Erkin Aribal

Erkin Aribal
Acıbadem Mehmet Ali Aydınlar Üniversitesi

Professor in Radiology

About

132
Publications
17,577
Reads
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962
Citations
Citations since 2017
57 Research Items
600 Citations
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2017201820192020202120222023020406080100120140
2017201820192020202120222023020406080100120140
2017201820192020202120222023020406080100120140
Additional affiliations
July 1996 - March 2017
Marmara University
Position
  • Professor (Full)
July 1996 - March 2017
Marmara University
Position
  • Professor (Full)
Education
October 1980 - June 1986
Hacettepe University
Field of study
  • Medicine

Publications

Publications (132)
Article
Full-text available
(1) Background: Microwave breast imaging (MBI) is a promising breast-imaging technology that uses harmless electromagnetic waves to radiate the breast and assess its internal structure. It utilizes the difference in dielectric properties of healthy and cancerous tissue, as well as the dielectric difference between different cancerous tissue types t...
Article
Rationale and Objectives Microwave breast cancer imaging (MWI) is an emerging non-invasive technology used to clinically assess the internal breast tissue inhomogeneity. MWI utilizes the variance in dielectric properties of healthy and cancerous tissue to identify anomalies inside the breast and make further clinical predictions. In this study, we...
Article
Background: The evaluation of body composition is an essential parameter for preventing obesity and sarcopenic obesity, which are prognostic factors in breast cancer. This study aims to validate the bioelectrical impedance analysis (BIA) of women who are breast cancer survivors by using the dual-energy x-ray absorptiometry (DXA) measurement method...
Article
Full-text available
Background Early age at menarche and tall stature are associated with increased breast cancer risk. We examined whether these associations were also positively associated with mammographic density, a strong marker of breast cancer risk. Methods Participants were 10,681 breast-cancer-free women from 22 countries in the International Consortium of M...
Book
Full-text available
Ultrasonografi (US), dünya çapında en sık başvurulan görüntüleme araçlarından biridir. Girişimsel olmayan, kolay ulaşılabilir, kısa veya uzun dönem yan etkileri olmayan, güvenilir bir yöntemdir. İnsan kulağının işitme sınırının üzerindeki, ultra-yüksek frekanslı ses dalgaları ile elde edilir. Tıp alanında teşhis, tarama ve tedaviye yanıtın başarı i...
Article
Introduction: The COVID-19 pandemic has a worldwide negative impact on healthcare systems. This study aims to determine how the diagnosis, clinicopathological features, and treatment approaches of patients with breast cancer (BC) diagnosed at ≥65 years old were affected during the pandemic. This survey has shown that patients, especially the elder...
Article
Full-text available
Purpose: To evaluate the performance of an artificial intelligence (AI) algorithm in a simulated screening setting and its effectiveness in detecting missed and interval cancers. Methods: Digital mammograms were collected from Bahcesehir Mammographic Screening Program which is the first organized, population-based, 10-year (2009-2019) screening pro...
Article
Rationale and Objective We aimed to compare the diagnostic performance of an automated breast ultrasound system (ABUS) with handheld ultrasound (HHUS) in the detection and characterization of lesions regarding BI-RADS classification in women with dense breasts. Materials and Methods After ethical approval, from July 2017 to August 2019, 592 consec...
Article
Rationale and objectives: To evaluate the shear wave elastography indices (multiparametric SWE) of breast lesions based on patient and lesion dependent features and assess the contribution of different elastographic parameters to radiological diagnosis. Materials and methods: Effect of patient-dependent (age and menopausal status) and lesion-dep...
Article
Full-text available
Background: Accurate localization of the lumpectomy cavity is important for breast cancer radiotherapy after breast-conserving surgery (BCS), but the LC localization based on CT is often difficult to delineate accurately. The study aimed to compare CT-defined LC planning to MRI-defined findings in the supine position for higher soft-tissue resoluti...
Article
Full-text available
SAFE (Scan and Find Early) is a novel microwave imaging device intended for breast cancer screening and early detection. SAFE is based on the use of harmless electromagnetic waves and can provide relevant initial diagnostic information without resorting to X-rays. Because of SAFE’s harmless effect on organic tissue, imaging can be performed repeate...
Article
Purpose: We aimed to show the effects of long-term screening on clinical, pathologic, and survival outcomes in patients with screen-detected breast cancer and compare these findings with breast cancer patients registered in the National Breast Cancer Registry Data (NBCRD). Methods: Women aged 40-69 years, living in Bahcesehir county, Istanbul, T...
Article
Objective The aim of this study is to evaluate the effect of iron oxide particle deposition on follow-up mammograms and MRI examinations of patients who underwent sentinel lymph node detection with iron oxide particles. Materials and methods Two hundred and eighteen patients who had sentinel lymph node biopsy (SLNB) with iron oxide particles were...
