Browsing by Author "Bora, A."

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Comparative Evaluation of Ceftriaxone- and Cefotaxime-Induced Biliary Pseudolithiasis or Nephrolithiasis: a Prospective Study in 154 Children
(Sage Publications Ltd, 2017) Ustyol, L.; Bulut, M. D.; Agengin, K.; Bala, K. A.; Yavuz, A.; Bora, A.; Dogan, M.
Background: Biliary lithiasis, or sludge, and nephrolithiasis have been reported as a possible complication of ceftriaxone therapy. However, no study related to cefotaxime-induced biliary pseudolithiasis or nephrolithiasis was observed in the literature. Therefore, we investigated the comparative formation of biliary pseudolithiasis and nephrolithiasis after cefotaxime and ceftriaxone therapies. Methods: The patients treated with ceftriaxone or cefotaxime were enrolled during the study period. Ultrasound imaging of the biliary and urinary tract was performed in all patients before and after the treatment. The patients with a positive sonographic finding at the end of treatment were followed up with monthly ultrasonography for 3 months. Results: The present study showed that abnormal biliary sonographic findings were demonstrated in 18 children (20.9%) treated with ceftriaxone, 13 (15.1%) had biliary lithiasis, 5 (5.8%) had biliary sludge and 1 (1.2%) had nephrolithiasis. Abnormal biliary sonographic findings were demonstrated in only four (5.9%) children treated with cefotaxime who had biliary sludge and only one (1.5%) had nephrolithiasis. It was observed that older age was at significantly higher risk of developing biliary sludge or stone formation. Receiver operating characteristic analysis was performed to determine the residual risk and analysis found that 4.5 years was the cut-off value for age. Conclusions: The present study is unique in the literature for reporting for the first time gall bladder sludge and nephrolithiasis associated with cefotaxime use. Therefore, patients treated with cefotaxime should be monitored for serious complications like patients treated with ceftriaxone. Nevertheless, if third-generation cephalosporin is used, cefotaxime is recommended to be used rather than ceftriaxone.
Comparison of the Effect of the Rotation Palatoplasty and V-Y Pushback Palatoplasty Techniques on Palate Elongation With Magnetic Resonance Imaging
(Churchill Livingstone, 2015) Isik, D.; Bora, A.; Yuce, S.; Davran, R.; Kocak, O. F.; Canbaz, Y.; Atik, B.
Most surgical techniques used in cleft palate repair require the extension of the palate to the pharynx. However, no adequate information exists regarding the extent to which this elongation obtained during operation continues in late postoperative period. In this study, we compared and measured palate elongation in patients with a cleft palate who underwent a V-Y pushback or rotation palatoplasty, by means of magnetic resonance images obtained before and 1 year after surgery. The hard palate, soft palate, and total palate lengths were measured for all of the patients, and the velopharyngeal opening area width was calculated. In patients who underwent the V-Y pushback technique (n = 13), the total palate and soft palate lengths were shortened by an average of 0.10 and 0.14 cm after surgery, respectively. However, the hard palate length was elongated by an average of 0.13 cm. In the rotation palatoplasty group (n = 13), the total palate, hard palate, and soft palate lengths were elongated by 0.57, 0.10, and 0.49 cm, respectively. The velopharyngeal opening was narrowed by 0.06 cm(2) using the V-Y pushback technique and by 0.29 cm(2) using the rotational palatoplasty. This study demonstrated that the palate does not elongate during the V-Y pushback technique, as expected. However, rotational palatoplasty elongates the soft palate.
Computed Tomography: Are We Aware of Radiation Risks in Computed Tomography
(Yuzuncu Yil Universitesi Tip Fakultesi, 2014) Bora, A.; Açıkgöz, G.; Yavuz, A.; Bulut, M.D.
People are constantly exposed to varying radiation and almost all of this exposure is due to diagnostic procedures. Although radiation has been proven to have adverse biological effects on living organisms, radiological examinations have an indispensable role in the diagnosis. Particularly, Computed Tomography (CT) is valuable imaging tool and plays an important role in the evaluation of many diseases. Radiation doses from CT scans ought to be kept to the ALARA (as low as reasonably achievable) and it shouldn’t be forget that procedures are important in patient safety during imaging in the diagnostic radiology departments. The purpose of this review article is to support that no radiation doses can be considered completely safe and all efforts must be made to reduce both the radiation dose and damage. © 2014, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Diffusion-Weighted Mri in the Diagnosis of Intracranial Hematomas
(2013) Şanli, D.; Ünal, O.; Bora, A.; Beyazal, M.; Yavuz, A.; Avcu, S.
