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Sedat Giray Kandemirli Zuhal Bayramoglu Emine Caliskan Zeynep Nur Akyol Sari Ibrahim Adaletli 《Journal of Medical Ultrasonics》2018,45(3):417-423
Objective
Hashimoto’s thyroiditis is the most common autoimmune thyroid disorder in the pediatric age range. Measurement of thyroid gland size is an essential component in evaluation and follow-up of thyroid pathologies. Along with size, tissue elasticity is becoming a more commonly used parameter in evaluation of parenchyma in inflammatory diseases. The aim of the current study was to assess thyroid parenchyma elasticity by shear-wave elastography in pediatric patients with Hashimoto’s thyroiditis; and compare the elasticity values to a normal control group.Materials and methods
In this study; thyroid glands of 59 patients with a diagnosis of Hashimoto’s thyroiditis based on ultrasonographic and biochemical features, and 26 healthy volunteers without autoimmune thyroid disease and thyroid function disorders, were evaluated with shear-wave elastography. Patients with Hashimoto thyroiditis were further subdivided into three categories based on gray-scale ultrasonography findings as focal thyroiditis (grade 1), diffuse thyroiditis (grade 2), and fibrotic thyroid gland (grade 3).Results
Patients with Hashimoto’s thyroiditis (n = 59) had significantly higher elasticity values (14. 9 kPa; IQR 12.9–17.8 kPa) than control subjects (10.6 kPa; IQR 9.0–11.3 kPa) (p < 0.001). Of the 59 patients with Hashimoto’s thyroiditis, 23 patients had focal thyroiditis involving less than 50% of the gland categorized as grade 1, 24 patients had diffuse involvement of the thyroid gland categorized as grade 2, and 12 patients had marked hyperechoic septations and pseudonodular appearance categorized as grade 3 on gray-scale ultrasound. Based on elastography, grade 3 patients had significantly higher elasticity values (19.7 kPa; IQR 17.8–21.5 kPa) than patients with grade 2 (15.5 kPa; IQR 14.5–17.8 kPa) and grade 1 thyroiditis (12.8 kPa; IQR 11.9–13.1 kPa) (p < 0.05). Patients with grade 2 thyroiditis had significantly higher elasticity values than those with grade 1 thyroiditis (p < 0.05).Conclusion
Gray-scale ultrasound findings of heterogeneous echotexture and hypoechoic echogenicity reflect a longer duration of inflammation and may not be found in the initial stages of thyroiditis. Our results indicate that shear-wave elastography could be used to evaluate the degree of fibrosis in Hashimoto’s thyroiditis.2.
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Bedia KK Elçin O Seda U Fatma K Nathaly S Sevim R Dimoglo A 《European journal of medicinal chemistry》2006,41(11):1253-1261
A series of hydrazide-hydrazones, based on a series of 4-substituted benzoic acid, were synthesized, and their structures were elucidated and screened for the antituberculosis activity against Mycobacterium tuberculosis H37Rv with the help of the BACTEC 460 radiometric system. Compound 3, 4-fluorobenzoic acid [((5-nitro)thiophen-2yl) methylene]hydrazide showed the highest inhibitory activity in this series. The search of pharmacophores was done by means of the Electronic-Topological Method (ETM). The model developed in this study is supposed to be applied to the design, preparation and screening of new compounds of similar structure in order to further test and optimize the model with the eventual goal of preparing new anti-tubercular agents. 相似文献
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Kandemirli F 《Arzneimittel-Forschung》2002,52(10):731-739
Structure-activity relationships (SAR) studies were performed for a series of heterocyclic cannabinoids by using the Electronic-Topological Method (ETM). Biological activities of the compounds possessing different skeletons were measured on cannabinoid receptor binding affinity. Molecular fragments being specific for active compounds only ('activity features') were revealed. In a similar way, "breaks of activity" (i.e. molecular fragments that are typical of inactive compounds and cannot be a part of an active compound) were calculated by applying the ETM. Requirements necessary for a compound to be active were formulated; they resulted from detailed analysis of all compounds under study. For better understanding, appropriate examples of the requirements violation that cause a decrease or loss of the activity in view were found. 相似文献
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Investigation of structure-activity relationship on 17-spirolactone derivatives: the electronic-topological approach 总被引:2,自引:0,他引:2
Sixty steroid homologues belonging to a series of 17-spirolactone derivatives such as aldosterone antagonists were investigated by electronic-topological method (ETM). Activity features Ph1-Ph3 that also are called pharmacophores were revealed. The pharmacophore Ph1 consists of two oxygen atoms and four carbon atoms. The mineralocorticoid activity appeared to be affected by the distance between the two oxygen atoms. Features AP1-AP3 that are characteristic of inactive compounds (or anti-pharmacophores) were also revealed. Comparative analysis of molecules that include either pharmacophores or anti-pharmacophores was carried out. 相似文献
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Conformational analysis and quantum chemical calculations were carried out using molecular mechanics (MMP2) and semi-empirical quantum chemistry (CNDO/2) methods for 51 steroid homologues belonging to a series of 17-spirolactones. Matrices called Electronic-Topological Matrices of Conjunction (ETMCs) were formed using data obtained from quantum chemical calculations. A structural fragment of activity was identified in the series of steroids. As seen from the fragment's properties, active compounds are characterized by the presence of two atoms of oxygen, O1 and O3, which are situated at a distance of 13.5 A and possess high negative charges (-0.29 to -0.31 e). 相似文献
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Belge Gokce Bilgin Cem Ozkaya Guven Kandemirli Sedat Giray Alper Eray 《Annals of nuclear medicine》2020,34(6):432-440
Annals of Nuclear Medicine - The prognostic value of SUV on pretreatment F-18 FDG PET/CT imaging in patients with rectal cancer is a matter of debate. SUR is of prognostic value for survival in... 相似文献
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Onur Tutar Sedat Giray Kandemirli Duzgun Yildirim Emine Sebnem Memis Selim Bakan 《Surgical and radiologic anatomy : SRA》2016,38(5):615-617
Vein of foramen caecum has been classically described as a vein that connects nasal mucosa to the superior sagittal sinus in classic anatomy textbooks. However, its existence is controversial in literature. Herein, we demonstrated computed tomography and contrast enhanced magnetic resonance imaging findings of a tubular vascular structure extending to nasal mucosa and superior sagittal sinus. 相似文献