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Diffuse Myocardial Uptake of 99mTc-HDP in Multiple Myeloma
Koray Demirel,Murat Sadic,Meliha Korkmaz,Aylin Comak,Hasan Ikbal Atilgan,Gökhan Koca 대한핵의학회 2013 핵의학 분자영상 Vol.47 No.3
Soft tissue uptake is a rare finding in bone scintigraphy,with an incidence of 2%. Although the mechanism has not yet been fully clarified, several causes have been reported for this unusual uptake pattern. This paper presents a case of diffuse myocardial accumulation of technetium-99m hydroxymethylene diphosphonate (99mTc-HDP) without either solid/visceral organ or soft tissue with multiple myeloma (MM) in skeletal scintigraphy. A 93-year-old man with hypertension and chronic heart failure for 14 years underwent bone scanning due to a 2-month history of back pain within a 1-year period of MM. Three hours later,99mTc-HDP late static images showed diffuse myocardial radiotracer accumulation and there were no other sites of abnormal soft tissue or visceral uptake. Myocardial accumulation had disappeared on 24-h delayed static images. This accumulation was thought to be related with AL-type amyloidosis associated with MM.
An investigation on plan geometries of RC buildings: with or without projections in plan
Tugba Inan,Koray Korkmaz,Ismail H. Cagatay 사단법인 한국계산역학회 2012 Computers and Concrete, An International Journal Vol.9 No.6
The interaction of plan geometry and structural configuration, a determinative factor in the earthquake behavior of buildings, has become a serious issue in the building industry in Turkey due to the poor seismic performance of R/C buildings during the latest earthquake. Consequently, designing new buildings without structural irregularities against earthquake loads is proving to be more significant. This study focuses on the effects of plan geometries on earthquake performances of buildings. In that respect, structural irregularities in the plan are investigated in detail based on the Turkish Earthquake Code (TEC 2007). The study is based on five main parametric models and a total of 40 sub-models that are grouped according to their plan geometries with excessive projections such as L-shaped, H-shaped, T-shaped and U-shaped models. In addition to these, a square model without any projections is also generated. All models are designed to have the same storey gross area but with different number of storeys. Changes in the earthquake behavior of buildings were evaluated according to the number of storeys, the projection ratios and the symmetry conditions of each model. The analysis of each structural irregularity resulted in many findings, which were then assessed. The study demonstrates that the square model delivers the best earthquake performance owing to its regular plan geometry.
The effect of architectural form on the earthquake behavior of symmetric RC frame systems
Tugba Inan,Koray Korkmaz,Ismail H. Cagatay 사단법인 한국계산역학회 2014 Computers and Concrete, An International Journal Vol.13 No.2
In this study, structural irregularities in plan, which has a considerable effect on earthquake behavior of buildings, have been investigated in detail based on Turkish Earthquake Code 2007. The study consists of six main parametric models and a total of 144 sub-models that are grouped based on RC structural systems such as frame, frame + rigid core, frame with shear wall, and frame with shear wall + rigid core. All models are designed to have both symmetrical plan geometry and regular rigidity distribution. Changes in the earthquake behavior of buildings were evaluated according to the number of storeys, number of axes and the configuration of structural elements. Many findings are obtained and assessed as a result of the analysis for each structural irregularity. The study shows that structural irregularities can be observed in completely symmetric buildings in terms of plan geometry and rigidity distribution.
Koca, Gokhan,Ozsoy, Hakan,Atilgan, Hasan Ikbal,Demirel, Koray,Dincel, Veysel Ercan,Korkmaz, Meliha The Korea Society of Nuclear Medicine 2012 핵의학 분자영상 Vol.46 No.3
After surgical therapy of diffuse pigmented villonodular synovitis (DPVNS), recurrence is seen in almost half of the patients. The effectiveness of radiosynovectomy (RSV) in preventing recurrence and complaints of DPVNS is well known. Elbow involvement in DPVNS is a very rare condition; therefore, RSV in elbow hasn't been experienced widely. The aim of this case report is to show the effectiveness of RSV with rhenium-186 (Re-186) sulfide colloid. We applied Re-186 sulfide colloid to the elbow joint of DPVNS patients six weeks after arthroscopic synovectomy. As a result, the patient did not have any complaints, and our findings are compatible with residue or recurrence on magnetic resonance imaging (MRI) in sixth and twentieth month controls after administration. We concluded that Re-186 is an effective adjuvant therapy for the prevention of recurrence and complaints.