Article
Objectives: To investigate the inclusion of breast MRI in radiological assessment of suspicious, isolated microcalcifications detected with mammography. Methods: In this prospective, multicenter study, cases with isolated microcalcifications in screening mammography were examined with dynamic contrast-enhanced MRI (DCE-MRI) before biopsy, and co...
Technical Report
Specimen ultrasound is a practical, reliable and efficient method for detecting ultrasound-only breast abnormalities. This technique was developed as a result of an increasing number of breast lesions being observed on ultrasound only, particularly in younger women. This procedure can be easily performed in either the radiology department or the op...
Article
PURPOSE The Turkish Bahçeşehir Breast Cancer Screening Project was a 10-year, organized, population-based screening program carried out in Bahçeşehir county, Istanbul. Our aim was to examine the biologic features and outcome of screen-detected and interval breast cancers during the 10-year study period. METHODS Between 2009 and 2019, 2-view mammog...
Article
Full-text available
Objective:We aimed to compare visual and quantitative measurements of breast density and to reveal the density profile with compression characteristics.Materials and Methods:Screening mammograms of 1399 women between May 2014 and May 2015 were evaluated by using Volpara 4th and 5th version. First 379 mammograms were assessed according to ACR BI-RAD...
Article
ABS TRACT We report a 64-year-old diabetic and hypertensive woman with left third nerve palsy presenting with acute diplopia and mild left upper eyelid ptosis following an uneventful coronary angiography. There were no other neurologic deficits. High-resolution magnetic resonance imaging (MRI) of the brain revealed focal ischemia on the left side o...
Article
Full-text available
Objective: We aimed to evaluate the mammography experience of patients using a manually controlled self- compression tool compared to their previous experience based on technician performed breast compression by a questionnaire survey study. Materials and methods: The survey studies of 365 patients who underwent screening or diagnostic mammograp...
Article
PURPOSE We aimed to evaluate the detectability of contrast enhancing lesions, initially demonstrated in standard prone dynamic contrast-enhanced MRI (DCE-MRI), in a supplementary supine breast MRI examination performed following the standard prone DCE-MRI examination and to show the correlation of spatial displacement of the lesions with breast siz...
Article
Full-text available
Objective: This study aimed to compare the automated breast ultrasound system (ABUS) reading time of breast radiologist to a radiology resident independent of the clinical outcomes. Materials and methods: One hundred women who underwent screening ABUS between July and August 2017 were reviewed retrospectively. Each study was examined sequentiall...
Article
Aim: The aim of this paper is to present baseline imaging data and the improvement that was achieved by the participating centers after applying practice-specific interventions that were identified during the course of a multicentric multinational research coordinated project. Introduction: The incidence and mortality rates from breast cancer are r...
Article
We present a case of a 10 year-old girl with slowly enlarging, painless mass at the volar aspect of her left hand. The lesion had been present since infancy. Diagnosis was lipomatosis of the median nerve which is a very rare, benign tumor involving peripheral nerves. Magnetic resonance imaging (MRI) and ultrasound (US) features of this lesion...
Article
Purpose The Turkish Bahcesehir Breast Cancer Screening Project is a 10-year organized population-based screening program carried out in one of the largest counties of Istanbul, Turkey. The aim of the current study was to examine the biologic features of screen-detected and interval breast cancers for the first 9-year study period. Methods Between...
Article
Full-text available
Introduction Radiotherapy after Breast-Conserving Surgery (BCS) is a standard treatment for breast cancer. Currently, surgical clips are used to determine the tumour bed before radiotherapy planning. This study aimed to evaluate the migration of these clips on mammograms. Methods The study was conducted on 121 females who were treated with radioth...
Article
Objective: To investigate the diagnostic value of dual-phase apparent diffusion coefficient (ADC) compared to traditional ADC values in quantitative diffusion-weighted imaging (DWI) for differentiating between benign and malignant breast masses. Materials and methods: Diffusion-weighted images of pathologically confirmed 88 benign and 85 maligna...
Article
A silicone-based composite breast phantom is fabricated to be used as an education model in ultrasonography training. A matrix of silicone formulations is tracked to mimic the ultrasonography and tactile response of human breast tissue. The performance of two different additives: (i) silicone oil and (ii) vinyl-terminated poly (dimethylsiloxane) (P...
Article
Full-text available
Purpose: The International Atomic Energy Agency (IAEA) through a Coordinated Research Project on "Enhancing Capacity for Early Detection and Diagnosis of Breast Cancer through Imaging", brought together a group of mammography radiologists, medical physicists and radiographers; to investigate current practices and improve procedures for the early d...
