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Öğe Are We Being Unfair to Physical Therapy Agents?(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2014) Kabayel, Derya Demirbag; Yavuz, SelcukPhysical therapy is the treatment of physical dysfunction or injury by the application of various modalities. It has been used for therapeutic purposes since ancient times for a variety of disorders. Due to study limitations, physical agents' clinical efficacy data are limited, despite being very widely used. Through our review of the literature, it is apparent from the publications that the numbers of patients are small and that the application methods are uncertain. In this review, the physiological effects, clinical effectiveness, and indications of physical therapy will be discussed according to literature. The role and importance of physical agents in therapy will be evaluated, and we will attempt to answer the question, Are we being unfair to physical therapy agents?Öğe Comparing the efficacy of exercise, internal and external shoe modification in pes planus: A clinical and pedobarographic study(Ios Press, 2017) Taspinar, Ozgur; Kabayel, Derya Demirbag; Ozdemir, Ferda; Tuna, Hakan; Keskin, Yasar; Mercimek, Oznur Berke; Sut, NecdetPes planus is a condition that can cause pain along the innerfoot due to the absence or abnormal depression of the longitudinal arch. There are few studies available that compare therapy modalities used in these patients. In our study, those treated with conservative therapies-internal and external shoe modifications and pes planus exercises -were compared clinically and pedobarographyically. 60 pes planus patients were included in the study. In the first group; internal modification was performed by placing a medial longitudinal arch support inside the shoe. In the second group, external shoe modification was performed using the Thomas heel. In the third group of patients however, only an exercise program was executed. The patients' foot pain levels, functional asssessment, satisfaction and quality of life were recorded. Pedobarography was used in measuring both static and dynamic plantar pressure. Assessments were carried out at baseline and at the end of the first and third months respectively where intra-and inter-group comparisons were performed. Each group was composed of 20 subjects. While improvement in terms of foot pain, foot function index and quality of life was observed in all the study groups (p < 0.05), the most improvement was observed in the group of patients treated with internal modification (p < 0.016). This was followed by the external modification and the exercise groups respectively. No difference was observed between the internal and external modification groups in terms of patient satisfaction. Cross-sectionally; clinical assessments, pedobarographic analysis were correlated. The changes observed after static and dynamic pedobarographic studies were not significantly different between the study groups. At the end of the study it was observed that internal modification yielded the most significant clinical improvement. In the literature, there are limited publications comparing the conservative treatments with each other. In this study we aimed to compare the conservative treatments for flatfoot.Öğe COVID-19, cardiac involvement and cardiac rehabilitation: Insights from a rehabilitation perspective - State of the Art(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2022) Tur, Birkan Sonel; Koseoglu, Belma Fusun; Gokkaya, Nilufer Kutay Ordu; Aytur, Yesim Kurtais; Taskiran, Ozden Ozyemisci; Kabayel, Derya Demirbag; Kesiktas, NurSince the beginning of the pandemic, many novel coronavirus disease 2019 (COVID-19) patients have experienced multisystem involvement or become critically ill and treated in intensive care units, and even died. Among these systemic effects, cardiac involvement may have very important consequences for the patient's prognosis and later life. Patients with COVID-19 may develop cardiac complications such as heart failure, myocarditis, pericarditis, vasculitis, acute coronary syndrome, and cardiac arrhythmias or trigger an accompanying cardiac disease. The ratio of COVID-19 cardiac involvement ranges between 7 and 28% in hospitalized patients with worse outcomes, longer stay in the intensive care unit, and a higher risk of death. Furthermore, deconditioning due to immobility and muscle involvement can be seen in post-COVID-19 patients and significant physical, cognitive and psychosocial impairments may be observed in some cases. Considering that the definition of health is a state of complete physical, mental and social well-being, individuals with heart involvement due to COVID-19 should be rehabilitated by evaluating all these aspects of the disease effect. In the light of the rehabilitation perspective and given the increasing number of patients with cardiac manifestations of COVID-19, in this review, we discuss the rehabilitation principles in this group of patients.