To determinate the diagnostic value of diffusion-weighted MR imaging (DWI) in intracerebral hematomas, epidural hematomas, subdural hematomas, and subarachnoid hemorrhage, and to assess the contribution of diffusion signal characteristics in the differentiation of hematoma stages. In this prospective study, consecutive 67 patients (range: 3-89 years), 35 (18 men 17 women) with intracerebral hematoma, 18 (10 men 8 women) with subdural hematoma, 2 (1 man 1 woman) with epidural hematoma, and 12 (5 men 7 women) with subarachnoid hemorrhage on conventional MRI sequences constituted the case group and were evaluated with DWI. Intracerebral, subdural and epidural hematomas detected on conventional MR sequences were also shown on DWI. But none of the cases with subarachnoid hemorrhage was demonstrated on DWI. All intracranial hematomas detected on DWI except from chronic stage subdural hematomas showed similar signal intensity characteristics on DWI and T2WI, but were hypointense on ADC maps. All intracerebral, subdural and epidural hematomas seen on conventional MR sequences could be detected by DWI. On the contrary, DWI was not an effective imaging method for detecting subarachnoid hemorrhages. Using DWI alone for detecting the stages of hemorrhages can provide only additional information in subdural and intracerebral hematomas, and it is unable to give definite results, and the lesions should be evaluated by the correlation with other conventional MRI sequences.
Endovenous Laser Ablation Treatment With 980 Nm Diode Laser for Saphenous Vein Insufficiency: 6 Months Follow Up Results
(Assoc Royal Soc Scientifiques Medicales Belges, 2014) Beyazal, M.; Avcu, S.; Ozen, O.; Yavuz, A.; Bora, A.; Unal, O.
Objective: Superficial venous insufficiency is a common problem associated with varicose veins which, if untreated, may progress to venous ulceration. Endovenous laser ablation (EVLA) is a new, minimally invasive method for management of superficial venous insufficiency and varicose veins. The aim of this study was to demonstrate the effectiveness of 980 nm EVLA for treatment of symptomatic saphenous venous insufficiency and to present its early outcomes. Methods: Thirty-eight great saphenous veins and 5 small saphenous veins in 40 patients with saphenofemoral reflux were treated with 980 nm diode endovenous laser equipment. The diameter and length of the vein treated, total laser energy and energy density (Joules/cm) delivered were recorded. To determine the severity of the venous disease Venous Clinical Severity Score (VCSS) and Visual Analogue Scale (VAS) were used. Patients were followed up for 6 months after the procedure. Complications were recorded prospectively. Results: Forty-three saphenous veins in 40 patients were treated. The mean age of the patients was 39.9 (range 2172) years. The mean diameter and length of the veins were 4.9 mm (range, 3.5 to 8.5 mm) and 30.2 cm (range, 16 to 50 cm), respectively. At 6 months follow-up, total occlusion rate was 95.4% (41/43), and recanalization rate was 4.6%. Significant decrease was observed for VCSS and VAS scores after the procedure. No major complication was detected. Conclusion: EVLA treatment for superficial venous insufficiency is safe and can be carried out under local anaesthesia in an outpatient setting with good patient satisfaction and low complication rates.
Examination of Atypical Located Hydatid Cyst Disease in Eastern Turkey
(Yuzuncu Yil Universitesi Tip Fakultesi, 2016) Bora, G.; Sünnetçioğlu, A.; Sünnetçioğlu, M.; Bora, A.; Yılmaz, Ö.; Çim, N.; Baran, A.İ.
