Mediastinal adipose tissue and aortic measurements in thorax CT: is it related to atherosclerosis?
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Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: We aimed to investigate whether the mediastinal adipose tissue plays a role in thoracic aortic atherosclerosis with thoracic Computed Tomography (CT) imaging. We aimed to elucidate the relationship between the amount and density of mediastinal adipose tissue, age, sex, and the presence of atherosclerotic plaque in the aorta. Material and Method: In this retrospective study, the thoracic computed tomography (CT) images of 45 patients (21 men and 24 women) were examined in two groups. There were 23 patients aged >60 years in group 1 and 22 patients aged <60 years in group 2. The measurements were manually performed from the image where the mediastinal fat tissue, located anterior compartment of the aorta and the pulmonary artery, is viewed widest. The area and density of mediastinal fat tissue, the diameter of the aorta and the distance from the anterior of the aorta to the sternum were measured. The narrowest distance between the aorta and the pulmonary artery, and the subcutaneous fat tissue thickness from the anterior of the sternum in the same section were measured. The presence and absence of atherosclerotic plaque in the aorta were also recorded. Results: We found no significant differences in demographic and clinical data between the groups. Among the patients aged >60 years (group 1) and <60 years (group 2), statistically significant differences in fat density, sternal fat thickness, and aortic diameter were found. Age was associated with the presence of atherosclerotic plaque. A statistically significant relationship was observed between sternal fat thickness and atherosclerotic plaque. The sternal fat thickness was greater in those with than in those without atherosclerotic plaques. The presence of atherosclerotic plaque was associated with aortic diameter. No statistically significant relationships were observed between the presence of atherosclerotic plaque and the amount and density of mediastinal fat, the aortosternal distance, and the aortopulmonary artery distance. Conclusion: The risk of atherosclerosis increases not only with excess adipose tissue but also depending on many other parameters. While evaluating atherosclerotic risk and plaque development, patient age, sex, fat distribution, and other diseases should also be evaluated. It should be kept in mind that atherosclerosis is still an unexplained multifactorial parameter in development.
Açıklama
Anahtar Kelimeler
Mikroskopi, Patoloji, Görüntüleme Bilimi ve Fotoğraf Teknolojisi, Onkoloji, Kalp ve Kalp Damar Sistemi
Kaynak
Journal of medicine and palliative care (Online)
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
2