Article
Background/aim: The purpose of this study was to evaluate the concordance of immunohistochemical (IHC) parameters of breast lesions between the core needle biopsy (CNB) and the surgical resection specimen. Materials and methods: CNB and resection specimens of female patients were retrospectively analyzed. ER, PR, HER-2, and Ki-67 parameters were co...
Article
Full-text available
Objective: We used the results from the first three screening rounds of Bahcesehir Mammography Screening Project (BMSP), a 10-year (2009-2019) and the first organized population-based screening program implemented in a county of Istanbul, Turkey, to assess the potential cost-effectiveness of a population-based mammography screening program in Turk...
Article
Full-text available
Background Mammographic density (MD) is one of the strongest breast cancer risk factors. Its age-related characteristics have been studied in women in western countries, but whether these associations apply to women worldwide is not known. Methods and findings We examined cross-sectional differences in MD by age and menopausal status in over 11,00...
Data
Difference in square-root mammographic density measures with a 10-year increase in age in premenopausal women: Overall and by subgroups. (DOCX)
Data
Population-group-specific difference in square-root breast area compared to the ICMD average square-root breast area, adjusted for BMI (linear and quadratic) and mammography view and grouped by broad ethnic group. (DOCX)
Data
Smoothed curves of square-root percent density, dense area, and breast area, for broad ethnic groups. Curves are crude associations (no adjustment for BMI or any other factors). (DOCX)
Data
Study-specific definitions of menopause. (DOCX)
Data
Difference in square-root mammographic density measures with a 10-year increase in age, in postmenopausal women: Overall and by subgroups. (DOCX)
Data
Association of dense area with menopause and age. Associations of square-root dense area (cm), by population group, with (a) menopausal status, (b) age in premenopausal women, and (c) age in postmenopausal women, meta-combined overall and by low, medium, and high breast cancer incidence rate in the source population. (DOCX)
Data
Difference in square-root mammographic density measures in postmenopausal women compared to premenopausal women, and by time since menopause: Overall and by subgroups. (DOCX)
Data
List of studies included, by broad ethnic group (decreasing order of breast area for BMI). (DOCX)
Data
Age profile of breast cancer incidence rates in a selection of 6 countries included in ICMD that span low to high incidence rates (y-axis on log scale). (DOCX)
Data
Association of total breast area with menopause and age. Associations of square-root breast area (cm), by population group, with (a) menopausal status, (b) age in premenopausal women, and (c) age in postmenopausal women, meta-combined overall and by low, medium, and high breast cancer incidence rate in the source population. (DOCX)
Data
Association of non-dense area with menopause and age. Associations of square-root non-dense area (cm), by population group, with (a) menopausal status, (b) age in premenopausal women, and (c) age in postmenopausal women, meta-combined overall and by low, medium, and high breast cancer incidence rate in the source population. (DOCX)
Conference Paper
Full-text available
Akromegali hastalarında kemik döngü belirteçleri ve kemik mineral dansitometrisi ile vertebra kırıkları arasındaki ilişki
Article
Full-text available
ACT Objective: The aim of this study was to evaluate the performance of ultrasound (US) guided Vacuum Assisted Biopsy (VAB) in the therapeutic excision of breast fibroadenomas. Materials and Methods: Patients who underwent excisional US guided VAB of their fibroadenomas between December 1999-May 2001 were retrospectively evaluated. Seventy-eight...
Article
Full-text available
Objective: The purpose of this study is to assess the utility of a volume navigation technique (VNT) for ultrasound-guided biopsy of MRI-detected, but sonographically ambiguous or occult, breast lesions. Subjects and methods: Within a recruitment period of 13 months (January 1, 2014, through February 1, 2015), 22 patients with 26 BI-RADS categor...
Article
Full-text available
Objective: In this study, we aimed to determine the need for biopsy in patients referred from other clinics for the performance of biopsy with the suspicion of breast cancer. Materials and methods: 112 patients were included in the study. It was decided that their biopsies be performed following examinations in other clinics and they presented t...
Article
Full-text available
Background Inter-women and intra-women comparisons of mammographic density (MD) are needed in research, clinical and screening applications; however, MD measurements are influenced by mammography modality (screen film/digital) and digital image format (raw/processed). We aimed to examine differences in MD assessed on these image types. Methods We o...
Article
Purpose: Bahçeşehir Breast Cancer Screening Program is a population based organized screening program in Turkey, where asymptomatic women aged 40-69 years are screened biannually. In this prospective study, we aimed to determine the mammographic findings of screen-detected cancers and discuss the efficacy of breast cancer screening in a developing...
Article
Background: Pelvic congestion syndrome (PCS) is a commonly overlooked condition which is a potential cause of chronic pelvic pain. Magnetic resonance imaging (MRI) of the sacroiliac joint (SIJ) may demonstrate unexpected conditions that can mimic sacroiliitis (SI). Awareness of MRI-defined pelvic venous congestion (PVC) may help in identifying PCS...