Öğe Do dietary calcium intake and hormone replacement therapy affect bone mineral density in women?(Aves Yayincilik, Ibrahim Kara, 2008) Ozdemir, Ferda; Kabayel, Derya Demirbag; Ture, MevlutObjectives: In this study, the relationship between postmenopausal bone mineral density (BMD), and hormone replacement therapy (HRT) and the level of dietary calcium intake in women was investigated. Patients and Methods: Two hundred postmenopausal women (mean age 58.89 +/- 8.51 years; range 42 to 83 years) were evaluated retrospectively. Menopausal age and duration, HRT status, and daily dietary calcium intake of all patients were recorded. Evaluation of BMD was made with Dual Energy X-Ray Absorptiometry (DEXA) from lumbar spine and femur and the T scores were obtained. Results: There was a significant negative correlation between the patients' age and duration of menopause, and BMD. The BMD values of the patients not receiving HRT were significantly lower than those of the patients receiving HRT In women with dietary calcium intake above 1000 mg/day, spine and femur BMD values were significantly higher than in those with an intake below 600 mg/ day and between 600-1000 mg/day. Conclusion: We think that dietary calcium intake and HRT status can be an indicator for BMD in postmenopausal women.Öğe Do the Brain Perfusion SPECT Findings Reflect the Outcome of Rehabilitation in Stroke Patients?(Lippincott Williams & Wilkins, 2009) Kabayel, Derya Demirbag; Ozdemir, Ferda; Kaya, MeryemThe purpose of this study is to investigate the association between brain perfusion single-photon emission computed tomography (SPECT) changes and the observed improvement in the clinical parameters, and therefore evaluate whether or not SPECT can predict the outcome of the rehabilitation of patients. Nineteen stroke patients were included in the prospective study. Patients were hospitalized within the first month after their stroke and were in the rehabilitation program for 2 months. A clinical evaluation and a brain perfusion SPECT was conducted during the admission, and on the completion of the rehabilitation program. The outcome measurements included Brunnstrom stage, Modified Ashworth Scale, functional independence measurement, functional ambulation categories, and mini-mental state examination. The brain perfusion SPECT was conducted by the evaluation of the regional cerebral blood flow on 12 different regions on both of the hemispheres. The comparison of the first and the third month clinical scores showed a statistically significant difference. However, the brain perfusion SPECT values' first and third month comparisons showed no difference on any of the measured parameters. Furthermore, there was no correlation between the clinical scores and SPECT values, for both the first month measures and the third month measures. The observed clinical improvement observed during the rehabilitation process of the stroke patients has no association to brain perfusion SPECT evaluations. Brain perfusion SPECT could not be a very good predictor for measuring clinical outcomes for stroke patients.Öğe Effect of activity-based training versus strengthening exercises on upper extremity functions in Parkinson?s patients; A randomized controlled, single blind, superiority trial(Elsevier, 2022) Zare, Maryam; Ozdemir, Hande; Tavsan, Merve Yalcin; Tuna, Filiz; Sut, Necdet; Guler, Sibel; Kabayel, Derya DemirbagBackground:Idiopathic Parkinson's disease is a neurodegenerative disease which is appeared by symptoms such as resting tremor, bradykinesia, rigidity, and postural instability. Such symptoms as tremor, bradykinesia, and rigidity significantly affect patients' upper extremity function. Rehabilitation programs should be implemented to improve the upper extremity functions of patients. Objective:Activity-based training would improve dexterity and functional activities to a larger extent than strengthening exercises. This study aimed at evaluating the effect of activity-based training and strengthening exercises on upper extremity functions in Parkinson's disease and to compare the two methods. Method:40 Parkinson's patients with mean of 64.45 +/- 9.13 age were randomized and divided into two groups as activity-based training and strengthening exercise group. Patients were evaluated at the beginning and after 6 weeks of treatment with Unified Parkinson's Disease Rating Scale, Parkinson's Disease Questionnaire-39, Duruo spacing diaeresis z Hand Index, Jebsen Taylor Hand Function Test, Nine-Hole Peg Test, Jamar dynamometer, Jamar pinch meter, Semmes Weinstein Monofilament Test and two-point discrimination. Result:In both groups, upper extremity functions, handgrip strengths and quality of life of patients improved significantly. Tactile sense improved only in the activity-based training group. Conclusion:Activity-based training is not superior to strengthening exercise programs at improving upper extremity functions and dexterity of Parkinson's patients.