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  1. Ana Sayfa
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Yazar "Oğul, Hayri" seçeneğine göre listele

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    Atypical articulation of the cervical rib and first rib
    (Springer, 2024) Şenocak, Eyüp; Tuncer, Kutsi; Aydın, Yener; Oğul, Hayri
    The cervical rib is an additional rib arising from the transverse process of the seventh cervical vertebra. This rib may terminate free in soft tissue or may be attached to the first rib. The cervical rib is a congenital anomaly that occurs in less than 1% of the general population and sometimes causes severe symptoms of thoracic outlet syndrome. Hereby, we report a 13-year-old boy with an atypical articulation between the left seventh cervical rib and the left first thoracic rib.
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    Bilateral simultaneous primary patellar giant cell tumors
    (Springer, 2023) Aydın, Fahri; Oğul, Hayri; Tuncer, Kutsi; Kantarcı, Mecit
    Giant cell tumor is a relatively frequent benign bone tumor; that is usually exhibited in the epiphyseo-metaphyseal region of long bones. Computed tomography and magnetic resonance imaging may show cortical thinning and endosteal scalloping of the bone cortex in giant cell tumors. In radiologic imaging, the giant cell tumor of the bone is a heterogeneous mass because it contains many components, such as solitary mass, cystic areas, and bleeding. The occurrence of giant cell bone tumor in the patella is a rare condition and in this letter, we have reported the unusual coexistence of giant cell tumor on the bilateral patella at the same time. To the best of our knowledge, there is no reported case in the literature of bilateral patellar giant cell tumors.
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    Correction to: The 2D and 3D MR arthrographic description of aponeurotic expansion of supraspinatus tendon and biceps tendon anomaly in a large patient cohort
    (2023) Güçlü, Derya; Oğul, Hayri; Ünlü, Elif Nisa; Tuncer, Kutsi; Köse, Mehmet; Kantarcı, Mecit; Eren, Suat
    Seismic behavior of an isolated bridge is analyzed in the frequency domain under the effects of non-stationary ground motions. For dynamic solutions, different ground environments are considered by simulating non-stationary quakes that can be represented from bedrock to soft ground level. In the simulations, power spectral functions and filtered white noise model are adopted for spectral densities of the earthquake excitations. Various computer algorithms have been developed for earthquake simulations, establishing the bridge finite element model and stochastic solutions. Twenty simulated ground motions are used for each soil profile and the parameters of Rayleigh dispersion are estimated by evaluating the system responses for each ensemble. A number of peak response factors dependent on soil conditions are presented for seismic responses. In addition, extreme value distributions of the responses are shown with the probability of exceeding functions and tables. The responses are discussed for the specific exceedance level of probabilities used in probabilistic design process. The stochastic analyses generally yielded responses consistent with time domain solutions. Exceedance probability functions of the peak responses were obtained in a close relationship. However, the probability distributions of the responses decomposed for the soft soil case and they displayed a wider dispersion even for low exceedance levels. The peak responses are expressed with some exceedance probabilities. In the estimation of response variations, this study showed the practicality of the frequency domain method and the results revealed higher peak response factors and variances for softer soil conditions. Furthermore, this study indicated that the frequency domain procedure is an effective tool in the obtaining of non stationary seismic responses.