Article
Purpose: To evaluate the diagnostic performances of the diffusion tensor imaging (DTI) parameters in the diagnosis of breast cancer and to investigate the variations in DTI parameters according to the breast cancer biomarkers. Materials and methods: At 3.0 Tesla (T), DTI was performed in 85 patients with 92 enhancing breast lesions. λ1 , λ2 , λ3...
Article
Full-text available
Objective: The aim of this study was to evaluate the effect of the apparent diffusion coefficient (ADC) and diffusion-weighted imaging in differentiating benign from malignant breast lesions, histopathologic subtypes of breast tumors, and to find a correlation with prognostic factors using 3T MR. Materials and methods: A total of 165 patients ag...
Article
Full-text available
We present a woman aged 50 years who underwent a Tru-cut biopsy for a BI-RADS 4 lesion on her right breast and received a histopathology diagnosis of a fibroadenoma. In her one year follow-up, the lesion had progressed and she underwent an excisional biopsy. Her final diagnosis was a periductal stromal tumor. Periductal stromal tumor is an extremel...
Article
Full-text available
Objectives: To evaluate the mammography image and reporting quality in Turkey. Materials and Methods: One hundred sixty five units which provide mammography examination services were included in the audit. Samples of mammographic examinations conducted between July 1st and December 31st, 2012 were evaluated. Auditors completed web-based evaluation...
Article
Purpose: To investigate the accuracy of diffusion coefficients and diffusion coefficient ratios of breast lesions and of glandular breast tissue from mono- and stretched-exponential models for quantitative diagnosis in diffusion-weighted magnetic resonance imaging (MRI). Materials and methods: We analyzed pathologically confirmed 170 lesions (85...
Article
Full-text available
Background: Ultrasound-guided fine needle aspiration biopsy (FNAB) of thyroid nodules, though the most accurate method to rule out malignancy, still has an inherent risk of yielding non-diagnostic specimens despite immediate assessment of specimen adequacy by an on-site cytopathologist. Purpose: To evaluate the effects of nodule volume and exten...
Article
Objectives: To evaluate the diagnostic accuracy of dynamic contrast enhanced breast MRI (DCE-MRI) combined with diffusion weighted imaging (DWI) and 1H single-voxel magnetic resonance spectroscopy (1HMRS) in differentiating malignant from benign breast lesions. Methods: One hundred twenty-nine patients with 138 lesions were included in the study...
Article
Purpose: The aim of our study was to evaluate the effect of 1H Magnetic Resonance Spectroscopy (MRS) in differentiating breast lesions. Materials and methods: Single voxel 1H Magnetic Resonance Spectroscopy (1H-MRS) was performed with 3T magnet in 45 women. The choline cut off point was set semi-quantitavely. Sensitivity, specificity and accurac...
Article
Objective: This study aims to determine the cost-effectiveness of a population-based organized mammography screening in a developing country (Bahcesehir, Istanbul, Turkey). Material and methods: Between 2009 and 2015, mammographies were obtained by 2-year intervals for women with ages 40-69 years (n=7167), living in Bahcesehir.. Cost for BMSP inclu...
Article
Full-text available
Mammographic density (MD) is a quantitative trait, measurable in all women, and is among the strongest markers of breast cancer risk. The population-based epidemiology of MD has revealed genetic, lifestyle and societal/environmental determinants, but studies have largely been conducted in women with similar westernized lifestyles living in countrie...
Article
Full-text available
Objective: The objective of this study was to evaluate the accuracy of the volume navigation technique for combining real-time ultrasound and contrast-enhanced MRI (CE-MRI) of breast lesions. Subjects and methods: Thirty-eight women with single breast lesions underwent 3-T MRI. A 3.5-minute CE-MRI sequence was used, as was a flexible body coil....
Article
Full-text available
An important difficulty regarding the Breast Imaging Reporting and Data System (BI-RADS) category 3 assessment is the need for extensive diagnostic workup and an additional 6-month follow-up study. To evaluate the feasibility of the BI-RADS category 3 assessments at opportunistic screening. Mammography charts of 9062 screening patients in a major t...
Article
Full-text available
Background: A fine needle aspiration biopsy (FNAB) of thyroid nodules - the least invasive and most accurate method used to investigate malignant lesions - may yield non-diagnostic specimens even under ultrasonographic guidance. Purpose: To evaluate the effects of thyroid nodule volume and extent of cystic degeneration on both the non-diagnostic...
Article
Full-text available
Objective: US elastography is an emerging technique that can be used during breast US examination. The increasing awareness of breast cancer led to an increase in mammography and breast US examinations. The specificity of these techniques is not high enough to prevent unnecessary biopsies. There is still a need for a more specific technique that ca...