ÖZET
Amaç:
Ailevi Akdeniz ateşi (FMF) inflamatuar bir hastalıktır ve kronik enflamasyon kemik döngüsünü ve metabolizmasını etkileyebilir. Bu çalışmanın amacı panoramik radyografiler üzerinde mandibular kemiğin morfolojik, fraktal ve dokusal özelliklerini FMF hastaları ve sağlıklı bireylerle karşılaştırmaktır.
Yöntemler:
Çalışmaya FMF tanısı alan 50 hasta ve yaş ve cinsiyet açısından uyumlu 50 sağlıklı kontrol dahil edildi. Toplam 100 hastanın dijital panoramik görüntüleri üzerinde mandibular korteksin morfolojik değerlendirmesi mandibular kortikal indeks (MKI) kullanılarak yapıldı. Trabeküler kemiğe ait fraktal boyut (FB) ve doku analizi için, ikinci küçük azı ve birinci büyük azı dişlerinin kökleri arasındaki trabeküler kemik bölgesinden 50x50 piksel büyüklüğünde ilgi alanları seçildi. FB hesaplanmasında kutu sayma yöntemi uygulandı. Bu bölgelerin piksel gri-skala düzeyleri farklı dağılımlar gösterdiğinden doku analizi için histogram eşitleme ile ön işleme yapıldı. Panoramik görüntülerin birinci derece ve gri seviye eş oluşum matrisi tabanlı ikinci derece özellikleri hesaplanarak dokusal karakterizasyonları elde edildi.
Bulgular:
Mandibular korteks MKI değerleri olgu ve kontrol grupları arasında anlamlı farklılık göstermedi (p>0,05). Trabeküler kemiğe ait FB değerleri olgu grubunda 1,43, kontrol grubunda 1,44 olup aralarında anlamlı fark yoktu (p>0,05). Trabeküler kemiğin birinci ve ikinci derece dokusal özellikleri olgu ve kontrol grupları arasında istatistiksel olarak anlamlı farklılık göstermedi (p>0,05).
Sonuç:
Mandibular kemiğin morfolojik, fraktal ve dokusal özellikleri FMF hastalarında ve sağlıklı kontrollerde panoramik radyografiler üzerinde farklılık göstermemektedir.
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