The hydatid cyst disease is a zoonotic infection caused by Echinococcus granulosus. It usually causes infection in the liver and lungs. To a lesser extent, it may cause infection in the spleen, heart, bones and central nervous system. In this study, serological examination of hydatid cyst cases showing localization out of liver and lungs has been aimed. The clinical, radiological, and serological findings of a total 435 patients included to the examination between May 2010 and 2013, have been evaluated together. The indirect hemagglutination (IHA) test results were retrospectively scanned from hospital database of 288 patients among those who have received treatment because of hydatid cyst. The findings have been evaluated statistically through Chi-square trend analysis method according to ages and their localizations. According to the data obtained, 12 (7.2%) of 288 patients showing atypical localization in IHA (Indirect hemagglutination) results were positive and 13(9.6%) of them were found negative (p=3.393). According to the IHA results of 263 patients showing localization in liver and lungs 151 of them were positive and 112 of them were negative (p=3.393). The hydatid cyst is a disease that can be seen in every age range, besides, atypical localizations can also be seen in any age range. In terms of protecting public health, the public’s awareness should be raised and a greater emphasis on prevention methods are needed. © 2017 Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
How Appropriate Are the Lengths of Syringe Needles Used for Subcutaneous Injections To the Children at School Age
(Univ West indies Faculty Medical Sciences, 2021) Kaba, S.; Dogan, M.; Bulan, K.; Yavuz, A.; Bora, A.; Didin, M.; Kocaman, S.
Objectives: To define the normal ranges of the thicknesses of the skin and subcutaneous tissues via ultrasonography, and determine whether the current syringe needle-lengths used for the subcutaneous injections were appropriate. Methods: The thicknesses of the skin and subcutaneous tissues of 2244 students were measured at the left arm using ultrasonography. The patients were divided into three groups based on their age: 6-8, 9-12 and 13-17 years. Results: The thicknesses of the skin, subcutaneous tissue and skin-subcutaneous tissue were found to be positively correlated with their age, body mass index (BMI) and body surface area. All these were observed to be gender related. There was the possibility to make intramuscular injections for 50%, 25% and 25% of boys within the age groups of 6-8, 9-12 and 13-17 years, respectively. For girls, the risk of intramuscular injection was 25% for all the age groups. Conclusion: The study showed that the skin and skin-subcutaneous tissue thicknesses varied as a function of the patients' age, gender, BMIs and body surface areas.
Investigation of Brucella Seroprevalence in Human and Livestocks in Igdır, Turkey
(Yuzuncu Yil Universitesi Tip Fakultesi, 2016) Bora, G.; Akkoyunlu, Y.; Berköz, M.; Açıkgöz, G.; Berktaş, M.; Altındağ, F.; Bora, A.
Brucellosis is a zoonotic disease of worldwide and still remains endemic in some developing countries, especially in Turkey. Milk is the main food product serving as a vector for Brucella. In this study we aimed to investigate the seroprevalence of human and animal brucellosis. The study group consisted of 358 subjects who had high risk occupations of animal breeder and farmer. The test results were interpreted and titers equal or in excess of 1/40 were considered significant. 189 farm animals were incorporated to our research. Among these animals, 104 of them were sheep and goat and 85 of them were cattle. The Brucellosis Milk Ring Test was used to test raw milk samples collected the selected herds in the study area. The seroprevalence of human brucellosis was 6.7%. Seroprevalence of animal brucellosis was found as 22.75% in livestocks. This study is important for being the first study in recent years that demonstrates the Brucella seropositivity rates in Igdır Province. This high seropositivity in our region may depend on the high rates of animal brucellosis; those of which were inadequate under control by veterinary and by vaccination and people who consume the milk by without boiling. © 2016 Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
The Involvement of Distinct Neural Systems in Patients With Obsessive-Compulsive Disorder With Autogenous and Reactive Obsessions
(Wiley, 2011) Besiroglu, L.; Sozen, M.; Ozbebit, O.; Avcu, S.; Selvi, Y.; Bora, A.; Bulut, M. D.
Objective: To investigate the regional metabolite abnormalities and changes after treatment in patients with OCD with autogenous and reactive obsessions. Method: We assessed right anterior cingulate cortex (ACC) and amygdala-hippocampal region (Am + Hpp) N-acetyl-aspartate (NAA), choline (Cho) and creatine (Cr) concentrations and NAA/Cr and Cho/Cr ratios using single-voxel proton magnetic resonance spectroscopy in 15 patients with autogenous obsessions (OCD-A), 15 patients with reactive obsessions (OCD-R) and 15 healthy controls (HC). Measurements were repeated after 16 weeks of fluoxetine treatment. Results: Baseline ACC NAA/Cr ratios of both OCD groups were significantly lower than HC. OCD-A group had significantly lower baseline NAA/Cr ratios in the Am + Hpp than other groups. These differences were more likely to be explained by higher Cr levels in ACC. We found no significant differences and changes for Cho levels and Cho/Cr ratios between groups and within groups. Significant increase in NAA/Cr ratios of OCD-A group found in the Am + Hpp was more likely to be explained by increased NAA levels. No significant changes were found in ACC NAA/Cr ratios. Conclusion: While disturbed energy metabolism in ACC might reflect a common pathology in patients with OCD regardless of symptom dimension, alterations in mesiotemporal lobe are more likely for autogenous obsessions.
