Evaluation of the Morphometric Measurements of Main Mediastinal Vascular Structures with Multi-detector Computed Tomography in Healthy Children
Objective:In this study, we aimed to evaluate the feasibility of the main pulmonary artery (MPA)/ascending aorta (AA) ratio measurement, which is 1:1 in adults, using the multi-detector computed tomographt in pediatric patients also.Method:The study was approved by the Institutional Review Board (nu...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2021-06-01
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| Series: | Bagcilar Medical Bulletin |
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http://behmedicalbulletin.org/archives/archive-detail/article-preview/evaluation-of-the-morphometric-measurements-of-mai/43497
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| _version_ | 1797921395303251968 |
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| author | Kourosh Yaghouti Filiz Çelebi İbrahim Halil Sever Nuri Çağatay Cimşit |
| author_facet | Kourosh Yaghouti Filiz Çelebi İbrahim Halil Sever Nuri Çağatay Cimşit |
| author_sort | Kourosh Yaghouti |
| collection | DOAJ |
| description | Objective:In this study, we aimed to evaluate the feasibility of the main pulmonary artery (MPA)/ascending aorta (AA) ratio measurement, which is 1:1 in adults, using the multi-detector computed tomographt in pediatric patients also.Method:The study was approved by the Institutional Review Board (number: 09.2016.014, approval date: 08.01.2016) and informed consent was waived since the study was retrospective. IV contrast-enhanced pulmonary computed tomography images of 487 pediatric patients (0-18 years), which had been performed between January 2015 and February 2016 in our center, were retrospectively evaluated. The diameters of the AA, MPA, right and left pulmonary arteries, and thoracic aorta were measured separately.Results:A positive correlation was determined between the diameters of mediastinal vascular structures and the patient age. The MPA/AA ratio was higher in the pediatric group when compared to adults, and this ratio was found to be higher than 1 in all pediatric cases.Conclusion:The higher diameter of MPA when compared to AA in pediatric cases is thought to be responsible for MPA/AA ratio being greater than 1, and that should not be considered as pulmonary hypertension. We suggest a threshold of 1.06 for the MPA/AA ratio regarding the diagnosis of PH. |
| first_indexed | 2024-04-10T14:16:34Z |
| format | Article |
| id | doaj.art-7b1bc202e2b44d49b03a674200ad68d5 |
| institution | Directory Open Access Journal |
| issn | 2547-9431 |
| language | English |
| last_indexed | 2024-04-10T14:16:34Z |
| publishDate | 2021-06-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Bagcilar Medical Bulletin |
| spelling | doaj.art-7b1bc202e2b44d49b03a674200ad68d52023-02-15T16:09:32ZengGalenos YayineviBagcilar Medical Bulletin2547-94312021-06-016211812410.4274/BMB.galenos.2021.11.077.113049054Evaluation of the Morphometric Measurements of Main Mediastinal Vascular Structures with Multi-detector Computed Tomography in Healthy ChildrenKourosh Yaghouti0Filiz Çelebi1İbrahim Halil Sever2Nuri Çağatay Cimşit3 Gayrettepe Florence Nightingale Hospital, Clinic of Radiology, İstanbul, Turkey Yeditepe University Hospital, Clinic of Radiology, İstanbul, Turkey İstanbul Florence Nightingale Hospital, Clinic of Radiology, İstanbul, Turkey Marmara University Pendik Training and Research Hospital, Clinic of Radiology, İstanbul, Turkey Objective:In this study, we aimed to evaluate the feasibility of the main pulmonary artery (MPA)/ascending aorta (AA) ratio measurement, which is 1:1 in adults, using the multi-detector computed tomographt in pediatric patients also.Method:The study was approved by the Institutional Review Board (number: 09.2016.014, approval date: 08.01.2016) and informed consent was waived since the study was retrospective. IV contrast-enhanced pulmonary computed tomography images of 487 pediatric patients (0-18 years), which had been performed between January 2015 and February 2016 in our center, were retrospectively evaluated. The diameters of the AA, MPA, right and left pulmonary arteries, and thoracic aorta were measured separately.Results:A positive correlation was determined between the diameters of mediastinal vascular structures and the patient age. The MPA/AA ratio was higher in the pediatric group when compared to adults, and this ratio was found to be higher than 1 in all pediatric cases.Conclusion:The higher diameter of MPA when compared to AA in pediatric cases is thought to be responsible for MPA/AA ratio being greater than 1, and that should not be considered as pulmonary hypertension. We suggest a threshold of 1.06 for the MPA/AA ratio regarding the diagnosis of PH. http://behmedicalbulletin.org/archives/archive-detail/article-preview/evaluation-of-the-morphometric-measurements-of-mai/43497 aortachildhypertensionpulmonary arterytomography |
| spellingShingle | Kourosh Yaghouti Filiz Çelebi İbrahim Halil Sever Nuri Çağatay Cimşit Evaluation of the Morphometric Measurements of Main Mediastinal Vascular Structures with Multi-detector Computed Tomography in Healthy Children Bagcilar Medical Bulletin aorta child hypertension pulmonary artery tomography |
| title | Evaluation of the Morphometric Measurements of Main Mediastinal Vascular Structures with Multi-detector Computed Tomography in Healthy Children |
| title_full | Evaluation of the Morphometric Measurements of Main Mediastinal Vascular Structures with Multi-detector Computed Tomography in Healthy Children |
| title_fullStr | Evaluation of the Morphometric Measurements of Main Mediastinal Vascular Structures with Multi-detector Computed Tomography in Healthy Children |
| title_full_unstemmed | Evaluation of the Morphometric Measurements of Main Mediastinal Vascular Structures with Multi-detector Computed Tomography in Healthy Children |
| title_short | Evaluation of the Morphometric Measurements of Main Mediastinal Vascular Structures with Multi-detector Computed Tomography in Healthy Children |
| title_sort | evaluation of the morphometric measurements of main mediastinal vascular structures with multi detector computed tomography in healthy children |
| topic | aorta child hypertension pulmonary artery tomography |
| url |
http://behmedicalbulletin.org/archives/archive-detail/article-preview/evaluation-of-the-morphometric-measurements-of-mai/43497
|
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