Öğe Effects of clinical reanalysis in dual energy X-ray absorptiometry reports(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2017) Tuna, Filiz; Yavuz, Selcuk; Kabayel, Derya Demirbag; Sarikaya, AliObjectives: This study aims to assess poor positioning rates of patients during X-ray and the accuracy of the analysis. Patients and methods: In this study, we reanalyzed 323 dual energy X-ray absorptiometry (DXA) reports, by evaluating the scan images for proper patient positioning and scan analysis. We reviewed reports, according to a checklist prepared considering the proposals of Watts and The International Society for Clinical Densitometry official positions for 2013 (which were the same as in 2015). At least two remaining vertebrae were used to derive new bone mineral density and new T-scores. Results: Positioning failures were found in 64.7% of the spine X-rays, 60.5% of the hip X-rays, and 83.9% of X-rays of both regions. A total of 112 (34.7%) spinal DXA images needed new T-score adjustments. T-scores and bone mineral density differed between the first reports and the clinician reanalysis (p<0.001). Conclusion: The error rate in DXA reports was higher than expected. Clinician analysis of DXA reports are important. To obtain a quality DXA report, all healthcare professionals should be trained and reminded about this topic.Öğe The effects of medical treatment and rehabilitation in a patient with adult tethered cord syndrome in the late postoperative period(Int Scientific Information, Inc, 2007) Kabayel, Derya Demirbag; Ozdemir, Ferda; Unlu, Ercumnent; Bilgili, Nilgun; Murat, SadiyeThe possibility of functional tethered cord syndrome (TCS) should be considered when adolescent patients present with unexplained lumbar, buttock, and leg symptoms. Symptoms progress if untreated. Success depends on early diagnosis, the complete untethering of the spinal cord, and rehabilitation. A rare case of adult TCS is reported. A 42-year-old female patient with lower back and leg pain, severe flexor reflex responses, and a walking disorder was evaluated. Gabapentin and tizandine were given to treat to the neuropathic pain and flexor reflex responses. An exercise program was applied to improve the walking disorder. Finally, the patient's complaints of pain considerably decreased, flexor reflex responses were reduced, and a more comfortable walking motion was observed. A rehabilitative approach is very important and a multidisciplinary follow-up and treatment procedure is required in the clinical healing process of all patients presenting with a tethered cord condition, whether surgical intervention is carried out or not.Öğe The effects of neuromuscular electrical stimulation on clinical improvement in hemiplegic lower extremity rehabilitation in chronic stroke: A single-blind, randomised, controlled trial(Taylor & Francis Ltd, 2009) Mesci, Nilgun; Ozdemir, Ferda; Kabayel, Derya Demirbag; Tokuc, BurcuObjective. In this study, the effectiveness of neuromuscular electrical stimulation (NMES) was evaluated in lower extremity rehabilitation in patients with chronic stroke. Method. The study enrolled 40 patients with chronic stroke. Twenty patients each were assigned to the treatment group and the control group. All patients received a conventional rehabilitation program for a 4-week period. In addition to this rehabilitation program, patients in the treatment group received NMES treatment for hemiplegic foot dorsiflexor muscles for 4 weeks, 5 days a week. The sessions were performed as one session per day and added to a total of 20 sessions. Clinical parameters were evaluated before and after the treatment. Results. Pre-treatment and post-treatment evaluations showed a significant increase in ankle dorsiflexion and a significant decrease in the level of spasticity in the treatment group (p<0.05); however, there were no significant differences in the control group between the pre-treatment and post-treatment measures. Although Brunnstrom Stage, Rivermead leg and trunk score and Functional Independence Measurement motor subscore showed a significant improvement in pre-and post-treatment comparisons for both groups, the treatment group's scores were significantly higher than the control group (p<0.05). Functional Ambulation Categories showed a significant improvement in both groups following the treatment; however, there was no significant difference between the two groups (p>0.05). Conclusions. Use of NMES in hemiplegic foot dorsiflexion can contribute to the clinical improvement of patients when used in combination with rehabilitation programs.