Large Chondrosarcoma of Skull Base: an Unusual Intracranial Tumor in a Young Male
(2007) Avcu, S.; Turan, A.; Ünal, Ö.; Bora, A.
A 25-year-old male presented with headache. He was noted to be neurologically intact on physical examination. He had normal laboratory findings. CT and MR imaging showed a large right temporal mass. Radiological diagnosis was cartilaginous tumor arising from the skull base. The patient underwent surgery at another hospital. The histopathologic features were supporting the radiologic diagnosis being evaluated as mixoid type chondrosarcoma. Although intracranial cartillaginous tumors are rare, the diagnosis can be possible with careful radiological analysis.
Magnetic Resonance Imaging Findings in Cerebral Venous Thrombosis Due To Behcet's Disease and the Importance of Susceptibility-Weighted Imaging: Case Report
(Turkish Society of Cerebrovascular Diseases, 2015) Bulut, M.D.; Yavuz, A.; Milanlioglu, A.; Bora, A.; Gülsen, I.
Cerebral venous thrombosis (CVT) is an uncommon disorder that can lead to an unfavorable prognosis and even be fatal in some cases. CVT is seen mainly in females, especially those between the ages of 20 and 35 years. The disorder has many etiologic factors. This report presents the case of a 34-year-old male patient with Behçet's disease admitted with complaints of headache and vomiting. The major venous vascular structures that were visible in cranial magnetic resonance imaging (MRI) and MR venography were found to be filled with thrombosis. The patient's susceptibilityweighted imaging (SWI) revealed marked hypointensities consistent with thrombosis in the transverse sinus, sigmoid sinus, and in the venous vascular structures of the posterior fossa. Thus, it was found that cerebral venous thrombosis due to Behçet disease could clearly be determined by the SWI sequence; in addition, thrombosis by the venous vascularity in veins of the posterior fossa were more visible than via the other MR sequences. The conclusion was made that SWI can promptly demonstrate cerebral venous thrombosis, contribute to the diagnosis, and provide useful additional information.
Massively Enlarged Kidneys Due To Leukemic Infiltration in a Child
(2010) Doǧan, M.; Bay, A.; Bora, A.; Açikgöz, M.; Öner, A.F.
A few cases with bilateral renal enlargement in acute lymphoblastic leukemia were reported in literature. In this article, we reported an unusual case of a child with precursor B-ALL presenting with massively enlarged bilateral unobstructed kidneys and acute renal failure. Renal involvement of ALL should be taken into consideration in case with massively enlarged bilateral kidneys in radiological examination. Based on radiological, clinical and laboratory findings including bone marrow aspirate examination, the patient could be diagnosed as ALL without renal biopsy.
Primary Extraskeletal Ewing Sarcoma Originating From Chest Wall in a Child
(TIP ARASTIRMALARI DERNEGI, 2010) Avcu, S.; Akdeniz, H.; Bora, A.; Arslan, H.; Ünal, Ö.
We report the ultrasonography (US) and computed tomography (CT) findings of a rare case of extraskeletal Ewing sarcoma involving the left chest wall with a diameter of 4cm in a 5 years old girl. The lesion was heterogenously hypoechoic on sonography with a lobulated smooth contour. On CT, the lesion had central necrotic areas and was enhancing heterogeneously. With these US and CT findings surgical excision of the tumor was performed. Histopathologically the mass was evaluated as round cell malignant neoplasm (Ewing tumor/ "Askin tumor"/ primitive neuroectodermal tumor (PNET)). Chemotherapy and radiotherapy were planned to the patient.
The Relation Between Pelvic Varicose Veins and Lower Extremity Venous Insufficiency in Women With Chronic Pelvic Pain
(Assoc Royal Soc Scientifiques Medicales Belges, 2012) Bora, A.; Avcu, S.; Arslan, H.; Adali, E.; Bulut, M. D.
