Tolga Ertekin, Niyazi Acer, Ümit Erkan VURDEM, Erdoğan Unur, Mahmut Çay

Chiari Tip 1 Malformasyonlu Hastalarda Dördüncü Ventrikül Hacminin ve Herniasyon Uzunluğunun ImageJ Programı ile Hesaplanması

Amaç: Chiari malformasyonu tip 1 (CMT1), tonsilla serebelli'nin aşağıya, spinal kanala doğru herniyasyonu ile karakterize konjenital bir anomalidir. Bu çalışmanın amacı Chiari malformasyonu tip 1'li hastalarda ve kontrol grubunda ImageJ programı kullanarak 4. ventrikülün hacmini ve herniasyon gösteren tonsilla serebelli uzunluğunu belirlemektir. Gereç ve Yöntem: CMT1'li 27 hastanın manyetik rezonans (MR) görüntüleri retrospektif olarak incelendi (hasta grubu). Aynı zamanda baş ağrısı nedeniyle MR'ı çekilen, kranial ve intrakranial hiç bir patolojisi bulunmayan 18 kişi de kontrol grubu olarak incelendi. Hacim ve uzunluk değerleri ImageJ programı kullanılarak hesaplandı. Bulgular: 4. ventrikülün ortalama hacmi kontrol grubunda 1.08±0.20 cm3, hasta grubunda 1.01±0.27 cm3 olarak belirlendi. İki gruptan elde edilen ventrikül hacimleri istatistiksel olarak farklı değildi (p>0.05). Hasta grubunda ortalama herniasyon uzunluğu 9.48±3.22 mm olarak bulundu. Her iki grupta da yaş ile diğer değişkenler (hacim ve uzunluk) arasında herhangi bir ilişki belirlenmedi (p>0.05). Sonuç: Bu çalışma 4. ventrikül hacminin ve herniasyon gösteren tonsilla serebelli uzunluğunun Image J programı ile ölçülebileceğini göstermiştir. Klinik bulgular ile korele edildiğinde bu ölçümlerin CMT1'li vakaların değerlendirmesine katkıda bulunacağını düşünmekteyiz. Anahtar kelimeler: Arnold-Chiari Malformasyon; Manyetik Rezonans Görüntüleme; Dördüncü Ventrikül.

Anahtar Kelimeler:

Arnold-Chiari Malformasyon; Manyetik Rezonans Görüntüleme; Dördüncü Ventrikül.

Calculation of the Volume of Fourth Ventricle and the Length of Herniation Using the ImageJ Software in Patients with Chiari Type I malformation

Objective: The Chiari type 1 malformation is a congenital anomaly which is characterized by downward displacement of the cerebellar tonsils into the cervical spinal canal. The aim of this study was to determine the volume of fourth ventricle and the length of herniated cerebellar tonsils in patients with Chiari type I malformation and control group using ImageJ program. Material and Methods: We retrospectively investigated magnetic resonance (MR) images from 27 patients with Chiari type I malformation (patient group). We also investigated MR images from 18 subjects as a control group who underwent an MRI complaining of headaches with the results showing no cranial or intracranial pathology. The volume and length were estimated using the ImageJ program Results: The mean volumes of fourth ventricle were determined as a 1.08±0.20 cm3 and 1.01±0.27 cm3 for control group and patient group, respectively. Ventricle volumes obtained from two groups were not statistically different (p>0.05). We found that the mean length of herniation was 9.48±3.22 mm in the patient group. We did not determine any relationship between age and any of these variables (volume and length) in both groups. Conclusion: This study has shown that the volume of fourth ventricle and the length of herniated cerebellar tonsils can be measured by ImageJ program. We think that when correlated with clinical findings, these measurements may contribute to the evaluation of Chiari type I malformation cases. Key words: Arnold-Chiari Malformation; Magnetic Resonance Imaging; Fourth Ventricle.

Keywords:

Arnold-Chiari Malformation; Magnetic Resonance Imaging; Fourth Ventricle.,

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