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    Detection of the glenoid bare spot by non-arthrographic MR imaging, conventional MR arthrography, and 3D high-resolution T1-weighted VIBE MR arthrography: comparison with CT arthrography
    (2023) Özel, Mehmet Ali; Oğul, Hayri; Köksal, Ali; Köse, Mehmet; Tuncer, Kutsi; Eren, Suat; Kantarcı, Mecit
    Objectives To determine the diagnostic accuracy of non-arthrographic MR imaging, conventional MR arthrography, and 3D T1-weighted volumetric interpolated breath-hold examination (VIBE) MR arthrography sequences as compared with a CT arthrography in the diagnosis of glenoid bare spot. Methods A retrospective study of 216 patients who underwent non-arthrographic MR imaging, conventional MR arthrography, VIBE MRI arthrography, and CT arthrogram between January 2011 and March 2022 was conducted. The diagnostic accuracy of non-arthrographic MR imaging, direct MR arthrography, and VIBE MRI arthrography in the detection of glenoid bare spot was compared with that of CT arthrography. All studies were reviewed by 2 MSK radiologists. Interobserver agreement for MR imaging and MR arthrographic findings was calculated. Results Sixteen of 216 patients were excluded. Twenty-three of 200 shoulders had glenoid bare spot on CT arthrographic images. The glenoid bare spot was detected in 11 (47.8%) and 7 (30.4%) patients on conventional non-arthrographic MR images and in 18 (78.3%) and 16 (69.6%) patients on conventional MR arthrograms by observers 1 and 2, respectively. Both observers separately described the bare spot in 22 of 23 patients (95.7%) on 3D volumetric MR arthrograms. Interobserver variabilities were fair agreement for conventional non-arthrographic MR imaging (κ = 0.35, p < 0.05), moderate agreement for conventional MR arthrogram (κ = 0.50, p < 0.05), and near-perfect agreement for 3D volumetric MR arthrogram reading (κ = 0.87, p < 0.05). Conclusions A 3D high-resolution T1-weighted VIBE MR arthrography sequence may yield diagnostic performance that is comparable with that of CT arthrography in the diagnosis of glenoid bare spot.
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    Efficiency of Axillary Bolster Use for Ultrasound-Guided Glenohumeral Joint Injection in MR Arthrography
    (2025) Sakcı, Zakir; Oğul, Hayri; Tuncer, Kutsi; Kaya, Serhat; Kızıloğlu, Alper; Polat, Gökhan; Kantarcı, Mecit
    Purpose: The purpose of this study was to prospectively evaluate the accuracy of the ultrasonography (US)-guided posterior injection technique using an axillary bolster for magnetic resonance (MR) arthrography of the shoulder joint. Materials and methods: This study included 60 patients (30 US-guided injections with an axillary bolster, 30 US-guided injections without an axillary bolster). There were 37 men and 23 women whose ages ranged from 17 to 64 years (mean, 36.87 years). All procedures were performed by two radiologists with less than 1 year of experience in arthrographic procedures. The accuracy of the two injection techniques was compared. Extraarticular contrast material leak was graded according to the MR arthrography findings. The number of injection attempts and the effect of contrast material extravasation rate on diagnostic quality were recorded. Results: There were no significant differences between US-guided punctures with and without an axillary bolster in regard to pain (p = 0.39). Injections with an axillary bolster had a higher likelihood of success on the first attempt (p = 0.0031). Complete extravasation in the US-guided posterior approach technique without an axillary bolster was significantly higher than the US-guided posterior injection technique with an axillary bolster (p < 0.0001). Conclusion: Although there is no significant difference in pain scores for both techniques, complete contrast material extravasation is seen at a higher rate in the US-guided posterior approach injection technique without the use of an axillary bolster compared to the technique used.
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    Magnetic resonance arthrography with positional manoeuvre for the diagnosis of synovial fold of posterior shoulder joint capsule
    (2024) Keleş, Papatya; Oğul, Hayri; Tuncer, Kutsi; Sakcı, Zakir; Ay, Mutlu; Kantarcı, Mecit
    Objectives: The objective of this study is to prospectively assess the effectiveness of shoulder magnetic resonance (MR) arthrograms with positional manoeuvres in detecting posterior synovial folds. Methods: Two radiologists independently assessed all axial MR arthrograms in internal rotation, neutral position, and external rotation for the presence of a posterior synovial fold. The diagnostic performances of the MR arthrograms were then compared, with results validated through arthroscopy. Results: Arthroscopy was performed on 81 of the 150 patients included in the study. A posterior synovial fold was identified arthroscopically in eleven of these patients. Measurements of the posterior synovial fold obtained in external rotation and the neutral position of the arm showed a significant correlation with arthroscopic results (p < 0.05). For detecting the posterior synovial fold with arthroscopic correlation, the sensitivity and specificity values for observer 1 and observer 2 were 100-81.4% and 100-88.6%, respectively, for MR arthrograms in the neutral position; 100-52.9% and 100-62.9% for MR arthrograms in external rotation; and 100-95.7% and 81.8-98.6% for MR arthrograms in internal rotation. There was a fair agreement for MR arthrography in external rotation for detecting posterior synovial folds, while MR arthrograms in internal rotation and neutral position showed near-perfect and significant interobserver agreement. Conclusion: The rotational positions of the humeral neck during MR arthrographic examination can influence the diagnostic specificity and sensitivity of axial MR arthrograms in detecting the posterior synovial fold. Clinical relevance statement: The posterior synovial fold can mimic a posterior labral detachment. Therefore, its correct identification is crucial in order to avoid unnecessary surgical procedures. Key points: Movement of the shoulder may introduce variability in MR arthrography appearance. Rotation of the humeral neck during MR arthrography can affect diagnoses in posterior synovial fold detection. Given that posterior synovial folds can imitate posterior labral detachment, their correct identification is crucial to avoid unnecessary surgical procedures.
