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Objectives-The aim of the study was to scrutinize the value of qualitative elastography in the diagnosis of salivary gland masses.Methods-Sixty patients were enrolled in this prospective study. Patients aged between 1 and 91 years (mean age, 48.8 ± 20.48) with a salivary gland mass were studied with real-time elastography. All patients were examined by 1 examiner, blinded to all relevant data. On elastography, masses were scored into 4 types according to their stiffness compared to normal tissue. Scores of 3 and 4 were accepted as signs of malignancy. Sensitivity, specificity, and positive and negative predictive value were calculated for elastography in verifying malignancy.Results-Forty-two percent of the masses were located in the parotid, and the rest in submandibular gland. The diameter of the lesions varied between 12 and 60 mm (mean, 24.36 ± 11.98 mm). Forty-four masses were benign (73%), and among them the majority were inflammatory lesions (31 of 60; 51.7%). There were 16 malignant lesions (27%). On elastography, not only all malignant lesions but 15 benign lesions were scored as 3 to 4. All masses scored as 1 to 2 were benign. Sensitivity was 100%; specificity, 66%; positive predictive value, 52%; and negative predictive value, 100%. When only Score 4 lesions were accepted as malignant, these values became 75%, 77%, 55%, and 90%, respectively.Conclusions-Elastography alone cannot be used to discriminate malignant from benign in the evaluation of salivary gland lesions. However, with its high negative predictive value, it may be used as an adjunct tool to increase the diagnostic value of ultrasonography.

Background:Data on thyroid imaging reporting and data system (TI-RADS) generally belong to studies performed in adults. Therefore, we aimed to evaluate the performance and utility of TI-RADS in the pediatric group.Materials and Methods:From January 2015 to 2018, 108 nodules were evaluated in 1028 thyroid ultrasound examinations. Images were retrospectively evaluated by two radiologists with 3 and 7 years of pediatric radiology experience, according to TI-RADS classification. Morphological findings of the detected nodules and their histopathological results were recorded. Histopathological findings and at least 12 months of follow-up imaging were taken as reference.Results:Seventy-one patients were female (67%). The mean age was 11.4 ± 4.7, and the mean nodule size was 7.4 ± 8.3 mm. According to the histopathological assessment and at least 12 months’ follow-up with clinical and sonographic stability 100 (95.2%) of the nodules were benign and 5 (4.8%) were malignant. Two nodules, nondiagnostic cytology and 1 nodule were found to be suspicious for malignancy. All malignant nodules were in the TI-RADS 5 category. The majority of benign nodules (79%) were found in low TI-RADS categories. About 80% of the malignant nodules were very hypoechoic and taller than wide in shape, also all malignant nodules had microcalcifications (P = 0.000). The sensitivity of TI-RADS was 100%, specificity was 78.8%, positive predictive value (PPV) was 19.2%, and negative predictive value (NPV) was 100%.Conclusion:According to our study, TI-RADS system can be used to evaluate thyroid nodules in pediatric patients similar to adults.

Amaç: Çalışma doğum için başvuran gebelerin empatik iletişim açısından ebelerden beklentileri ve bu beklentilerin karşılanma durumunu değerlendirmek amacıyla tanımlayıcı olarak yapılmıştır. Gereç ve yöntem: Çalışma Konya Dr. Faruk Sükan Doğum ve Çocuk Hastalıkları Hastanesi doğum servisine 1 Aralık 2012 -1 Şubat 2013 tarihleri arasında doğum yapmak üzere başvuran, çalışmaya katılmayı kabul eden 200 gönüllü gebe ile yapılmıştır. Verilerin toplanmasında; 30 soruluk anket formu ve gebelerin, ebelerden beklentilerini ve gerçekte yaşadıklarını değerlendirmek amacıyla Tutum Anketi kullanılmıştır. Bulgular: Çalışmaya katılan gebelerin yaş ortalaması 25.74±5.74 yıl idi. Gebelerin tüm empatik iletişim özelliklerine yüksek düzeyde önem verdikleri ve ebelerden beklentilerinin oldukça yüksek olduğu belirlenmiştir (4.26±0.52). Buna karşılık gerçekte yaşadıklarından duydukları memnuniyet düzeyi ise oldukça düşük olup (3.57±0.56), aradaki fark istatistiksel olarak anlamlı bulunmuştur (p<0.05). Ebelerin "saygılı davranma" özelliği gebelerin birinci sırada önem verdikleri bir empatik iletişim özelliğidir (4.73±0.52). Ancak, gebelerin deneyimlerine göre ebelerden karşılanan en yüksek iletişim özelliği ise "iyi ve temiz giyinme" olarak bulunmuştur (4.18±0.73). Sonuç: Ebelerin özellikle, saygılı davranma, güler yüzlülük ve ilgi açısından gebelerin beklentilerini karşılayacak iletişim uygulamalarını geliştirmelerinin gerekliliği söz konusudur Anahtar sözcükler: Ebelik, gebe, empatik iletişim, beklenti Satisfaction status of pregnant women who presented to hospital for delivery in terms of empathic communication expectations met by midwivesObjective: The study was descriptively undertaken in order to assess expectations of the pregnant women who presented to the hospital to give birth from midwives in terms of empathic communication and to detect the level at which their expectations were met. Materials and methods: The study was conducted with 200 voluntary pregnant women who accepted to participate in the study and presented to Maternity Ward of Konya Dr. Faruk Sükan Maternity Hospital in order to give childbirth between the 1 st of December 2012 and the 1 st of February 2013. For the data collection; a questionnaire form of 30 questions and Attitude Scale that explored their expectations from midwives and their actual experiences with midwives were used. Results: The mean age of the pregnant women was 25.74±5.74 years. It was found out that pregnant women paid much attention to all of the communicational aspects and their expectations from midwives were high (4.26±0.52). Yet, satisfaction levels of actual experiences they had with midwives was met were rather low (3.57±0.56). The difference between was statistically significant (p<0.05). Midwives' "acting respectfully" was the most emphasized empathic communication aspect expressed by the pregnant women (4.73±0.52). However; according to the pregnant women's actual experiences with midwives, the most valued communicational aspect of midwives was "wearing neat and clean clothes" (4....

We aimed to evaluate the findings and results from breast magnetic resonance imaging (MRI) examinations performed for problem-solving purposes due to inconclusive conventional imaging findings. METHODS Imaging findings, biopsy and follow-up results were retrospectively evaluated for breast MRI performed for problem-solving purposes at our department between January 2011 and December 2016 for cases whose mammography, tomosynthesis, or ultrasonography findings were inconclusive. RESULTS Lesions were identified in 414 of 986 problem-solving MRI examinations, and 13.3% of these lesions were diagnosed as malignant. A total of 124 lesions were additionally found by MRI, and 9.7% of these lesions were diagnosed as malignant. MRI produced false-negative results in four cases. In cases whose conventional imaging methods yielded indefinite results, the sensitivity, specificity, negative and positive predictive values of MRI were found to be 96.3%, 83%, 99.3%, and 46.5%, respectively. For the additional lesions identified, the sensitivity, specificity, negative and positive predictive values of MRI were found to be 91.7%, 69%, 98.7%, and 24%, respectively. CONCLUSION Breast MRI is a reliable problem-solving method for excluding malignancy that cannot be confirmed by conventional imaging. In such cases, additional findings from MRI may help identify new cancers that cannot be detected with conventional methods. However, it has moderately low specificity which may cause unnecessary biopsies, follow-ups, and anxiety to patients.