Purpose: To determine the relation between pelvic varicose veins and lower extremity venous insufficiency in women with chronic pelvic pain. Methods and Materials: This study was done in Yuzuncu Yil University Faculty of Medicine, Department of Radiology, with patients who were referred for abdominal and pelvic imaging between January 2007 and April 2008. A total of 1029 women with pelvic imaging study were included in the study. The presence of venous dilatations (diameter > 5 mm) in parauterine and paraovarian localizations were accepted as pelvic varicose veins. In all patients, endometrial thickness was measured and lower extremity venous system was examined with Doppler ultrasonography to assess possible associated venous insufficiency. All patients were undergone questionnaire for frequency of delivery, age, and chronic pelvic pain. Results: Pelvic varicose veins were discovered with transabdominal ultrasound and computerized tomography in 56 of 1029 patients. Various degrees of associated lower extremity venous insufficiency were also discovered in 44 of 56 patients (78,6%) with pelvic venous dilatation. Of the 44 patients with lower extremity venous insufficiency, 21 were bilateral, 9 were right-sided, and 14 were left-sided. Endometrial thickness was significantly increased in patients with pelvic venous dilatation. Conclusion:The presence of pelvic varicose veins is significantly associated with lower extremity venous insufficiency. Since the diagnosis of lower extremity venous insufficiency plays an important role in deciding the course of treatment, lower extremity Doppler ultrasonography examination would be useful to include in the evaluation of pelvic varicose veins.
Retroperitoneal Castleman Disease With Paravertebral Localization Mimicking Nephrolithiasis: a Rare Case
(Yuzuncu Yil Universitesi Tip Fakultesi, 2014) Kaba, M.; Pirinççi, N.; Yavuz, A.; Bora, A.; Soyoral, L.; Bulut, G.
Castleman’s Disease (CD), is a rare condition of uncertain etiology, involves a massive proliferation of lymphoid tissues and typically presents as mediastinal masses. In general, CD is an incidentally diagnosed disease with an asymptomatic course in most cases. We aimed to present a 48-year old woman who presented with left flank pain and had calcifications at the localization of left kidney on abdomen x-ray. The retroperitoneal mass with paravertebral localization was evaluated, because the size of mass in our case was larger than traditional sizes seen in Castleman Disease and calcifications and localization of the mass on KUB x-ray can mimic renal stone disease. © 2014, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Supernumerary Nipples, Congenital Scoliosis, Spina Bifida Occulta, Tethered Cord and Diastematomyelia
(Yuzuncu Yil Universitesi Tip Fakultesi, 2015) Dogan, M.; Kaba, S.; Bora, A.; Bulan, K.; Kocaman, S.
A 3-months old girl who presented to our clinic with accessory breast and had signs of supernumerary nipples, congenital scoliosis and diastematomyelia was presented as she didn’t correspond to any known syndrome. © 2015 Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Ultrasound-Guided Percutaneous Treatment of Abscess Foci in Different Localizations of the Body: Results of Three Year-Experience
(Yuzuncu Yil Universitesi Tip Fakultesi, 2015) Bulut, M.D.; Yavuz, A.; Bora, A.; Batur, A.; Beyazal, M.; Avcu, S.
In this study, we evaluated abscess foci which are found in different localizations of the body, diagnosed with US, CT and MRI and performed US-guided percutaneus drainage. We evaluated the effectiveness of treatment, etiologic factors, organs and localizations of abscess in the cases who underwent drainage. A total of 63 patients diagnosed with abscess in different tissues and organs, had US-guided percutaneous drainage performed (34 male, 29 female aged between 1-75 years), and 68 abscess foci were analysed. Abscess size varied between 2.5-21 cm and the mean diameter was detected as 8 cm. Diagnosis of abscess was made with US in 45 cases, CT in 23 cases and MRI in 6 cases. While 48 out of 68 abscess foci were simple, 20 were multilocular and contained septations. Air was observed in 19 of all abscess foci. Clinical findings of abscess completely resolved in 60 out of 63 patients who underwent abscess drainage (95.2%). In 3 abscess, the abscess cavity did not shrink as desired due to multiloculation, dense content, adhesions and fistulization. A drainage catheter had also been inserted, so a decision of surgical therapy was made. Secondary drainage was applied due to recurrence in 2 patients. Thirty two abscess foci (47%) developed postoperatively. Complications were not observed in any of the cases. The duration of catheter was calculated as 5-23 days (mean 10.5 days). US-guided percutaneous drainage should be the primarily preferred method in treatment of abscess and collections as it is easily applicable, does not require general anesthesia, is well tolerated, and has high success and low complication rates. © 2015, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Us and Ct Findings of Hibernoma in an Unusual Location
(2013) Yavuz, A.; Bora, A.; Beyazal, M.; Göya, C.