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    Spontaneous stairlike fracture of sternum in multiple myeloma
    (2023) Tuncer, Kutsi; Köse, Mehmet; Oğul, Hayri
    ...
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    Öğe
    The 2D and 3D MR arthrographic description of aponeurotic expansion of supraspinatus tendon and biceps tendon anomaly in a large patient cohort
    (2023) Güçlü, Derya; Oğul, Hayri; Ünlü, Elif Nisa; Tuncer, Kutsi; Köse, Mehmet; Kantarcı, Mecit; Eren, Suat
    Objective: To describe the aponeurotic expansion of supraspinatus tendon (AEST) and biceps tendon abnormalities with magnetic resonance (MR) arthrographic examinations and determine their prevalence in patients, we performed a high-resolution 3D direct MR arthrography. Materials and methods: This was a retrospective study of 700 shoulder MR arthrograms performed between May 2010 and January 2022. Extension in the coronal plane of an AEST on 3D fat-suppressed T1-weighted volumetric interpolated breath-hold examination (VIBE) MR arthrography was identified. Based on its morphology, the AEST on MR arthrography was divided into four subtypes: absence of tendinous thickness in the bicipital synovial surface or intra-synovial tendon-like structure in the bicipital groove, thin and flat tendinous thickness ≥1 mm of bicipital synovium, oval tendinous structure less than half the size of the adjacent biceps tendon, oval tendinous structure more than half the size of the adjacent biceps tendon, and oval tendinous structure larger than the adjacent biceps tendon. Based on its origin and termination, aponeurotic expansions can be divided into three subtypes: proximal pulley zone, middle humeral neck zone, and distal myotendinous junction zone. Association with the biceps synovium of the AEST was categorized into three types: intra-synovial, extra-synovial, and trans-synovial. Results: An AEST in the anterior shoulder joint in 3D VIBE MR arthrography images was identified in 63 (9%) of 700 arthrograms. The most common arthrographic type of AEST was type 1-this was detected in 39 of 63 patients. The most common course type of the AEST was anteriorly midline. The most common distal insertion type was at the tenosynovial sheath of the long head of the biceps tendon (LHBT) in the middle humeral neck zone-this was detected in 31 of 63 patients. There were only 10 MR arthrograms biceps tendon abnormality, including 4 biceps agenesis and 6 split ruptures. Conclusion: A 2D and high-resolution 3D MR arthrography can demonstrate the anatomical detail around the bicipital groove and facilitate the differentiation between a biceps tendon anomaly and an AEST. On high-resolution 3D MR arthrographic images, the AEST tends to be in the anterior midline and anteromedial portions of the biceps synovium with intra-synovial, extra-synovial, and trans-synovial courses and its three different insertion types.
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    Unusual cause of peroneal tendinopathy; impingement of the peroneus brevis tendon between the giant peroneal tubercle and lateral malleolus
    (2022) Taş, Nurmuhammed; Kutsi, Tuncer; Oğul, Hayri
    ...
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    Vertebral involvement of Erdheim-Chester disease: an unusual mimic of vertebral metastasis
    (2023) Oğul, Hayri; Güzel, Yunus; Tuncer, Kutsi; Çankaya, Bahar; Kantarcı, Mecit
    ...

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