Öğe Efficacy of Three-Dimensional Contrast-Enhanced Magnetic Resonance Angiography (3D CE-MRA) in the Diagnosis of Thoracic Outlet Syndrome(Galenos Publ House, 2011) Unlu, Ercument; Kabayel, Derya Demirbag; Ozdemir, Ferda; Cagli, Bekir; Tuncel, Sedat A.Objective: The purpose of this study is to evaluate the effect of various upper extremity positions (adduction-abduction) on vascular structures in contrast-enhanced three-dimensional MR angiographic studies performed in patients with thoracic outlet syndrome. Materials and Methods: Twenty-two consecutive patients with clinical symptoms of neurovascular thoracic outlet syndrome were examined by 1.0 T MR unit. Examinations were studied by three-dimensional contrast-enhanced MR angiography with the arms positioned in abduction and adduction in the same patients. Results: In twenty-one of 44 subclavian arteries, impingement or stenosis with different degrees were found. Majority of lesions were localized in the costoclavicular region. Venous phase sequences of contrast-enhanced MR angiography showed compression of the subclavian vein in the 17 areas. Conclusion: Thoracic outlet syndrome remains controversial in both diagnosis and treatment, particulary in patients with no muscle atrophy, hand ischemia findings or venous stasis symptoms. Three-dimensional contrast-enhanced MR angiography is noninvasive and requires neither ionizing radiation nor administration of iodinated contrast material- and may be used to diagnose early compression findings and stenosis of the subclavian vessels.Öğe Ehlers?Danlos syndrome-related genes and serum strontium, zinc, and lithium levels in generalized joint hypermobility: a case-control study(Taylor & Francis Inc, 2021) Tuna, Filiz; Doganlar, Zeynep Banu; Ozdemir, Hande; Kabayel, Derya Demirbag; Doganlar, OguzhanAim of the study: Generalized joint hypermobility (GJH) is a common feature of almost all Ehlers?Danlos syndrome (EDS) types; however, its genetic basis remains unclear. Therefore, it is crucial to distinguish the genetic basis of GJH from other connective tissue disorders, including the different subtypes of EDS. The aim of this study was to determine the blood EDS-related gene expressions and serum element levels in GJH and reveal their predictive characteristics and correlations with the Beighton score. Materials and Methods: A total of 39 women aged 18?23?years with GJH and 38 age- and sex-matched controls were included in the study. Inductively coupled plasma mass spectrometry was used to analyze the serum levels of zinc (Zn), strontium (Sr), and lithium (Li). The relative expression levels of the EDS-related genes were determined using quantitative real-time polymerase chain reaction (PCR). Results: Our results showed that women with GJH possessed significantly lower Li and higher Zn and Sr levels than the controls. In addition, the gene expressions of TNXB and SLC39A13 were significantly higher, whereas those of COL1A1, COL1A2, COL5A1, FKBP14, and DSE were lower in the GJH group. Pearson correlation analyses revealed a strong negative correlation between the Beighton score and B4GALT7, FKBP14, COL1A1, and Li. However, a significant positive correlation was noted between the Beighton score and SLC39A13, TNXB, Zn, Sr, and B3GALT6. Conclusion: Our findings provide valuable basal levels for conducting gene function analysis of joint hypermobility-related connective tissue disorders.Öğe Factors Affecting the Age of Admission of Postmenopausal Women to an Osteoporosis Outpatient Clinic(Turkish League Against Rheumatism, 2010) Ozdemir, Ferda; Yazici, Senay Demir; Kabayel, Derya Demirbag; Sut, NecdetObjective: In the present study, the factors that may potentially affect the age of admission of postmenopausal women to an osteoporosis (OP) outpatient clinic were evaluated. Materials and Methods: Two hundred and twenty-six postmenopausal women admitted to our OP outpatient clinic were studied retrospectively. The level of education, occupation, age at menopause, duration of menopause, history of hormone replacement therapy (HRT), exercise routine, history of medication use that may cause secondary OP, and family history of OP were questioned. Lumbar spine and femur bone mineral density (BMD) measurements were performed by dual energy x-ray absorptiometry (DEXA). The data were analyzed by linear regression. Results: The mean age of the patients was 58.8 +/- 8.7 years (range, 37-82 years) and the mean age at menopause was 45.2 +/- 5.8 years. Multiple backward stepwise linear regression was performed. When factors which could potentially affect the age of admission to OP outpatient clinic were included in the model, only 2 factors (age at menopause and duration of menopause) were shown to affect the age of admission. These two variables explained 98.9% of the variation (adjusted R(2)) in admission age (p < 0.001). Conclusion: The most important factors affecting the age of admission of postmenopausal women to the OP outpatient clinic were determined to be the age at menopause and the duration of menopause. (Turk J Rheumatol 2010; 25: 72-6)Öğe Is There an Effect of Patient's Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?