Hibernomas are asymptomatic, slow-growing tumors occurring in the anatomical sites where of brown fatty tissue was found in fetal life such as inter-scapular region or thigh. Retroperitoneal localization is an unusual site for this tumor and only few cases have been published in the literature. These tumors are benign in nature without any recurrence after total excision or evidence of metastasis. The purpose of this presentation is to demonstrate the US and CT findings of retroperitoneal hibernoma with the review of the literature.
Utility of Computed Tomography in Assessment of Pulmonary Hypertension Secondary To Biomass Smoke Exposure
(International Scientific Literature Inc., 2014) Sertogullarindan, B.; Bora, A.; Yavuz, A.; Ekin, S.; Gunbatar, H.; Arisoy, A.; Ozbay, B.
Background: The aim of this study was to investigate the feasibility of main pulmonary artery diameter quantification by thoracic computerized tomography (CT) in the diagnosis of pulmonary hypertension seconder to biomass smoke exposure. Material/Methods: One hundred and four women subjects with biomass smoke exposure and 20 healthy women subjects were enrolled in the prospective study. The correlation between echocardiographic estimation of systolic pulmonary artery pressure and the main pulmonary artery diameter of the cases were studied. Results: The main pulmonary artery diameter was 26.9±5.1 in the control subjects and 37.1±6.4 in subjects with biomass smoke exposure. This difference was statistically significant (p<0.001). The systolic pulmonary artery pressure was 22.7±12.4 in the control subjects and 57.3±22 in subjects with biomass smoke exposure. This difference was statistically significant (p<0.001). Systolic pulmonary artery pressure was significantly correlated with the main pulmonary artery diameter (r=0.614, p<0.01). A receiver operating characteristic (ROC) curve analysis showed that a value of 29 mm of the main pulmonary artery diameter differentiated between pulmonary hypertension and non-pulmonary hypertension patients. The sensitivity of the measurement to diagnose pulmonary hypertension was 91% and specificity was 80%. Conclusions: Our results indicate that main pulmonary artery diameter measurements by SCT may suggest presence of pulmonary hypertension in biomass smoke exposed women. © Med Sci Monit.
The Value of Diffusion-Weighted Imaging in the Diagnosis of Active Sacroiliitis
(Yuzuncu Yil Universitesi Tip Fakultesi, 2019) Akdeniz, H.; Avcu, S.; Ünal, Ö.; Bora, A.; Karahocagil, M.K.
The aim of this study was to evaluate the effectiveness of diffusion-weighted imaging (DWI) in the diagnosis of active sacroiliitis. In this prospective study, 66 patients with clinical prediagnosis of active sacroiliitis were evaluated. Four patients who were not suitable for MRI examination were excluded. Twenty subjects with no complaint of low back pain constituted the control group. All of the patients underwent sacroiliac MRI examination performed with a 1.5 Tesla unit using phase array body coil. Before DWI, oblique axial and coronal T1 and T2-weighted TSE followed by STIR sequences were obtained. DWI examinations were obtained on SS-SE EPI sequence through chemical shifting selective fat suppression technique. ‘b’ value was chosen as 50, 400 and 800 mm2/sec and total scanning time was 114 seconds. ADC calculations were made from the ADC maps by placing ROI on the active inflammatory regions in case group and on sacrum and iliac bones in control group. Of the 62 cases, 42 had a radiologic diagnosis of active sacroiliitis, and 20 were regarded as normal. Mean ADC values in 42 patients with active sacroiliitis were significantly higher than control group. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy rate of DWI in the diagnosis of active sacroiliitis were found to be 100% for all. The cut-off ADC value was 0.94 x 10-3 mm2/sec for right sacroiliitis and 0.89 x 10-3 mm2/sec for left sacroiliitis. We believe that DWI and ADC quantification can be used successfully for the early diagnosis and follow-up of active sacroiliitis. © 2019, Yuzuncu Yil Universitesi Tip Fakultesi. All Rights Reserved.