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Authors: Sarıerler, Murat
Kaya, Şöhret Elif
Kaya, Şöhret Elif
Adnan Menderes Üniversitesi, Sağlık Bilimleri Enstitüsü, Veteriner Fakültesi
Keywords: Bilgisayarlı Tomografi, Kedi, Toraks.
Issue Date: 2019
Publisher: Adnan Menderes Üniversitesi, Sağlık Bilimleri Enstitüsü
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Abstract: Bilgisayarlı Tomografi (BT) insan hekimliğinde teşhis amacıyla sıkça kullanılan, veteriner hekimlik alanında ise son yıllarda kullanımı yaygınlaşmaya başlayan bir görüntüleme tekniğidir. Veteriner hekimlik alanında son yıllarda bu tekniğin kullanılmaya başlanmasından dolayı BT ile ilgili henüz sınırlı sayıda doküman bulunmamaktadır. Yapılan araştırmalarında çoğunlukla patolojik vakalara ilişkin olması bizleri bu konuda çalışmaya yönlendirmiştir. Bu çalışmada toraks boşluğuna ait tüm yapılar BT ile detaylı bir şekilde incelenmiştir. İnceleme öncesinde çalışmaya dahil edilen tüm kediler detaylı bir muayeneden geçirilmiştir. Çalışmaya dahil edilen olguları İzmir ilindeki özel veteriner kliniğimize gelen 10 adet sağlıklı yetişkin kedi oluşturdu. Olguların hematolojik, biyokimyasal ve radyolojik tüm verilerine bakılmış ve bu sonuçlara göre herhangi bir patolojisi olmayan kediler çalışmaya dahil edilmiştir. Çalışma güvenli bir anestezi protokolü ile başlatılmıştır. Anestezi protokolü olarak medetomidin 0,08 ml/kg dozu ile hesap edilerek yapılmıştır. Olguların ilk olarak kontrastsız BT çekimleri yapılmıştır. Devamında v. jugularis’e yerleştirilen kataterden otomatik enjektör vasıtasıyla kedilerin vucüt ağırlıklarına göre kontrast madde verilmiş ve kontrastlı BT çekimleri alınmıştır. Çekimlerin bitiminde olgular tek tek güvenli bir şekilde anesteziden uyandırılmıştır. Olguların BT değerlendirilmesinde toraks boşluğu içerisinde olan trake, bronş, bronşioller, kalp ve odacıkları, büyük damarlar, mediastinum, timus v.b tüm yapıların metot bölümünde belirtilen tekniklerle ölçümleri alınmış standart sapmaları ve ortalamaları hesaplanmış ve not edilmiştir. Sırasıyla toraks boşluğunun en boy oranı, plöra kalınlığı, kalbin kısa ve uzun eksende ölçümü, perikard kalınlığı, kalbin tüm odacıklarının farklı kesitlerde interventriküler septum ve interatrial septum ölçümleri yapılmıştır. Yine akciğerler, trakea genişliği, bronş çapları, ve bronşiollerin pulmoner artere oranlarının BT ile anatomik değerlendirilmesi ve metotta belirtilen kriterler çerçevesinde ölçümlerinin alınması gerçekleştirilmiştir. Tüm bu verilerin ışığında yapılan çalışmada sağlıklı kedilerin anatomik oluşumlarının tomografik incelemelerini yapmış olmamız ileri de patolojik vakaların daha iyi bir şekilde yorumlanmasını sağlayacaktır. Aynı zamanda veteriner hekimlere yol gösterici bir kaynak olması bakımından bu çalışmanın önem arz ettiği düşüncesindeyiz.
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