(Galenos Yayincilik, 2018) Tuna, Filiz; Kabayel, Derya DemirbagObjective: Patient positioning during dual energy X-ray absorptiometry examination is important in assessing bone mineral density. While the role of the technician is considered important on correct positioning, the effect of the patient characteristics on positioning is not adequately explained. The aim of this study is investigate whether postmenopausal women's characteristics such as age, weight, height, and body mass index affect the positioning errors. Materials and Methods: Dual energy X-ray absorptiometry reports and files of postmenopausal women were reviewed retrospectively. According to the values of body mass index three groups were formed; normal, overweight and obese. Forty one patients were included in each group. Only the images of the Hologic dual energy X-ray absorptiometry device were participated to assessment. Patients with positioning error were identified using the lumbar and hip region images in the dual energy X-ray absorptiometry output reports. The difference in positioning error rates between the body mass index groups was determined by Pearson's chi-square test. The effect of age, height, weight, and body mass index of patients on positioning errors was examined by simple linear regression analysis. Results: Distribution of positioning errors between normal, overweight and obese groups were determined as 35.3% (36), 29.4% (30), and 35.3% (36), respectively. The distribution of correctly positioned patients in the same groups were; 23.8% (5), 52.4% (11), and 23.8% (5), respectively. No statistically significant difference was found between the groups in terms of positioning errors (Pearson's chi-square, p=0.127). Conclusion: Patient characteristics such as age, height, weight, and body mass index do not affect positioning errors statistically significant level.Öğe Manual Therapy for Neck Pain and Headache: Review(Ortadogu Ad Pres & Publ Co, 2009) Kokino, Siranus; Kabayel, Derya Demirbag; Ozdemir, FerdaChronic neck pain and headache are prevalent and a common source of disability in the population. The treatment of neck pain and headache is usually traditional including pharmacotherapy, physiotherapy, exercises and manual therapy. Opinions are controversial for manual therapy, which takes a significant part in the overall treatment of functional and degenerative disorders involving spine joints and muscles. The aim of manual therapy applied to cervical spine is to enhance restricted movement caused by blockage of cervical spinal joints keeping postural balance, to restore function and to maintain optimal spinal mechanics. There is little information available from randomized clinical trials to support manipulation and mobilization for treating neck pain. Cervical spine manipulations may be associated with vascular, neurological and other serious complications. These complications include radiculopathy, myelopathy, cervical disc herniation, arterial dissection and stroke, vertebral artery occlusion, Brown-Sequard syndrome, diaphragmatic paralysis, odontoid fracture, atlantoaxial injury, tracheal rupture and hearing loss. The manipulation techniques require good anatomy knowledge and clinical experience since they may cause serious complications especially of the neck area.Öğe The mitral valve prolapse frequency in healthy females with generalized joint hypermobility: A case-control study(Turkish League Against Rheumatism, 2021) Ozdemir, Hande; Tuna, Filiz; Aktoz, Meryem; Tastekin, Nurettin; Kabayel, Derya DemirbagObjectives: The aim of this study was to investigate the frequency of mitral valve prolapse between healthy females with generalized joint hypermobility and healthy controls. Patients and methods: This observational, cross-sectional, controlled study included female individuals with generalized joint hypermobility (n=39, mean age: 20.5 +/- 1.1 years; range, 19 to 23 years) and healthy controls (n=42, mean age: 20.6 +/- 1.2 years; range, 18 to 23 years) between July 2017 and November 2017. The generalized joint hypermobility consisted of women with a Beighton score of <= 4, while the control group consisted of women with a Beighton score of <= 3. Echocardiography was performed to all participants. Mitral valve prolapse was defined as having single or bileaflet prolapse of at least 2 mm beyond the long-axis annular plane with or without mitral leaflet thickening. Results: No significant difference was found in the age, height, body weight, and body mass index between the groups (p>0.05). The median Beighton score was 5 in the generalized joint hypermobility group and 2 in the control group. No mitral valve prolapse was detected in those with generalized joint hypermobility, while non-classical mitral valve prolapse was observed in one participant in the control group, indicating no statistically significant difference between the two groups (p> 0.05). Conclusion: Our study results suggest that the frequency of mitral valve prolapse is comparable between the women with generalized joint hypermobility and healthy controls. Based on these results, routine assessment of mitral valve prolapse is not recommended in this population.