bilim Dalı; AAH-5481-2021
    Intestinal obstruction is a common clinical abnormality. In 60-80% of cases, the small bowel is affected. Although postoperative adhesions are responsible in 60% of cases, the other frequently observed causes are hernia, strangulation and tumours, such as carcinoid, lymphoma or adenocarcinoma. In this pictorial essay, we presented the radiological findings of uncommon causes of small bowel obstruction as well as the suggested diagnostic algorithm.