Öğe THE RELATION OF FUNCTIONAL INDEPENDENT MEASUREMENT AND AMBULATION WITH BONE MINERAL DENSITY IN PATIENTS WITH STROKE(Nobel Ilac, 2011) Murat, Sadiye; Ozdemir, Ferda; Kabayel, Derya Demirbag; Kasapoglu, Meliha; Kokino, Siranus; Berkarda, SakirObjective: The aim of this study was to investigate the relationship between loss of functions and bone mineral density (BMD) in hemiplegic patients after stroke. Material and Method: 41 patients were evaluated. The Brunnstrom values, the Functional Independent Measurement (FIM) and the Functional Ambulation Categories (FAC) values were recorded. BMD measurements were evaluated with dual-energy X-ray absorbtiometry (DXA). Results: BMD decrease was significantly greater on the paretic side compared with the non paretic side. Patients who had not ambulated lost of their BMD in the paretic side and the loss was significantly higher than those who had ambulated. There was a positive correlation between FIM score and BMD values in the affected side. Conclusion: Our results suggest that the rapidity of the BMD loss is correlated to the functional independent and ambulation categories in poststroke hemiplegic patients.Öğe The relation of hand functions with radiological damage and disease activity in rheumatoid arthritis(Springer, 2008) Birtane, Murat; Kabayel, Derya Demirbag; Uzunca, Kaan; Unlu, Ercument; Tastekin, NurettinThe purpose of this study was to investigate specifically the correlation of hand functions determined by Duruoz hand index (DHI) with radiological findings and disease activity in rheumatoid arthritis (RA) patients. Forty-eight RA patients were evaluated with DHI questionnaire, disease activity score (DAS) 28 and modified Larsen scoring method. Correlation between DAS-28 and DHI was assessed in all the patients. Mean DHI scores were compared between patients in remission (DAS-28 < 2.6) and patients who have more or less disease activity (DAS-28 >= 2.6). To exclude the probable conflicting effect of disease activity on hand functions, the correlation between radiological scores and DHI was investigated only in patients with remission. There was a positive correlation between DAS-28 and DHI in all patients group (r = 0.434, P < 0.002). No correlation between the radiological scores of any joint groups and DHI could be found in patients with remission. Hand functions seemed to be affected prominently from disease activity. Radiological scores demonstrating joint damage were not in relation with hand functions.Öğe Risk factors, fractures, and management of pregnancy-associated osteoporosis: a retrospective study of 14 Turkish patients(Taylor & Francis Ltd, 2020) Tuna, Filiz; Akleylek, Cansu; Ozdemir, Hande; Kabayel, Derya DemirbagPregnancy-associated osteoporosis (PAO) is a rare but painful disease. The current study aimed to investigate the demographic and clinical features, risk factors, treatment options, and outcomes of Turkish patients with PAO. In our retrospective, cross-sectional, and descriptive study the time to PAO diagnosis was 3.6 months. Pain and loss of height were detected in 78.6% and 28.6% of patients, respectively. As such, 60.6% of patients reported fractures at the thoracic area, 30.3% at the lumbar area, and 9.1% at the sacral area. While 14.3% of patients had optimal vitamin D status during pregnancy, 64.3% had vitamin D deficiency, and 21.4% had vitamin D insufficiency. Of the patients, 21.4% received anticoagulant therapy during their pregnancy. Dual X-ray absorptiometry scans revealed that osteoporosis was predominantly in the trabecular bone (L1-L4 Z-score -2.9, Femur Z score -2.19). Management options included supplements of calcium with vitamin D (93%), weaning the baby (79%), specific treatments for osteoporosis (64%), use of a supportive corset (50%), and exercise (21%), respectively. In addition, after delivery, 35.7% of patients were administered denosumab, 21.4% bisphosphonate, and 7.1% were given teriparatide. Data of the clinical features, treatments, and outcomes of PAO may contribute to early detection and management.Öğe The role of quantitative computed tomography and magnetic resonance imaging in diagnosis and follow-up of osteoporosis: A review(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2016) Kabayel, Derya DemirbagUse of quantitative computed tomography (QCT) in bone mineral density (BMD) measurement dates earlier than dual-energy X-ray absorptiometry (DXA). However, when World Health Organization defined osteoporosis based on T score values, all BMD measurement methods except DXA lost popularity. Fear of radiation is another factor that reduced the popularity of QCT. Quantitative computed tomography evaluates trabecular, and cortical bone separately. Bone mineral density is measured volumetrically and bone is analyzed in three dimensions. Quantitative computed tomography's not being affected by arthrosic changes and vascular calcifications is a considerable advantage. It can be used in vertebra, femur, and peripheral skeleton. Radiation dose in peripheral application is negligible. Magnetic resonance imaging (MRI), even though not used in diagnosis of osteoporosis routinely, is a valuable tool in differential diagnosis as well as in research investigating the microstructure of the bone. Recently, bone strength can also be evaluated with QCT and MRI. In this review, we emphasize the role of QCT and MRI in diagnosis and follow-up of osteoporosis.
